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Selection of EMR and ESD for Laterally Spreading Lesions of the Colon

  • Endoscopy (P Siersema, Section Editor)
  • Published:
Current Treatment Options in Gastroenterology Aims and scope Submit manuscript

Abstract

Introduction

Colonic laterally spreading lesions (LSL) are increasingly managed using endoscopic methods that comprise two main techniques: endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD).

Purpose of Review

In this review, we aimed to review the most recent literature on selection of the best endoscopic technique in the management of colonic LSL.

Recent Findings

EMR and ESD are complimentary techniques in the management of patients with colonic LSL.

Summary

EMR is safe and effective in most patients with LSL, except for cancers with submucosal invasion in whom R0 resection is favored.

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Abbreviations

EMR:

Endoscopic mucosal resection

ESD:

Endoscopic submucosal dissection

G-LSL:

Granular laterally spreading lesion

LSL:

Laterally spreading lesion

NG-LSL:

Non-granular laterally spreading lesion

SMIC:

Submucosa-invasive cancer

References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance

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Authors and Affiliations

  1. Center for Interventional Endoscopy, Florida Hospital, Orlando, FL, USA

    Ji Young Bang MD MPH

  2. Department of Gastroenterology and Hepatology, Westmead Hospital and Western Clinical School, University of Sydney, Sydney, New South Wales, Australia

    Michael J. Bourke MBBS FRACP

Authors
  1. Ji Young Bang MD MPH
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  2. Michael J. Bourke MBBS FRACP
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Corresponding author

Correspondence to Michael J. Bourke MBBS FRACP.

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Conflict of Interest

Ji Young Bang declares that she has no conflict of interest. Michael Bourke declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Endoscopy

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Bang, J.Y., Bourke, M.J. Selection of EMR and ESD for Laterally Spreading Lesions of the Colon. Curr Treat Options Gastro 16, 376–385 (2018). https://doi.org/10.1007/s11938-018-0198-7

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  • DOI: https://doi.org/10.1007/s11938-018-0198-7

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