Large refractory colonic polyps: is it time to change our practice? A prospective study of the clinical and economic impact of a tertiary referral colonic mucosal resection and polypectomy service (with videos)

The target sign: an endoscopic marker for the resection of the muscularis propria and potential perforation during colonic endoscopic mucosal resection

“…Patients prospectively enrolled at a single center, on an intent-to-treat basis, in 2 human ethics-approved successive studies 4,5 comprehensively examining the technical aspects and clinical outcomes of EMR of large (Ն20 mm), laterally spreading tumors (LSTs) or sessile lesions of the colon formed the study group for the characterization of this novel sign. Colonoscopy was performed by using Olympus 180 series pediatric variable-stiffness colonoscopes (Olympus Optical, Japan, Tokyo).…”

Endoscopic mucosal resection and endoscopic submucosal dissection for colorectal lesions: A systematic review

“…If compared with surgery, endoscopic resection provides the advantage to be less invasive, requiring short hospital stay and rapid discharge, with lower costs (Repici et al, 2009;LongcroftWheaton et al, 2013;Swan et al, 2009).…”

“…EMR has been extensively used throughout the gastrointestinal tract to remove early neoplastic lesions; it is widely accepted for the treatment of colon adenomas and superficial colorectal tumors (Swan et al, 2009;Bergmann and Beger, 2003;Su et al, 2005;Bories et al, 2006;Katsinelos et al, 2006;Arebi et al, 2007;Hurlstone et al, 2008;Urban et al, 2008;Mahadeva and Rembacken, 2009;Luigiano et al, 2009;Huang et al, 2009;Lim et al, 2010;Ferrara et al, 2010;Conio et al, 2010a;Saito et al, 2010a;Toyonaga et al, 2010;Hochdörffer et al, 2010;Moss et al, 2011;Kao et al, 2011;Tajika et al, 2011;Santos et al, 2011;Mannath et al, 2011;Kim et al, 2012;Lee et al, 2012;Kobayashi et al, 2012;Fasoulas et al, 2012;Buchner et al, 2012;Binmoeller et al, 2012;Terasaki et al, 2012;Carvalho et al, 2013;Kim et al, 2013;Masci et al, 2013;Dior et al, 2013;Cipolletta et al, 2014;Maguire and Shellito, 2014;Gómez et al, 2014;Grgov et al, 2014;Belle et al, 2014;Knabe et al, 2014;Wang et al, 2014a;…”

Factors associated with complete endoscopic resection of an invasive adenocarcinoma in a colorectal adenoma

“…On the other hand, it is known that referral of patients with adenomas to specialised units when resection is likely to be difficult avoids surgical treatment in 32% to 90% of cases (23)(24)(25). In this way, it is possible to reduce both morbidity and healthcare costs associated with the treatment of adenomas (24).…”