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Intestinal polyps refer to a type of raised lesions protruding from the mucosal surface into the intestinal lumen, which are collectively referred to as polyps before the pathological nature is determined
Clear cap resection (Image credit: Gastroenterology)
ESD illustration (image source: Gastroenterology) Guideline recommendations: lesions that must be resected at one time under endoscopy, some early-stage cancers, adenomas with negative lift signs, residual after EMR >10mm, recurrence, difficult and repeated EMR Low rectal lesions that are not biopsy-proven cancer can also be treated with ESD
References
1.
2.
Li Qianqian, Wang Jun, Zhao Yue, et al.
Research status of risk factors related to colorectal polyps [J].
Medical Review, 2020, 26(16):5.
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Clear cap resection (Image credit: Gastroenterology)
Submucosal injection resection (Image credit: Gastroenterology)
Submucosal injection resection (Image credit: Gastroenterology)Partial resection by mucosal injection (Image source: Gastroenterology)
The mucosal injection method of fractional resection (image source: Gastroenterology) is basically the same as the above for lesions with a diameter of more than 20 mm, except that larger lesions need to be resectioned in stages with a snare, and then the lesions are completely removedESD illustration (image source: Gastroenterology) Guideline recommendations: lesions that must be resected at one time under endoscopy, some early-stage cancers, adenomas with negative lift signs, residual after EMR >10mm, recurrence, difficult and repeated EMR Low rectal lesions that are not biopsy-proven cancer can also be treated with ESD
References
1.
1.
2.
Li Qianqian, Wang Jun, Zhao Yue, et al.
Research status of risk factors related to colorectal polyps [J].
Medical Review, 2020, 26(16):5.
Leave a message here