Endoscopic management of mucosal lesions in the gastrointestinal tract

Expert Rev Gastroenterol Hepatol. 2016;10(4):481-95. doi: 10.1586/17474124.2016.1122520. Epub 2015 Dec 11.

Abstract

With the increasing role of endoscopy in patient evaluation, more mucosal lesions, including gastric, duodenal and colonic polyps, are encountered during routine examinations. It is imperative for gastroenterologists to become familiar with the endoscopic management of these various gastrointestinal lesions. In this article, various resection techniques will be discussed, including hot/cold forceps polypectomy, hot/cold snare polypectomy, endoscopic mucosal resection, and endoscopic submucosal dissection. The article will also discuss the evidence regarding the efficacy and safety of these techniques and the future direction of endoscopic management of mucosal lesions in the gastrointestinal tract.

Keywords: Fundic gland adenoma; colon adenoma; diminutive colon polyps; duodenal adenoma; endoscopic mucosal resection (EMR); endoscopic submucosal dissection (ESD); gastric adenoma; snare polypectomy.

Publication types

  • Review

MeSH terms

  • Adenomatous Polyps / pathology
  • Adenomatous Polyps / surgery*
  • Dissection / adverse effects
  • Dissection / methods*
  • Dissection / mortality
  • Endoscopy, Gastrointestinal / adverse effects
  • Endoscopy, Gastrointestinal / methods*
  • Endoscopy, Gastrointestinal / mortality
  • Gastric Mucosa / pathology
  • Gastric Mucosa / surgery*
  • Humans
  • Intestinal Mucosa / pathology
  • Intestinal Mucosa / surgery*
  • Intestinal Neoplasms / mortality
  • Intestinal Neoplasms / pathology
  • Intestinal Neoplasms / surgery*
  • Intestinal Polyps / mortality
  • Intestinal Polyps / pathology
  • Intestinal Polyps / surgery*
  • Stomach Neoplasms / mortality
  • Stomach Neoplasms / pathology
  • Stomach Neoplasms / surgery*
  • Treatment Outcome