ASGE Advanced Endoscopic Lesion Resection Course | November 2022-Hybrid EMR: Bringing ESD Tricks to Standard EMR

Video Transcription

Video Summary

In this video, the speaker discusses the concepts of hybrid endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) in the context of colorectal polyps. The speaker explains that EMR is the first-line treatment for most non-malignant polyps due to its high success rate and low adverse event rate. However, there are limitations such as a low rate of en bloc resection with larger lesions and higher recurrence rates. ESD, on the other hand, allows for resection of larger lesions and provides optimal pathology specimens for staging and curative treatment. The speaker also discusses the use of pre-cut EMR and hybrid ESD techniques to improve en bloc resection rates, particularly for difficult and fibrotic lesions. The speaker concludes by mentioning ongoing research comparing hybrid to non-hybrid ESD and emphasizes the importance of proper risk stratification and technique selection for optimal outcomes.

Asset Subtitle

Dennis Yang, MD, FASGE

Keywords

hybrid endoscopic mucosal resection

endoscopic submucosal dissection

colorectal polyps

EMR

ESD

en bloc resection