Advances in Endoscopic Resection.

Gastroenterol Clin North Am

Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA. Electronic address:

Published: December 2024

AI Article Synopsis

  • The article reviews recent advancements in endoscopic resection techniques, focusing on methods like endoscopic submucosal dissection (ESD) and their regional variations in use.* -
  • It highlights specific techniques such as cold snare polypectomy for small polyps and underwater endoscopic mucosal resection (U-EMR) for sessile lesions, along with practical tips for performing these procedures.* -
  • The discussion also encompasses the evolving area of endoscopic full-thickness resection, detailing both device-assisted and freehand techniques to enhance safety and effectiveness in these procedures.*

Article Abstract

This article provides an overview of recent advances in endoscopic resection techniques. It includes the brief overview of endoscopic submucosal dissection, regional differences in ESD indications, innovation of ESD techniques, and expansion to full-thickness resection. The article covers cold snare polypectomy for small polyps with tips, underwater endoscopic mucosal resection (U-EMR) for sessile lesions with tips and expanding role of U-EMR, and the key assistive techniques for ESD that have improved the safety and efficacy. Furthermore, it discusses the emerging field of endoscopic full-thickness resection including device-assisted and freehand exposure techniques.

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Source
http://dx.doi.org/10.1016/j.gtc.2024.08.018DOI Listing

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