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Outcomes of underwater endoscopic mucosal resection for colorectal polyps-Insights from western India.
Sundaram, Sridhar; Patil, Gaurav Kumar; Jain, Aadish Kumar; Dalal, Ankit; Patil, Prachi; Mehta, Shaesta; Maydeo, Amit.
Afiliación
  • Sundaram S; Department of Digestive Diseases and Clinical Nutrition, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, 400 012, India.
  • Patil GK; Institute of Gastrosciences, Sir H N Reliance Foundation Hospital, Mumbai, 400 004, India. gauravkpatil@gmail.com.
  • Jain AK; Department of Digestive Diseases and Clinical Nutrition, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, 400 012, India.
  • Dalal A; Institute of Gastrosciences, Sir H N Reliance Foundation Hospital, Mumbai, 400 004, India.
  • Patil P; Department of Digestive Diseases and Clinical Nutrition, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, 400 012, India.
  • Mehta S; Department of Digestive Diseases and Clinical Nutrition, Tata Memorial Hospital, Homi Bhabha National Institute, Mumbai, 400 012, India.
  • Maydeo A; Institute of Gastrosciences, Sir H N Reliance Foundation Hospital, Mumbai, 400 004, India.
Indian J Gastroenterol ; 2024 Sep 07.
Article en En | MEDLINE | ID: mdl-39243341
ABSTRACT

INTRODUCTION:

Underwater endoscopic mucosal resection (uEMR) represents an alternative to conventional EMR for resection of sessile colorectal polyps. We aimed at assessing the efficacy and safety of uEMR for sessile colorectal polyps.

METHODS:

A retrospective analysis of endoscopy database was done for patients who underwent uEMR for sessile colorectal polyps more than 10 mm in size without any features of sub-mucosal invasion from two tertiary care centres in western India between January 2021 and June 2023. Exclusion criteria were other modes of endoscopic resection. Primary outcome was rate of en bloc resection. Secondary outcomes were complete resection rate, adverse events and recurrence rate.

RESULTS:

During the study period, 159 patients with 261 lesions met the study inclusion. Mean lesion size was 1.935 ± 0.71 cm with most lesion located in the rectum (75, 28.73%) followed by sigmoid colon (69, 26.43%). Most lesions had a Paris 0-Is morphology (192, 73.56%). Japan NBI Expert Team (JNET) IIa pattern was seen on narrow band imaging (NBI) in 221 (84.67%) lesions. Complete resection was achieved in 98.46% lesions (257/261). En bloc resection was achieved in 91.82% (236/257) lesions. Complications were seen in 6.8%, all of which were managed endoscopically. Recurrence was seen in 3.1% of polyps on follow-up.

CONCLUSION:

uEMR is a safe and efficacious technique for endoscopic resection for sessile colorectal polyps with high rates of en bloc resection for polyps more than 10 mm size.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Indian J Gastroenterol Asunto de la revista: GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: India
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Indian J Gastroenterol Asunto de la revista: GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: India