作者
Hyun Gun Kim, Nirav Thosani, Subhas Banerjee, Ann Chen, Shai Friedland
发表日期
2014/12/1
期刊
Gastrointestinal endoscopy
卷号
80
期号
6
页码范围
1094-1102
出版商
Mosby
简介
Background
Conventional endoscopic treatment of a recurrent adenoma after piecemeal EMR (PEMR) of a colorectal laterally spreading tumor (LST) is technically difficult with low en bloc resection rates because of the inability to snare fibrotic residual.
Objective
To assess the feasibility of salvage underwater EMR (UEMR) for the treatment of recurrent adenoma after PEMR of a colorectal LST.
Design
Retrospective, cross-sectional study.
Setting
Single, tertiary-care referral center.
Patients
Patients who have recurrent adenoma after PEMR of colorectal LST (≥2 cm).
Interventions
UEMR versus EMR.
Main Outcome Measurement
En bloc resection rate, endoscopic complete removal rate, recurrence rate on follow-up colonoscopy, adjunctive ablation rate with argon plasma coagulation (APC) during salvage procedure, and independent predictive factors for successful en bloc resection and endoscopic complete removal …
学术搜索中的文章
HG Kim, N Thosani, S Banerjee, A Chen, S Friedland - Gastrointestinal endoscopy, 2014