Simplified prophylaxis of mucosal resection site defects

Line-assisted complete closure of duodenal mucosal defects after underwater endoscopic mucosal resection.

Duodenal endoscopic mucosal resection (EMR) carries a high risk of adverse events, including delayed perforation [1, 2]. Because complete clip closure of mucosal defects can reportedly prevent post-procedural adverse events in the colorectum, we established a line-assisted complete closure (LACC) technique for large mucosal defects after colonic endoscopic submucosal dissection [3]. LACC can be...

Endoscopic mucosal resection.

EMR has become an established therapeutic option for premalignant and early-stage GI malignancies, particularly in the esophagus and colon. EMR can also aid in the diagnosis and therapy of subepithelial lesions localized to the muscularis mucosa or submucosa. Several dedicated EMR devices are available to facilitate these procedures. Adverse event rates, particularly bleeding and perforation, a...

Endoscopic mucosal resection.

Can we put a simplified algorithm for reconstruction of large scalp defects following tumor resection?

BACKGROUND Reconstruction of large scalp defects after tumor resection is a challenging problem. We aimed at putting an algorithm for reconstruction of those defects. METHODS Forty-two patients with scalp malignancies were enrolled in this study. Tumors were resected to a 1 cm negative margin and defects were reconstructed according to their size and to patient general condition. RESULTS No...

Chromoendoscopic mucosal resection of a gastric dysplasia.

La displasia gástrica puede ser seguida y tratada mediante endoscopia. Han sido diversas las técnicas descritas para dicho fin. Se aporta el caso de un paciente varón de 70 años que presentaba anemia, anorexia, debilidad y pérdida de peso. La gastroscopia y la biopsia demostraron la presencia de una displasia gástrica severa, realizándose resección cromoendoscópica de la misma. El paciente se e...