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Use of the endoscopic powered resection device for the management of scarred polyps

BACKGROUND AND AIMS: The endoscopic powered resection (EPR) device (EndoRotor, Interscope Inc, Northbridge, Mass, USA) is a novel nonthermal device that can be used for polyp and tissue removal in the GI tract. Here, we review the EPR device and illustrate its use for resection of scarred or fibroti...

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Autores principales: Wilson, Natalie, Are, Vijay S., Osorio Cintron, Roberto, Azeem, Nabeel, Bilal, Mohammad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10183672/
https://www.ncbi.nlm.nih.gov/pubmed/37197159
http://dx.doi.org/10.1016/j.vgie.2023.01.009
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author Wilson, Natalie
Are, Vijay S.
Osorio Cintron, Roberto
Azeem, Nabeel
Bilal, Mohammad
author_facet Wilson, Natalie
Are, Vijay S.
Osorio Cintron, Roberto
Azeem, Nabeel
Bilal, Mohammad
author_sort Wilson, Natalie
collection PubMed
description BACKGROUND AND AIMS: The endoscopic powered resection (EPR) device (EndoRotor, Interscope Inc, Northbridge, Mass, USA) is a novel nonthermal device that can be used for polyp and tissue removal in the GI tract. Here, we review the EPR device and illustrate its use for resection of scarred or fibrotic lesions in the GI tract. METHODS: In this article and accompanying video, we describe the EPR device features, provide step-by-step instructions for device setup, and review case examples in which the EPR device was used for scarred polyp resection. We also review the current literature describing the use of the EPR device for scarred or challenging polyps. RESULTS: Four lesions with scarring or fibrosis were successfully resected with the EPR device, either with the EPR device alone or as an adjunct to conventional resection methods. No adverse events occurred. A follow-up endoscopy was available in 1 case, which demonstrated no endoscopic or histologic evidence of residual or recurrent lesion. CONCLUSIONS: The endoscopic powered resection device can be used alone or as an adjunct to facilitate resection of lesions with significant fibrosis or scarring. This device serves as a useful addition to endoscopists’ toolbox in the management of scarred lesions where other modalities might be technically challenging to use.
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spelling pubmed-101836722023-05-16 Use of the endoscopic powered resection device for the management of scarred polyps Wilson, Natalie Are, Vijay S. Osorio Cintron, Roberto Azeem, Nabeel Bilal, Mohammad VideoGIE Review Article BACKGROUND AND AIMS: The endoscopic powered resection (EPR) device (EndoRotor, Interscope Inc, Northbridge, Mass, USA) is a novel nonthermal device that can be used for polyp and tissue removal in the GI tract. Here, we review the EPR device and illustrate its use for resection of scarred or fibrotic lesions in the GI tract. METHODS: In this article and accompanying video, we describe the EPR device features, provide step-by-step instructions for device setup, and review case examples in which the EPR device was used for scarred polyp resection. We also review the current literature describing the use of the EPR device for scarred or challenging polyps. RESULTS: Four lesions with scarring or fibrosis were successfully resected with the EPR device, either with the EPR device alone or as an adjunct to conventional resection methods. No adverse events occurred. A follow-up endoscopy was available in 1 case, which demonstrated no endoscopic or histologic evidence of residual or recurrent lesion. CONCLUSIONS: The endoscopic powered resection device can be used alone or as an adjunct to facilitate resection of lesions with significant fibrosis or scarring. This device serves as a useful addition to endoscopists’ toolbox in the management of scarred lesions where other modalities might be technically challenging to use. Elsevier 2023-04-14 /pmc/articles/PMC10183672/ /pubmed/37197159 http://dx.doi.org/10.1016/j.vgie.2023.01.009 Text en © 2023 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Review Article
Wilson, Natalie
Are, Vijay S.
Osorio Cintron, Roberto
Azeem, Nabeel
Bilal, Mohammad
Use of the endoscopic powered resection device for the management of scarred polyps
title Use of the endoscopic powered resection device for the management of scarred polyps
title_full Use of the endoscopic powered resection device for the management of scarred polyps
title_fullStr Use of the endoscopic powered resection device for the management of scarred polyps
title_full_unstemmed Use of the endoscopic powered resection device for the management of scarred polyps
title_short Use of the endoscopic powered resection device for the management of scarred polyps
title_sort use of the endoscopic powered resection device for the management of scarred polyps
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10183672/
https://www.ncbi.nlm.nih.gov/pubmed/37197159
http://dx.doi.org/10.1016/j.vgie.2023.01.009
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