Endoscopy 2020; 52(S 01): S243
DOI: 10.1055/s-0040-1704760
ESGE Days 2020 ePoster Podium presentations
Saturday, April 25, 2020 15:30 – 16:00 EMR in colon 3 ePoster Podium 5
© Georg Thieme Verlag KG Stuttgart · New York

INCISION AND SNARING: A SIMPLE TRICK TO GRASP FLAT AND SESSILE COLONICAL LESIONS

B Mangiavillano
1   Humanitas - Mater Domini, Gastrointestinal Endoscopy, Castellanza, Italy
,
F Auriemma
1   Humanitas - Mater Domini, Gastrointestinal Endoscopy, Castellanza, Italy
,
M Bianchetti
1   Humanitas - Mater Domini, Gastrointestinal Endoscopy, Castellanza, Italy
,
A Repici
2   Humanitas - Mater Domini- Research Hospital, Gastrointestinal Endoscopy, Milan, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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    Especially in presence of flat lesions the grasping of the lesions can be challenging. Hybrid technique solved this problem, but is also a time-consuming procedure. When sessile or flat lesion can be removed by EMR, a simple trick to grasp the lesion, after submucosal injection, consist into create an incision in the normal mucosa in the fold beyond the proximal edge of the lesion, where will be inserted the tip of the snare. After that the scope is withdrawn slowly, till the complete opening of the snare. Then the lesion can be grasped, deflating the bowel, and cut.


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