Colon Polypectomy with Endoscopic Submucosal Dissection and Endoscopic Full-Thickness Resection.

Maham Hayat, Nabeel Azeem, Mohammad Bilal

Journal: Gastrointestinal endoscopy clinics of North America 2022;32(2):277-298

PMID: 35361336

Full Text on Elsevier Science View on PubMed

Abstract

Endoscopic resection has become the gold standard for the management of most of the large colorectal polyps. Various endoscopic resection techniques include endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and endoscopic full-thickness resection (EFTR). ESD is a minimally invasive method for the resection of advanced lesions in the gastrointestinal (GI) tract to achieve en-bloc resection. While, EFTR is more commonly used in lesions with suspected deeper submucosal invasion, lesions originating from muscularis propria, or those with advanced fibrosis. This article reviews the indications, technique, and adverse events for use of ESD and EFTR in the colon.

Published by Elsevier Inc.

Address: Section of Digestive Diseases and Nutrition, University of Oklahoma Health Sciences Center, 800 Stanton L Young Boulevard, Oklahoma City, OK 73104, USA.; Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, MN 55455, USA.; Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, MN 55455, USA; Advanced Endoscopy, Division of Gastroenterology & Hepatology, Minneapolis Veterans Affairs Medical Center, 1 Veterans Drive, Minneapolis, MN 55417, USA. Electronic address: [email protected].

DOI: 10.1016/j.giec.2021.12.005

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MeSH Terms: Colon, Endoscopic Mucosal Resection, Humans