Hybrid and Conventional Endoscopic Submucosal Dissection for Early Gastric Neoplasms: A Multi-Center Randomized Controlled Trial

Endoscopic submucosal dissection in early gastric cancer: has the West caught up?

“…Knife-assisted resection, a precut technique analogous to hybrid ESD, was found to be predictive of recurrence and piecemeal resection in this study, and this finding is consistent with results of earlier Japanese and Korean studies 8 9 10 11 . Despite the shorter procedure time and learning curve, the current evidence suggests that hybrid ESD should be avoided in gastric lesions.…”

Underwater precutting endoscopic mucosal resection using a multifunctional snare for a large colonic laterally spreading tumor

“…1 ). Underwater PEMR using a multifunctional device equipped with both a snare and knob-shaped tip was applied to this lesion 4 5 ( Fig. 2 ).…”

Endoscopic mucosal resection for challenging colonic mucosal lesions

“…However, the process of prefilling the colonic lumen with water appears to be a laborious and time-consuming procedure. Given the failure of snares to capture flat lesions, we suggest employing a hybrid EMR procedure that incorporates endoscopic submucosal dissection (ESD) techniques for dissection of the circumferential mucosa of the lesion, followed by snare resection [4]. The hybrid EMR procedure not only facilitates effective lesion capture by anchoring the snare beneath the dissected mucosa, but also provides clear visualization of the lesion extent.…”