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A new tool to estimate the risk of perforations during colorectal endoscopic submucosal dissection
Sergey V. Kantsevoy, MD, PhD Gastrointestinal Endoscopy Volume 84, Issue 1, Pages (July 2016) DOI: /j.gie Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions
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Figure 1 Size, Experience, Location, Fibrosis (SELF) nomogram for assessment of the perforation risk during colorectal endoscopic submucosal dissection (ESD). Gastrointestinal Endoscopy , DOI: ( /j.gie ) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions
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Figure 2 Size, Experience, Location, Fibrosis (SELF) nomogram demonstrating score of 5 correlating with high risk of perforation (11.6%) in a patient with 5-cm rectal polyp without fibrosis when lesion removal is performed by a physician with limited (fewer than 50 procedures) experience in endoscopic submucosal dissection (ESD). Gastrointestinal Endoscopy , DOI: ( /j.gie ) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions
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Figure 3 Size, Experience, Location, Fibrosis (SELF) nomogram estimating low risk of perforation (4.1%) if the same lesion (5-cm rectal polyp without fibrosis) will be removed by physician experienced in endoscopic submucosal dissection (ESD) (score of 4). Gastrointestinal Endoscopy , DOI: ( /j.gie ) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions
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Figure 4 Size, Experience, Location, Fibrosis (SELF) nomogram showing that fibrosis significantly increases (score of 6) the risk of perforation (11.6%) during colorectal endoscopic submucosal dissection (ESD). Gastrointestinal Endoscopy , DOI: ( /j.gie ) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions
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Figure 5 Size, Experience, Location, Fibrosis (SELF) nomogram demonstrating relatively low risk of perforation (4.1%) in a patient with 3-cm rectal polyp without fibrosis when removal of the lesion is performed by a physician with limited (fewer than 50 procedures) experience in endoscopic submucosal dissection (ESD) (score of 3). Gastrointestinal Endoscopy , DOI: ( /j.gie ) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions
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Figure 6 Size, Experience, Location, Fibrosis (SELF) nomogram revealing high risk of perforation (11.6%) for a 3-cm rectal polyp with fibrosis during removal by a physician with only limited experience in endoscopic submucosal dissection (ESD) (score of 5). Gastrointestinal Endoscopy , DOI: ( /j.gie ) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions
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Figure 7 Size, Experience, Location, Fibrosis (SELF) nomogram showing high risk of perforation (11.6%) for a 3-cm colon polyp (outside of rectum) without fibrosis during removal by a physician with only limited experience in endoscopic submucosal dissection (ESD) (score of 5). Gastrointestinal Endoscopy , DOI: ( /j.gie ) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions
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Figure 8 Size, Experience, Location, Fibrosis (SELF) nomogram showing low risk of perforation (4.1%) for a 3-cm rectal polyp with fibrosis during removal by a physician experienced in endoscopic submucosal dissection (ESD) (score of 4). Gastrointestinal Endoscopy , DOI: ( /j.gie ) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions
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Figure 9 Size, Experience, Location, Fibrosis (SELF) nomogram demonstrating low risk of perforation (4.1%) for a 3-cm colon polyp (outside of rectum) without fibrosis during removal by a physician experienced in endoscopic submucosal dissection (ESD) (score of 4). Gastrointestinal Endoscopy , DOI: ( /j.gie ) Copyright © 2016 American Society for Gastrointestinal Endoscopy Terms and Conditions
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