Efficacy and safety of cap-assisted endoscopic mucosal resection of ileocecal valve polyps Article Swipe
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· 2020
· Open Access
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· DOI: https://doi.org/10.1055/a-1068-2161
Background and study aims Standard endoscopic mucosal resection (EMR) of ileocecal valve (ICV) polyps is challenging. Cap-assisted endoscopic mucosal resection (C-EMR) can be performed when polyps are not easily amenable to standard EMR. Current literature is limited regarding its efficacy and safety for ICV polyps. The objectives of this study were to assess the efficacy and safety of C-EMR for ICV polyps. Patients and methods A retrospective review was conducted from September 2008 to November 2018 at a tertiary care center. Patients included in the study underwent C-EMR for ICV polyps by a single gastroenterologist (LHJ). Polyps were successfully eradicated if they were removed en-bloc as confirmed by pathology, or had a negative biopsy on follow-up colonoscopy. Outcomes of the procedures were evaluated, including complete adenoma clearance and adverse events. Results Twenty-one ICV polyps were removed with C-EMR. Median polyp size was 15 mm (range, 5–45). The rate of complete adenoma clearance was 100 %. Procedure-related complications occurred in five patients (24 %): delayed GI bleeding (4.8 %) and deep mucosal resection/visible vessel (14.3 %). Three patients had subsequent surveillance colonoscopies at 8, 56, and 67 months, respectively. The third patient was found to have a 6-mm flat polyp at the edge of the previous polypectomy site. This was treated with C-EMR and repeat colonoscopy 6 months later did not show residual. Conclusion C-EMR is highly effective in treating ICV polyps with a low complication rate. It is our suggested method in approaching ICV polyps that are difficult to remove via standard freehand snare EMR technique.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1055/a-1068-2161
- http://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-1068-2161.pdf
- OA Status
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- Cited By
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- References
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- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W3011423217Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1055/a-1068-2161Digital Object Identifier
- Title
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Efficacy and safety of cap-assisted endoscopic mucosal resection of ileocecal valve polypsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2020Year of publication
- Publication date
-
2020-02-21Full publication date if available
- Authors
-
Daniel Lew, Amir Kashani, Simon K. Lo, Laith H. JamilList of authors in order
- Landing page
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https://doi.org/10.1055/a-1068-2161Publisher landing page
- PDF URL
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https://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-1068-2161.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://www.thieme-connect.de/products/ejournals/pdf/10.1055/a-1068-2161.pdfDirect OA link when available
- Concepts
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Medicine, Endoscopic mucosal resection, Colonoscopy, Polypectomy, Ileocecal valve, Adenoma, Tubular adenoma, Gastroenterology, Adverse effect, Internal medicine, Surgery, Endoscopy, Colorectal cancer, Cancer, IleumTop concepts (fields/topics) attached by OpenAlex
- Cited by
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7Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1, 2023: 1, 2022: 2, 2021: 3Per-year citation counts (last 5 years)
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13Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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