Endoscopic mucosal ablation - an alternative treatment for colonic polyps: Three case reports

Endoscopic resection of non-invasive lesions is now the standard of care for lesions in the GI tract. However, resection techniques require extensive training, are not available in all endoscopy centers and are prone to complications. Endoscopic mucosal ablation (EMA) is a combination of resection a...

Full description

Saved in:
Bibliographic Details
Published in:World journal of gastroenterology : WJG 2020-12, Vol.26 (45), p.7258-7262
Main Authors: Mendoza Ladd, Antonio, Espinoza, Joaquin, Garcia, Cesar
Format: Article
Language:English
Subjects:
Case Report
Colonic Polyps - diagnostic imaging
Colonic Polyps - pathology
Colonic Polyps - surgery
Colonoscopy
Endoscopic Mucosal Resection
Humans
Intestinal Mucosa - diagnostic imaging
Intestinal Mucosa - pathology
Intestinal Mucosa - surgery
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Endoscopic resection of non-invasive lesions is now the standard of care for lesions in the GI tract. However, resection techniques require extensive training, are not available in all endoscopy centers and are prone to complications. Endoscopic mucosal ablation (EMA) is a combination of resection and ablation techniques and it may offer an alternative in the management of such lesions. In this case series we report the successful treatment of three flat colonic polyps using the EMA technique. Two lesions were treatment naïve and 1 was a recurrence after an endoscopic mucosal resection. The sizes ranged from 2 to 4 cm. All three polyps were ablated successfully with no immediate or delayed complications. The recurrence rate at 1 year of follow up was 0%. Based on this initial experience, we conclude that EMA is a safe and effective technique for the treatment of non-invasive colonic polyps when endoscopic resection techniques are not available.
ISSN:1007-9327
2219-2840
DOI:10.3748/wjg.v26.i45.7258