Devices and techniques for endoscopic treatment of residual and fibrotic colorectal polyps (with videos) - 21/08/20
Doi : 10.1016/j.gie.2020.03.018
Arvind J. Trindade, MD 1, ∗, Nikhil A. Kumta, MD, MS 2, ∗, Manoop S. Bhutani, MD, FASGE 3, Vinay Chandrasekhara, MD 4, Pichamol Jirapinyo, MD, MPH 5, Kumar Krishnan, MD 6, Joshua Melson, MD, MPH, FASGE 7, Rahul Pannala, MD, MPH, FASGE 8, Mansour A. Parsi, MD, MPH, FASGE 9, Allison R. Schulman, MD, MPH 10, Guru Trikudanathan, MBBS 11, Rabindra R. Watson, MD 12, John T. Maple, DO 13 : FASGE, previous Committee Chair (2016-2019), David R. Lichtenstein, MD, FASGE 14 : ASGE Technology Committee Chair
1 Division of Gastroenterology, Mount Sinai Hospital, New York, New York, USA
2 Department of Gastroenterology, Zucker School of Medicine at Hofstra/Northwell, Long Island Jewish Medical Center, New Hyde Park, New York, USA
3 Department of Gastroenterology, Hepatology and Nutrition, Division of Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA
4 Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA
5 Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, USA
6 Division of Gastroenterology, Department of Internal Medicine, Harvard Medical School and Massachusetts General Hospital, Boston, Massachusetts, USA
7 Division of Digestive Diseases, Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA
8 Department of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona, USA
9 Section for Gastroenterology and Hepatology, Tulane University Health Sciences Center, New Orleans, Louisiana, USA
10 Department of Gastroenterology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan, USA
11 Department of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA
12 Department of Gastroenterology, Interventional Endoscopy Services, California Pacific Medical Center, San Francisco, California, USA
13 Division of Digestive Diseases and Nutrition, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA
14 Division of Gastroenterology, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts, USA
Abstract |
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.
Le texte complet de cet article est disponible en PDF.Abbreviations : APC, ASGE, CAST, CPT, ESD, FTRD
Plan
| DISCLOSURE: The following authors disclosed financial relationships: N. Kumta: Consultant for Boston Scientific, Olympus Corporation of the Americas, Gyrus ACMI, Inc, and Apollo Endosurgery US Inc. A. Trindade: Consultant for Olympus Corporation of the Americas and PENTAX of America, Inc; food and beverage support from Boston Scientific; research grant from NinePoint Medical, Inc. M. Bhutani: Research grant from Silenseed Inc, Galera Inc, Oncosil Inc, and Augmenix Inc; food, beverage, or travel support from Boston Scientific, Augmentix, and Conmed Corporation. V. Chandrasekhara: Advisory board for Interpace Diagnostics; shareholder in Nevakar, Inc. P. Jirapinyo: Consultant for GI Dynamics and Endogastric Solutions; research support from GI Dynamics, Apollo Endosurgery, and Fractyl. K. Krishnan: Consultant for Olympus Medical; D. Lichtenstein: Consultant for Allergan Inc, Augmenix, Gyrus ACMI, Inc, and Olympus Corporation of the Americas; speaker for Aries Pharmaceutical, Gyrus ACMI, Inc, and Olympus Corporation of the Americas; tuition payment from Erbe USA Inc. J. Melson: Investigator-initiated grant from Boston Scientific; stock options with Virgo Imaging. R. Pannala: Consultant for HCL Technologies; travel compensation from Boston Scientific Corporation; stockholder in AbbVie. A. Schulman: Consultant for Boston Scientific, Apollo Endosurgery, and MicroTech; research funding from GI Dynamics. G. Trikudanathan: Speaker, honorarium, and travel from Boston Scientific; advisory board for Abbvie. R. Watson: Consultant for Apollo Endosurgery, Boston Scientific, Medtronic, and Neptune Medical Inc; speaker for Apollo Endosurgery and Boston Scientific. |
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| This document is from the American Society for Gastrointestinal Endoscopy Technology Committee and was reviewed and approved by the Governing Board of the American Society for Gastrointestinal Endoscopy (ASGE). |
© 2020
American Society for Gastrointestinal Endoscopy. Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 92 - N° 3
P. 474-482 - septembre 2020 Retour au numéro
Article précédent
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