TY - JOUR
T1 - Devices and techniques for endoscopic treatment of residual and fibrotic colorectal polyps (with videos)
AU - Trindade, Arvind J.
AU - Kumta, Nikhil A.
AU - Bhutani, Manoop S.
AU - Chandrasekhara, Vinay
AU - Jirapinyo, Pichamol
AU - Krishnan, Kumar
AU - Melson, Joshua
AU - Pannala, Rahul
AU - Parsi, Mansour A.
AU - Schulman, Allison R.
AU - Trikudanathan, Guru
AU - Watson, Rabindra R.
AU - Maple, John T.
AU - Lichtenstein, David R.
N1 - Publisher Copyright:
© 2020 American Society for Gastrointestinal Endoscopy
PY - 2020/9
Y1 - 2020/9
N2 - Background and Aims: Residual neoplasia after macroscopically complete EMR of large colon polyps has been reported in 10% to 32% of resections. Often, residual polyps at the site of prior polypectomy are fibrotic and nonlifting, making additional resection challenging. Methods: This document reviews devices and methods for the endoscopic treatment of fibrotic and/or residual polyps. In addition, techniques reported to reduce the incidence of residual neoplasia after endoscopic resection are discussed. Results: Descriptions of technologies and available outcomes data are summarized for argon plasma coagulation ablation, snare-tip coagulation, avulsion techniques, grasp-and-snare technique, EndoRotor endoscopic resection system, endoscopic full-thickness resection device, and salvage endoscopic submucosal dissection. Conclusions: Several technologies and techniques discussed in this document may aid in the prevention and/or resection of fibrotic and nonlifting polyps.
AB - Background and Aims: Residual neoplasia after macroscopically complete EMR of large colon polyps has been reported in 10% to 32% of resections. Often, residual polyps at the site of prior polypectomy are fibrotic and nonlifting, making additional resection challenging. Methods: This document reviews devices and methods for the endoscopic treatment of fibrotic and/or residual polyps. In addition, techniques reported to reduce the incidence of residual neoplasia after endoscopic resection are discussed. Results: Descriptions of technologies and available outcomes data are summarized for argon plasma coagulation ablation, snare-tip coagulation, avulsion techniques, grasp-and-snare technique, EndoRotor endoscopic resection system, endoscopic full-thickness resection device, and salvage endoscopic submucosal dissection. Conclusions: Several technologies and techniques discussed in this document may aid in the prevention and/or resection of fibrotic and nonlifting polyps.
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U2 - 10.1016/j.gie.2020.03.018
DO - 10.1016/j.gie.2020.03.018
M3 - Article
C2 - 32641215
AN - SCOPUS:85087515503
SN - 0016-5107
VL - 92
SP - 474
EP - 482
JO - Gastrointestinal endoscopy
JF - Gastrointestinal endoscopy
IS - 3
ER -