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Related Experiment Video

Updated: Mar 28, 2026

Author Spotlight: A Reproductive Hysteroscopy Approach for Complete Endometrial Polyp Removal and Enhanced Endometrial Receptivity

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Published on: August 2, 2024

Update on Difficult Polypectomy Techniques.

Saowanee Ngamruengphong¹, Heiko Pohl^2,3, Yamile Haito-Chavez¹

¹Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, 1800 Orleans Street, Zayed Bldg, Suite 7125B, Baltimore, MD, 21287, USA.

Current Gastroenterology Reports

|December 31, 2015

Summary

This summary is machine-generated.

Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) offer alternatives to surgery for difficult colorectal polyps. ESD provides higher en bloc resection rates but requires careful patient selection due to increased adverse events.

Keywords:

Adenoma Colonic polyps Colonoscopy Endoscopic resection Polypectomy

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Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

Area of Science:

Gastroenterology
Endoscopic Surgery
Colorectal Oncology

Background:

Technically difficult colorectal polyps traditionally required surgery, posing significant risks.
Advances in endoscopic techniques enable safer, effective removal of colorectal lesions, potentially avoiding surgery.

Purpose of the Study:

To review recent literature on the endoscopic management of challenging colorectal neoplasms.
To compare the efficacy and safety of Endoscopic Mucosal Resection (EMR) and Endoscopic Submucosal Dissection (ESD).

Main Methods:

Review of recent scientific literature on endoscopic management of colorectal neoplasms.
Analysis of data comparing EMR and ESD for large and difficult-to-resect colorectal lesions.

Main Results:

EMR is accepted as a first-line therapy for large colorectal lesions.
ESD offers higher en bloc resection rates and lower short-term recurrence but has increased adverse events.
ESD is recommended for lesions with high-risk features of submucosal invasion.

Conclusions:

Endoscopic techniques like EMR and ESD are effective in managing difficult colorectal polyps.
Careful selection of patients and techniques is crucial for optimizing outcomes and minimizing risks associated with ESD.