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Endoscopic Mucosal Resection vs Endoscopic Submucosal Dissection For Barrett’s Esophagus and Colorectal Neoplasia  Dennis Yang, Mohamed Othman, Peter.

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Presentation on theme: "Endoscopic Mucosal Resection vs Endoscopic Submucosal Dissection For Barrett’s Esophagus and Colorectal Neoplasia  Dennis Yang, Mohamed Othman, Peter."— Presentation transcript:

1 Endoscopic Mucosal Resection vs Endoscopic Submucosal Dissection For Barrett’s Esophagus and Colorectal Neoplasia  Dennis Yang, Mohamed Othman, Peter V. Draganov  Clinical Gastroenterology and Hepatology  Volume 17, Issue 6, Pages (May 2019) DOI: /j.cgh Copyright © 2019 AGA Institute Terms and Conditions

2 Figure 1 Endoscopic images of a (A) raised visible lesion (Paris Is) and (B) extensive nodularity in Barrett’s neoplasia consistent with SMI. Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2019 AGA Institute Terms and Conditions

3 Figure 2 Proposed algorithm on how to choose between EMR or ESD for BE-associated neoplasia. Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2019 AGA Institute Terms and Conditions

4 Figure 3 Proposed algorithm on how to choose between EMR or ESD for colorectal lesions. *Suspected superficial invasion: lateral spreading nongranular lesions particularly larger than 20 mm, lesions with V1-type kudo pit pattern, lesions with large nodules or depressed areas. Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2019 AGA Institute Terms and Conditions

5 Figure 4 Endoscopic image of a 30-mm colon polyp with superficial elevation and central depression (Paris IIa + IIc) concerning for SMI. Final pathology confirmed this to be an adenoma with high-grade dysplasia and foci of invasive adenocarcinoma. Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2019 AGA Institute Terms and Conditions

6 Figure 5 Endoscopic images of a (A) lateral spreading granular lesion and a (B) lateral spreading nongranular lesion. Clinical Gastroenterology and Hepatology  , DOI: ( /j.cgh ) Copyright © 2019 AGA Institute Terms and Conditions


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