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Endoscopic Mucosal Resection with Circumferential Mucosal Incision for Colorectal Neoplasms: Comparison with Endoscopic Submucosal Dissection and between Two Endoscopists with Different Experiences

BACKGROUND/AIMS: Endoscopic mucosal resection with circumferential mucosal incision (CMI-EMR) may offer benefits comparable to those of endoscopic submucosal dissection (ESD), while requiring less technical proficiency than ESD. METHODS: We retrospectively compared the outcomes of CMI-EMR (n=34) and...

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Autores principales: Yang, Dong-Hoon, Kwak, Min-Seob, Park, Sang Hyoung, Ye, Byong Duk, Byeon, Jeong-Sik, Myung, Seung-Jae, Yang, Suk-Kyun, Kim, Hyun Gun, Friedland, Shai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Gastrointestinal Endoscopy 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5565045/
https://www.ncbi.nlm.nih.gov/pubmed/28264251
http://dx.doi.org/10.5946/ce.2016.058
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author Yang, Dong-Hoon
Kwak, Min-Seob
Park, Sang Hyoung
Ye, Byong Duk
Byeon, Jeong-Sik
Myung, Seung-Jae
Yang, Suk-Kyun
Kim, Hyun Gun
Friedland, Shai
author_facet Yang, Dong-Hoon
Kwak, Min-Seob
Park, Sang Hyoung
Ye, Byong Duk
Byeon, Jeong-Sik
Myung, Seung-Jae
Yang, Suk-Kyun
Kim, Hyun Gun
Friedland, Shai
author_sort Yang, Dong-Hoon
collection PubMed
description BACKGROUND/AIMS: Endoscopic mucosal resection with circumferential mucosal incision (CMI-EMR) may offer benefits comparable to those of endoscopic submucosal dissection (ESD), while requiring less technical proficiency than ESD. METHODS: We retrospectively compared the outcomes of CMI-EMR (n=34) and size-matched ESD (n=102), which were performed by a Korean endoscopist for colorectal epithelial lesions of 20–35 mm. Procedural parameters of CMI-EMRs performed by an American ESD novice (n=30) were compared with those performed by the Korean endoscopist. RESULTS: The lesion size was 22.3±3.9 mm and 22.9±2.4 mm in the CMI-EMR and size-matched ESD groups, respectively (p=0.730). The resection time was 12.7±7.0 minutes in the CMI-EMR group and 45.6±30.1 minutes in the ESD group (p<0.001). The en bloc resection rate was 94.1% in the CMI-EMR group and 100% in the ESD group (p=0.061). There were no differences in the en bloc resection and complication rates of CMI-EMRs between a Korean and an American endoscopist. CONCLUSIONS: For the treatment of moderate-size colorectal lesions, CMI-EMR showed a trend toward lower en bloc resection rate, but required shorter procedure time than ESD. CMI-EMR outcomes were similar when performed by a Korean ESD expert and an American ESD novice.
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spelling pubmed-55650452017-08-31 Endoscopic Mucosal Resection with Circumferential Mucosal Incision for Colorectal Neoplasms: Comparison with Endoscopic Submucosal Dissection and between Two Endoscopists with Different Experiences Yang, Dong-Hoon Kwak, Min-Seob Park, Sang Hyoung Ye, Byong Duk Byeon, Jeong-Sik Myung, Seung-Jae Yang, Suk-Kyun Kim, Hyun Gun Friedland, Shai Clin Endosc Original Article BACKGROUND/AIMS: Endoscopic mucosal resection with circumferential mucosal incision (CMI-EMR) may offer benefits comparable to those of endoscopic submucosal dissection (ESD), while requiring less technical proficiency than ESD. METHODS: We retrospectively compared the outcomes of CMI-EMR (n=34) and size-matched ESD (n=102), which were performed by a Korean endoscopist for colorectal epithelial lesions of 20–35 mm. Procedural parameters of CMI-EMRs performed by an American ESD novice (n=30) were compared with those performed by the Korean endoscopist. RESULTS: The lesion size was 22.3±3.9 mm and 22.9±2.4 mm in the CMI-EMR and size-matched ESD groups, respectively (p=0.730). The resection time was 12.7±7.0 minutes in the CMI-EMR group and 45.6±30.1 minutes in the ESD group (p<0.001). The en bloc resection rate was 94.1% in the CMI-EMR group and 100% in the ESD group (p=0.061). There were no differences in the en bloc resection and complication rates of CMI-EMRs between a Korean and an American endoscopist. CONCLUSIONS: For the treatment of moderate-size colorectal lesions, CMI-EMR showed a trend toward lower en bloc resection rate, but required shorter procedure time than ESD. CMI-EMR outcomes were similar when performed by a Korean ESD expert and an American ESD novice. Korean Society of Gastrointestinal Endoscopy 2017-07 2017-03-07 /pmc/articles/PMC5565045/ /pubmed/28264251 http://dx.doi.org/10.5946/ce.2016.058 Text en Copyright © 2017 Korean Society of Gastrointestinal Endoscopy This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Yang, Dong-Hoon
Kwak, Min-Seob
Park, Sang Hyoung
Ye, Byong Duk
Byeon, Jeong-Sik
Myung, Seung-Jae
Yang, Suk-Kyun
Kim, Hyun Gun
Friedland, Shai
Endoscopic Mucosal Resection with Circumferential Mucosal Incision for Colorectal Neoplasms: Comparison with Endoscopic Submucosal Dissection and between Two Endoscopists with Different Experiences
title Endoscopic Mucosal Resection with Circumferential Mucosal Incision for Colorectal Neoplasms: Comparison with Endoscopic Submucosal Dissection and between Two Endoscopists with Different Experiences
title_full Endoscopic Mucosal Resection with Circumferential Mucosal Incision for Colorectal Neoplasms: Comparison with Endoscopic Submucosal Dissection and between Two Endoscopists with Different Experiences
title_fullStr Endoscopic Mucosal Resection with Circumferential Mucosal Incision for Colorectal Neoplasms: Comparison with Endoscopic Submucosal Dissection and between Two Endoscopists with Different Experiences
title_full_unstemmed Endoscopic Mucosal Resection with Circumferential Mucosal Incision for Colorectal Neoplasms: Comparison with Endoscopic Submucosal Dissection and between Two Endoscopists with Different Experiences
title_short Endoscopic Mucosal Resection with Circumferential Mucosal Incision for Colorectal Neoplasms: Comparison with Endoscopic Submucosal Dissection and between Two Endoscopists with Different Experiences
title_sort endoscopic mucosal resection with circumferential mucosal incision for colorectal neoplasms: comparison with endoscopic submucosal dissection and between two endoscopists with different experiences
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5565045/
https://www.ncbi.nlm.nih.gov/pubmed/28264251
http://dx.doi.org/10.5946/ce.2016.058
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