Endoscopy 2021; 53(S 01): S175-S176
DOI: 10.1055/s-0041-1724733
Abstracts | ESGE Days
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Hybrid Colorectal Endoscopic Mucosal Resection (EMR) to Treat Difficult, Fibrotic Residual Adenomas

T Pereira Guedes
1   Santo António Hospital, Porto University Hospital Center, Gastroenterology, Porto, Portugal
,
R Küttner-Magalhães
1   Santo António Hospital, Porto University Hospital Center, Gastroenterology, Porto, Portugal
2   Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
,
I Marques-de-Sá
3   Portuguese Oncology Institute of Porto, Gastroenterology, Porto, Portugal
,
L Maia
1   Santo António Hospital, Porto University Hospital Center, Gastroenterology, Porto, Portugal
,
I Pedroto
1   Santo António Hospital, Porto University Hospital Center, Gastroenterology, Porto, Portugal
2   Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
› Author Affiliations
 

Endoscopic management of residual adenomas can be technically difficult. Among different options, hybrid Endoscopic Mucosal Resection (EMR) offers a compromise between standard EMR and Endoscopic Submucosal Dissection (ESD). We present 2 cases of hybrid colorectal EMR to address fibrotic residual adenomas. Circumferential incision of the lesion was made with the tip of the snare followed by partial submucosal dissection with knife and finally piecemeal EMR. We highlight the relevance of complying with scheduled follow-ups/surveillance and the importance of careful good quality post EMR scar inspection. We demonstrate the feasibility of hybrid EMR in the management of difficult, fibrotic residual lesions.

Citation: Pereira Guedes T, Küttner-Magalhães R, Marques-de-Sá I et al. eP237V HYBRID COLORECTAL ENDOSCOPIC MUCOSAL RESECTION (EMR) TO TREAT DIFFICULT, FIBROTIC RESIDUAL ADENOMAS. Endoscopy 2021; 53: S175.



Publication History

Article published online:
19 March 2021

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