FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2410346490> ?p ?o ?g. }

• W2410346490 abstract "Introduction Incomplete endoscopic removal of colorectal polyps causes severe submucosal fibrosis, making subsequent endoscopic resection challenging. Two approaches to removal of recurrent polyp over a scarred submucosa or to polyps with inherent submucosal fibrosis such as NG-LST’s are either to use a stiff braided snare which helps capture tissue or to firstly snare as much tissue as possible using a conventional snare and then destroy tissue over the centre of the scar with high power APC preceded by submucosal injection (Endoscopic Mucosal Ablation, EMA). Method A prospective database (Jan 2010–Aug 2012) was used to identify large (>2 cm) colorectal polyps removed in a piecemeal fashion using either hybrid EMR/EMA technique or spiral snare EMR (SS-EMR, Olympus, Keymed, UK) at our tertiary referral centre. Patient/polyp/technique-related details and short/long term endoscopic surveillance data were retrieved and analysed (chi-square/Fischer’s). The aim of this study was to compare the safety, technical success and recurrence between each group (group A – hybrid EMR/EMA, group B – SS-EMR). Results This study enrolled 56 patients in group A and 48 patients in group B. Median polyp size was 3 cm (range 2–8 cm) for group A and 5 cm (2–15 cm) for group B. The majority (64.28%) of polyps in group A had previous failed polypectomy attempts compared to only 27% of polyps in group B. There was no difference in time taken to complete the procedure between the groups (mean time for group A – 36 min vs group B – 39 min). Procedural bleeding (A vs B were 7.1% vs 18.8% p = 0.13) and delayed bleeding (A vs B were 19.6% vs 37.5%, p = 0.05) were more common in group B. There were no peforations in either group. Two (4.2%) patients in SS-EMR group developed post polypectomy syndrome and needed brief hospital admission. Four (7.1%) patients in hybrid EMR/EMA cohort developed delayed bleeding requiring admission for transfusion; all made an uneventful recovery. There was no significant difference in polyp recurrence at 24 months between the groups (A vs B 12.5% vs 8.3%, p = 0.44). No patients have required surgery to date. Conclusion Spiral snare resection and hybrid mucosal resection/ablation modalities are both safe and feasible to eradicate recurrent fibrotic colorectal polyps. Delayed bleeding overall is significantly lower when using the hybrid resection/ablation technique though may be more severe when it does occur. Medium term outcomes appear similar in both groups with acceptable levels of endoscopically manageable recurrence. Disclosure of interest None Declared." @default.
• W2410346490 created "2016-06-24" @default.
• W2410346490 creator A5021565031 @default.
• W2410346490 creator A5022364537 @default.
• W2410346490 creator A5062208784 @default.
• W2410346490 creator A5066250028 @default.
• W2410346490 creator A5004652968 @default.
• W2410346490 date "2015-06-01" @default.
• W2410346490 modified "2023-09-27" @default.
• W2410346490 title "PTH-042 Spiral snare resection and hybrid endoscopic mucosal ablation: a comparison of outcomes after piecemeal resection/ablation" @default.
• W2410346490 doi "https://doi.org/10.1136/gutjnl-2015-309861.930" @default.
• W2410346490 hasPublicationYear "2015" @default.
• W2410346490 type Work @default.
• W2410346490 sameAs 2410346490 @default.
• W2410346490 citedByCount "0" @default.
• W2410346490 crossrefType "journal-article" @default.
• W2410346490 hasAuthorship W2410346490A5004652968 @default.
• W2410346490 hasAuthorship W2410346490A5021565031 @default.
• W2410346490 hasAuthorship W2410346490A5022364537 @default.
• W2410346490 hasAuthorship W2410346490A5062208784 @default.
• W2410346490 hasAuthorship W2410346490A5066250028 @default.
• W2410346490 hasConcept C121608353 @default.
• W2410346490 hasConcept C126322002 @default.
• W2410346490 hasConcept C141071460 @default.
• W2410346490 hasConcept C2777960253 @default.
• W2410346490 hasConcept C2778435480 @default.
• W2410346490 hasConcept C2778451229 @default.
• W2410346490 hasConcept C2778866283 @default.
• W2410346490 hasConcept C2778902805 @default.
• W2410346490 hasConcept C2779052585 @default.
• W2410346490 hasConcept C2780581329 @default.
• W2410346490 hasConcept C526805850 @default.
• W2410346490 hasConcept C71924100 @default.
• W2410346490 hasConceptScore W2410346490C121608353 @default.
• W2410346490 hasConceptScore W2410346490C126322002 @default.
• W2410346490 hasConceptScore W2410346490C141071460 @default.
• W2410346490 hasConceptScore W2410346490C2777960253 @default.
• W2410346490 hasConceptScore W2410346490C2778435480 @default.
• W2410346490 hasConceptScore W2410346490C2778451229 @default.
• W2410346490 hasConceptScore W2410346490C2778866283 @default.
• W2410346490 hasConceptScore W2410346490C2778902805 @default.
• W2410346490 hasConceptScore W2410346490C2779052585 @default.
• W2410346490 hasConceptScore W2410346490C2780581329 @default.
• W2410346490 hasConceptScore W2410346490C526805850 @default.
• W2410346490 hasConceptScore W2410346490C71924100 @default.
• W2410346490 hasLocation W24103464901 @default.
• W2410346490 hasOpenAccess W2410346490 @default.
• W2410346490 hasPrimaryLocation W24103464901 @default.
• W2410346490 hasRelatedWork W1970262067 @default.
• W2410346490 hasRelatedWork W1996274931 @default.
• W2410346490 hasRelatedWork W1997018109 @default.
• W2410346490 hasRelatedWork W2004294061 @default.
• W2410346490 hasRelatedWork W2064894126 @default.
• W2410346490 hasRelatedWork W2343104146 @default.
• W2410346490 hasRelatedWork W2356952968 @default.
• W2410346490 hasRelatedWork W2381544377 @default.
• W2410346490 hasRelatedWork W2382225496 @default.
• W2410346490 hasRelatedWork W2383998820 @default.
• W2410346490 hasRelatedWork W2394797228 @default.
• W2410346490 hasRelatedWork W2593269738 @default.
• W2410346490 hasRelatedWork W2765726601 @default.
• W2410346490 hasRelatedWork W2966836610 @default.
• W2410346490 hasRelatedWork W2996340497 @default.
• W2410346490 hasRelatedWork W2998054933 @default.
• W2410346490 hasRelatedWork W3023437297 @default.
• W2410346490 hasRelatedWork W3029356103 @default.
• W2410346490 hasRelatedWork W3033525707 @default.
• W2410346490 hasRelatedWork W3128932799 @default.
• W2410346490 isParatext "false" @default.
• W2410346490 isRetracted "false" @default.
• W2410346490 magId "2410346490" @default.
• W2410346490 workType "article" @default.