Related Experiment Video
Updated: Apr 14, 2026
11:19
Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
2.2K
Multiband mucosectomy for advanced dysplastic lesions in the upper digestive tract
Jesús Espinel1, Eugenia Pinedo1, Vanesa Ojeda1
1Jesús Espinel, Department of Digestive Diseases, Hospital Universitario de León, 24071 León, Spain.
World Journal of Gastrointestinal Endoscopy
|April 23, 2015
Summary
Multiband mucosectomy (MBM) is an efficient endoscopic resection technique for gastrointestinal neoplasia. Further research is needed to evaluate MBM
Area of Science:
- Gastroenterology
- Endoscopic Surgery
Background:
- Endoscopic resection (ER) is a minimally invasive, cost-effective alternative to surgery for superficial gastrointestinal neoplasia.
- Endoscopic mucosal resection (EMR) improves diagnosis and management of advanced dysplasia compared to biopsy.
- Various EMR techniques exist, chosen based on endoscopist experience, anatomy, and lesion characteristics.
Purpose of the Study:
- To evaluate the safety and efficacy of EMR techniques for upper gastrointestinal lesions with advanced dysplasia.
- To compare the advantages of multiband mucosectomy (MBM) over cap-assisted EMR.
Main Methods:
- EMR techniques, including cap-assisted EMR and multiband mucosectomy (MBM), are described.
- MBM offers advantages such as no need for submucosal injection, multiple resections with one snare, and reduced procedure time and patient discomfort.
Main Results:
- MBM streamlines the resection process by eliminating the need for submucosal injection and endoscope withdrawal between resections.
- Up to six consecutive resections can be performed with MBM, potentially reducing procedure time and cost.
Conclusions:
- EMR, particularly MBM, shows promise for treating selected gastrointestinal neoplasia.
- Limited data exists on the safety and efficacy of MBM for upper gastrointestinal lesions with advanced dysplasia (high-grade dysplasia or early cancer).
