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Create a Free AccountProcedures - Polypectomy
Prophylactic appendiceal retrograde intraluminal stent placement (PARIS)
EMR or endoscopic submucosal dissection (ESD) are highly effective methods for resecting colonic polyps1-4 but are ineffective when removing polyps arising from the appendiceal orifice. Endoscopic full-thickness resection (EFTR) using the full-thickness resection device (FTRD; Ovesco, Tuebingen, Germany) is a favorable approach for the management of such lesions because it overcomes the potential risk of perforation or incomplete resection by deployment of an over-the-scope clip (OTSC) beneath the polyp before resection.Duodenal endoscopic submucosal dissection for a large protruded lesion located just behind the pyloric ring with a scissor-type knife
Recently, endoscopic submucosal dissection (ESD) has been applied to the treatment of GI lesions to enable en bloc curative resection.1,2 Generally, large tumor size, protruded lesion, poor endoscope maneuverability, and other procedural factors may contribute to the technical difficulties of ESD and periprocedural perforation.3,4 Among ESD procedures for GI lesions, duodenal ESD is the most technically challenging procedure because of the thin wall and narrow lumen of the duodenum, as well as poor maneuverability of the endoscope in the duodenum.
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