Commentary

The quality of endoscopic resection of colonic lesions is to a large extent determined by the technique used, with higher rates of en bloc resection using a cold snare for small (< 10 mm) polyps or endoscopic submucosal dissection (ESD) for large lesions (< 30 mm).

Endoscopic mucosal resection (EMR) is commonly used for noninvasive colonic lesions of 10 – 30 mm in size. For these lesions, it is not always easy to achieve en bloc resection, especially when they are sessile or flat. Hybrid ESD is a technique that has been described for these lesions, but the “incision and snaring” technique, as described in this case, seems an interesting alternative to hybrid ESD.

The incision and snaring technique will likely guarantee en bloc resection for 10 – 20-mm lesions and it also provides an alternative to ESD or to hybrid techniques for 20 – 30-mm lesions, saving time and money by using conventional devices.

Publication History

Article published online:
22 April 2020