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Updated: Jan 20, 2026

Full-Endoscopic Surgery for Hypothalamic Hamartoma Resection
Published on: April 12, 2024
How to Perform Wide-Field Endoscopic Mucosal Resection and Follow-up Examinations
Bilel Jideh1, Michael J Bourke1
1Department of Gastroenterology and Hepatology, Endoscopy Unit, Westmead Hospital, Cnr Hawkesbury & Darcy Roads, Westmead, Sydney, New South Wales 2145, Australia; Westmead Clinical School, University of Sydney, Sydney, New South Wales, Australia.
Abstract:
Wide-field endoscopic mucosal resection (EMR) is the primary management option for noninvasive laterally spreading colorectal lesions. It has been proved to be safe, highly effective, efficient, and cost-effective. Careful lesion interrogation before resection is essential because it provides essential information, including the risk of submucosal invasive disease. Adjuvant thermal ablation to the post-EMR defect margin has recently been shown to substantially reduce adenoma recurrence. Adenoma recurrence is predictable using the Sydney EMR Recurrence Tool. Adenoma recurrence can be accurately detected using standardized imaging of the post-EMR scar, and can be effectively treated.
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