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The large polyp: When to choose EMR, ESD, surgery?

 

Presented by Michael B Wallace at the ASGE Joint Panel: Endoscopic Management of Colon Lesions held during the 2017 SAGES Annual Meeting in Houston, TX on Saturday, March 25, 2017


Keyword(s): ablative, academic centers, adverse events, Australian, benign adenoma, biopsies, bleeding, bowel obstruction, carcinoma, cecum, coagulation, cohort, cold polypectomy, colon cancer, colon polyp, colonoscopy, complication rate, contraindication, cost, costs, CPT codes, delayed bleeding, electronic medical record, EMR, en bloc resection, endoscopic mucosal resection, endoscopic resection, endoscopic submucosal dissection, endoscopy, ESD, European guidelines, expert, follow-up, gastrointestinal endoscopy, GIE, granular LST, guidelines, Gut, high risk, hyperplastic polyps, ICD-9, injection, invasive carcinoma, Italy, Japan, laparoscopic hemicolectomy, laparoscopic right hemicolectomy, lateral spreading tumor, leakage, learning curve, length of stay, limitations, LOS, LST, lymph node metastases, malignant sessile polyp, margin, morphology, mortality, NBI classification, NCCN, neoplastic, NICE classification, non-invasive, non-invasive pathology, outpatient surgery, Paris classification, pedunculated polyp, perforation, piecemeal resection, polypectomy, propofol, randomized controlled trials, RCT, rectal lesions, recurrence, recurrence rate, salvage surgery, sessile polyp, snare, snare resection, specialist, standard of care, submucosal, technique, Tokyo, transanal resection, transanal surgery, U.S., ulcerated lesions, United States, unresectable, vessels, wire

Growing interest in EMR/ESD in the West–1:20 GIE 2013

GIE 2012

GIE 2014

EMR vs ESD vs surgery–2:09

EMR vs ESD–3:53 Surg Endosc 2010

GIE 2010

Critical issues of endoscopic resection–5:08

Paris classification–6:33

NBI classification selection for ESD–8:00 Dig Endosc 2011

Granular LST–8:36

Wide field piecemeal EMR video clip–9:17

Effectiveness of EMR in large, flat polyps–10:58

Current U.S. (NCCN) guidelines for sessile polyps with cx–12:15

Recent ESGE ESD guidelines–14:04 Endoscopy 2015

Studies comparing endoscopic to surgical resection–14:32 World J GIE 2015

Clin Gastroenterol Hepatol 2016

GIE 2014

Summary–17:11

1,785

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Related

Video Uploaded By:
SAGES Webmaster
Uploaded on
03/25/2017
Learning Themes
Colorectal, Flexible Endoscopy
Sources
2017 Annual Meeting
Video Authors
Wallace M
Video Institutions
Mayo Clinic--Jacksonville FL

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