ESD + EMR: How a Hybrid Technique Advances Endoscopic Resection скачать в хорошем качестве

ESD + EMR: How a Hybrid Technique Advances Endoscopic Resection

Episode Overview: In this episode, host Dr. Alan Smith discusses a new hybrid endoscopic technique that combines aspects of ESD and EMR to improve resection of difficult to remove gastrointestinal lesions. Key Topics Covered: Limitations of traditional endoscopic resection techniques like ESD and EMR Overview of the ESD-EMR hybrid technique (also called pre-cutting EMR) Step-by-step explanation of how the hybrid technique works Types of challenging GI lesions the hybrid technique is useful for Benefits of the ESD-EMR approach over standard resection methods Limitations and alternatives to the hybrid technique Episode Highlights: Laterally spreading colorectal lesions often cannot be fully resected with standard EMR snares due to slippery mucosa, leading to recurrence. The ESD-EMR hybrid technique creates a pre-cut groove around the lesion that enables complete en bloc snare resection. Serrated polyps in the colorectum frequently evade polypectomy snares because of their subtle mucosal surfaces. The hybrid technique overcomes this with circumferential pre-cutting to allow complete snare capture.  For difficult to resect subepithelial tumors like lipomas, the combined ESD-EMR approach facilitates resection of larger lesions compared to standard EMR. The hybrid technique decreases recurrence rates and lowers perforation risks versus ESD in less experienced hands. Notable Quotes: "But ESD and EMR have limitations resecting certain flat, slippery lesions. Laterally spreading colorectal polyps often slip out of EMR snares, causing incomplete removal and recurrence." "Making a customized groove around the lesion enables complete snare capture and resection of even challenging flat lesions." "While limitations exist, this innovative ESD-EMR hybrid strategy expands the range of lesions treatable by endoscopic resection while minimizing recurrence and perforation risks." Sources: 1. https://endocollab.com/blogs/news/the... 2. https://www.thepracticingendoscopist.... Topics mentioned: Endoscopy, ESD, EMR, endoscopic resection, endoscopic submucosal dissection, endoscopic mucosal resection, hybrid technique, pre-cutting, GI tumors, GI lesions, laterally spreading tumors, colorectal polyps, serrated polyps, adenomas, subepithelial tumors, lipomas, en bloc resection, snare resection, electrosurgery, submucosal injection, submucosal dissection, polypectomy, recurrence prevention, non-lifting lesions, fibrotic tumors, gastroenterology https://www.gastroendopod.com (https://www.gastroendopod.com/)