Gastroenterology & Endoscopy

Author: Gastroenterology and Endoscopy

A medical education podcast focusing on Gastroenterology and Gastrointestinal Endoscopy.
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Language: en-us

Genres: Health & Fitness, Medicine

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Endoscopic Management of Premalignant Lesions
Episode 22
Monday, 11 November, 2024

The Gastroenterology & Endoscopy PodcastEpisode 147: Endoscopic Management of Premalignant LesionsQuick Summary:An evidence-based overview of EMR vs ESD for premalignant lesions, including technique selection, outcomes, and complication rates.Key Points:• EMR: Preferred for lesions <15mm, 0.5-1% perforation risk• ESD: Better for lesions >20mm, 83-98% en bloc resection rate• Technique selection based on lesion size, location, and suspected invasion• Watch for delayed bleeding and stricture formationEssential Reading:1. ASGE Guidelines on ESD https://www.asge.org/docs/default-source/guidelines/asge-guideline-on-endoscopic-submucosal-dissection2. Cleveland Clinic EMR Protocol https://my.clevelandclinic.org/health/treatments/21148-endoscopic-mucosal-resection3. Mayo Clinic ESD Guide https://www.mayoclinic.org/medical-professionals/digestive-diseases/news/esophageal-endoscopic-submucosal-dissection/mac-20552628Additional Resources:• Clinical Outcomes Study - https://www.sciencedirect.com/science/article/abs/pii/S0016510712023760• ESD Technical Analysis - https://pmc.ncbi.nlm.nih.gov/articles/PMC3072634/• Comparative Review - https://pmc.ncbi.nlm.nih.gov/articles/PMC5824597/• Technical Developments - https://www.sciencedirect.com/science/article/abs/pii/S0960740422000354https://www.gastroendopod.com