Underwater endoscopic colorectal polyp resection: Feasibility in everyday clinical practice.

Abstract:

Background:Endoscopic mucosal resection is well-established for resecting flat or sessile benign colon polyps. The novel underwater endoscopic mucosal resection eschews submucosal injection prior to endoscopic mucosal resection. Reports about underwater endoscopic mucosal resection were limited to small series of single and/or tertiary-care referral centers, with single or supervised operators. Objective:The purpose of this study was to determine feasibility and efficacy of underwater resection of polyps of any morphology (underwater polypectomy, here includes underwater endoscopic mucosal resection) in routine clinical practice. Methods:This study involved a comparison of colonoscopy records of two community hospitals (January 2015-December 2016) for underwater polypectomy (n = 195) and gas insufflation polypectomy (n = 186). Results:Comparable demographics, procedural data, overall distribution, morphology and size of resected lesions, number of en bloc and R0 resections (any polyp morphology and size); exception: overall, underwater polypectomy pedunculated polyps were significantly larger than those in the gas insufflation polypectomy group, p = 0.030. Underwater polypectomy (median, min) resection time was significantly shorter than gas insufflation polypectomy: sessile and flat polyps 6-9 mm, 0.8 vs 2.7 (p = 0.040); 10-19 mm, 2.0 vs 3.3 (p = 0.025), respectively; pedunculated polyps 6-19 mm, 0.8 vs 3.3 (p < 0.001). Underwater polypectomy resection of pedunculated polyps 6-19 mm showed significantly less immediate bleeding: 11.1% vs 1.5%, respectively (p = 0.031). Conclusions:Underwater polypectomy can be efficaciously used in routine clinical practice for the complete resection of colon polyps, with several advantages over gas insufflation polypectomy.

authors

Cadoni S,Liggi M,Gallittu P,Mura D,Fuccio L,Koo M,Ishaq S

doi

10.1177/2050640617733923

subject

Has Abstract

pub_date

2018-04-01 00:00:00

pages

454-462

issue

3

eissn

2050-6406

issn

2050-6414

pii

10.1177_2050640617733923

journal_volume

6

pub_type

杂志文章
  • European Society for the Study of Coeliac Disease (ESsCD) guideline for coeliac disease and other gluten-related disorders.

    abstract::This guideline presents recommendations for the management of coeliac disease (CD) and other gluten-related disorders both in adults and children. There has been a substantial increase in the prevalence of CD over the last 50 years and many patients remain undiagnosed. Diagnostic testing, including serology and biopsy...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章,实务指引

    doi:10.1177/2050640619844125

    authors: Al-Toma A,Volta U,Auricchio R,Castillejo G,Sanders DS,Cellier C,Mulder CJ,Lundin KEA

    更新日期:2019-06-01 00:00:00

  • A multicentre prospective cohort study assessing the effectiveness of budesonide MMX® (Cortiment®MMX®) for active, mild-to-moderate ulcerative colitis.

    abstract:Background:Cortiment®MMX® (budesonide MMX®) is currently approved for the induction of remission in mild-to-moderate ulcerative colitis (UC) patients when 5-ASA treatment is not sufficient. Data in real-life settings are lacking. Methods:This was a multicentre observational prospective cohort study conducted in Europe...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章,多中心研究

    doi:10.1177/2050640619864848

    authors: Danese S,Hart A,Dignass A,Fiorino G,Louis E,Bonovas S,D'Haens G,Dotan I,Rogler G,Paridaens K,Peyrin-Biroulet L

    更新日期:2019-11-01 00:00:00

  • Low risk of adenocarcinoma and high-grade dysplasia in patients with non-dysplastic Barrett's esophagus: Results from a cohort from a country with low esophageal adenocarcinoma incidence.

    abstract:BACKGROUND:The risk of esophageal adenocarcinoma (EAC) in non-dysplastic Barrett's esophagus (NDBE) is considered to be approximately 0.3% per year or even lower, according to population-based studies. Data from countries with low EAC incidence are scarce. Our principal aim was to determine the incidence of high-grade ...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640615612409

    authors: Pereira AD,Chaves P

    更新日期:2016-06-01 00:00:00

  • Endosonography For Right-sided and Acute Upper Intestinal Misery: the EFRAIM study: A prospective, randomized, controlled, blinded study.

    abstract:BACKGROUND:Acute upper abdominal pain is a frequent symptom leading to hospital admission. OBJECTIVE:To determine whether a primary intra- and extraluminal diagnostic approach enabled by endoscopic ultrasound is as effective as a conventional diagnostic algorithm of transabdominal ultrasound followed by oesophagogastr...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640613498589

    authors: Jung A,Schlag C,Becker V,von Delius S,Lersch C,Jeliazkova P,Herner A,Bajbouj M,Schuster T,Meining A

    更新日期:2013-10-01 00:00:00

  • The impact of technical and clinical factors on fecal microbiota transfer outcomes for the treatment of recurrent Clostridioides difficile infections in Germany.

    abstract:Introduction:Fecal microbiota transfer (FMT) is highly effective in the treatment and prevention of recurrent Clostridioides difficile infection (rCDI) with cure rates of about 80% after a single treatment. Nevertheless, the reasons for failure in the remaining 20% remain largely elusive. The aim of the present study w...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章,多中心研究

    doi:10.1177/2050640619839918

    authors: Peri R,Aguilar RC,Tüffers K,Erhardt A,Link A,Ehlermann P,Angeli W,Frank T,Storr M,Glück T,Sturm A,Rosien U,Tacke F,Bachmann O,Solbach P,Stallmach A,Goeser F,Vehreschild MJ,German Clinical Microbiome Study Group (GCMSG

    更新日期:2019-06-01 00:00:00

  • The European Society of Gastrointestinal Endoscopy Quality Improvement Initiative: developing performance measures.

    abstract::The European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) have a vision to create a thriving community of endoscopy services across Europe, collaborating with each other to provide high quality, safe, accurate, patient-centered and accessible endoscopic care. Whilst the bound...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640615624631

    authors: Rutter MD,Senore C,Bisschops R,Domagk D,Valori R,Kaminski MF,Spada C,Bretthauer M,Bennett C,Bellisario C,Minozzi S,Hassan C,Rees C,Dinis-Ribeiro M,Hucl T,Ponchon T,Aabakken L,Fockens P

    更新日期:2016-02-01 00:00:00

  • Association of proton pump inhibitors with the risk of hepatic encephalopathy during hospitalization for liver cirrhosis.

    abstract:Background:Hepatic encephalopathy is associated with altered gut microbiota. Proton pump inhibitors increase the risk of small bowel bacterial overgrowth. Objectives:This was a case-control study aimed at exploring the relationship of proton pump inhibitor use with the risk of hepatic encephalopathy during hospitaliza...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640618773564

    authors: Zhu J,Qi X,Yu H,Yoshida EM,Mendez-Sanchez N,Zhang X,Wang R,Deng H,Li J,Han D,Guo X

    更新日期:2018-10-01 00:00:00

  • Absence of high-risk stigmata predicts good prognosis even in severely anemic patients with suspected acute upper gastrointestinal bleeding.

    abstract:Background:The need for a blood transfusion, defined as hemoglobin < 70 g/L, is the measure for assessing the risk levels in patients with upper gastrointestinal bleeding (UGIB). However, not all patients with a low hemoglobin level have a poor prognosis. Objective:We assessed the clinical predictive factors associate...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640618764161

    authors: Horibe M,Ogura Y,Matsuzaki J,Kaneko T,Yokota T,Okawa O,Nakatani Y,Iwasaki E,Nishizawa T,Hosoe N,Masaoka T,Yahagi N,Namiki S,Kanai T

    更新日期:2018-06-01 00:00:00

  • Distinct metaplastic and inflammatory phenotypes in autoimmune and adenocarcinoma-associated chronic atrophic gastritis.

    abstract:BACKGROUND:Autoimmune gastritis (AIG) and adenocarcinoma-associated chronic atrophic gastritis (CAG) are both associated with oxyntic atrophy, but AIG patients demonstrate an increased risk of carcinoid tumors rather than the elevated risk of adenocarcinoma observed with CAG. We therefore sought to compare the characte...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640616644142

    authors: Jeong S,Choi E,Petersen CP,Roland JT,Federico A,Ippolito R,D'Armiento FP,Nardone G,Nagano O,Saya H,Romano M,Goldenring JR

    更新日期:2017-02-01 00:00:00

  • Development of benchmark quality criteria for assessing whole-endoscopy Barrett's esophagus biopsy cases.

    abstract:Background:Dysplasia in Barrett's esophagus (BE) biopsies is associated with low observer agreement among general pathologists. Therefore, expert review is advised. We are developing a web-based, national expert review panel for histological review of BE biopsies. Objective:The aim of this study was to create benchmar...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640618764710

    authors: van der Wel MJ,Duits LC,Klaver E,Pouw RE,Seldenrijk CA,Offerhaus G,Visser M,Ten Kate F,Tijssen JG,Bergman J,Meijer SL

    更新日期:2018-07-01 00:00:00

  • The organisation and needs of young sections belonging to UEG National Societies: Results of a Europe-wide survey.

    abstract::One of the aims of the Young Talent Group (YTG) is to make United European Gastroenterology (UEG) more attractive for young fellows interested in gastroenterology, and to involve them actively in UEG activities, by collaborating with young GI sections (YGIS) across Europe. Therefore, the YTG launched a survey to colle...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640617713936

    authors: Ianiro G,Castro V,Dolak W,Ilie M,Holleran G,Salaga M,van Herwaarden Y,Burisch J,UEG Young Talent Group.

    更新日期:2017-08-01 00:00:00

  • Efficacy and safety of infliximab in very early onset inflammatory bowel disease: a national comparative retrospective study.

    abstract:Background:Very few data regarding the use of infliximab in children with very early-onset inflammatory bowel disease (VEO-IBD) have been reported. Objective:We aimed to assess the efficacy and the safety of infliximab in children with VEO-IBD compared with older children. Methods:Children treated with infliximab wer...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640619847592

    authors: Bramuzzo M,Arrigo S,Romano C,Filardi MC,Lionetti P,Agrusti A,Dipasquale V,Paci M,Zuin G,Aloi M,Strisciuglio C,Miele E,Pastore M,Martelossi S,Alvisi P,SIGENP IBD Working Group.

    更新日期:2019-07-01 00:00:00

  • Changes in inflammatory bowel disease patients' perspectives on biosimilars: A follow-up survey.

    abstract:Background and aims:The aim of this survey was to find out whether the perspectives of patients with inflammatory bowel disease concerning biosimilars have changed since the publication of our last survey carried out in 2014-2015. Methods:An online survey consisting of 19 questions was made available by the European F...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640619883704

    authors: Peyrin-Biroulet L,Lönnfors S,Avedano L,Danese S

    更新日期:2019-12-01 00:00:00

  • The microbiome in pancreatic diseases: Recent advances and future perspectives.

    abstract::The human microbiota exerts multiple physiological functions such as the regulation of metabolic and inflammatory processes. High-throughput sequencing techniques such as next-generation sequencing have become widely available in preclinical and clinical settings and have exponentially increased our knowledge about th...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640620944720

    authors: Ammer-Herrmenau C,Pfisterer N,Weingarten MF,Neesse A

    更新日期:2020-10-01 00:00:00

  • Effect of aspirin cessation before endoscopy in Japanese patients with low-dose-aspirin-associated gastroduodenal mucosal injury.

    abstract:BACKGROUND:The incidence of upper gastrointestinal injury by low-dose aspirin (LDA) has increased. OBJECTIVE:We aimed to clarify the risk factors and prevention strategies associated with LDA-induced gastroduodenal ulcer in Japanese patients. METHODS:A retrospective study involving 284 LDA users who underwent oesopha...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640613491254

    authors: Ito Y,Sasaki M,Noguchi S,Yamaguchi S,Okaniwa N,Tanabe A,Noda H,Yanamoto K,Tamura Y,Kondo Y,Masui R,Izawa S,Iida A,Mizuno M,Ogasawara N,Funaki Y,Kasugai K

    更新日期:2013-08-01 00:00:00

  • Increased risk of second primary tumours in patients with oesophageal squamous cell carcinoma: A nationwide study in a Western population.

    abstract:BACKGROUND:Patients with primary oesophageal squamous cell carcinoma are at risk of developing multiple primary tumours in the upper aero digestive tract. To date, most studies are performed in the Asian population. We aimed to evaluate the risk of multiple primary tumours in the upper aero digestive tract and stomach ...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640620977129

    authors: van de Ven SE,Falger JM,Verhoeven RH,Baatenburg de Jong RJ,Spaander MC,Bruno MJ,Koch AD

    更新日期:2020-12-03 00:00:00

  • Deprescribing medications that may increase the risk of hepatic encephalopathy: A qualitative study of patients with cirrhosis and their doctors.

    abstract:BACKGROUND AND AIMS:Multiple medications are associated with an increased risk of incident hepatic encephalopathy. Despite this known risk, medications such as opioids, benzodiazepines, gabapentin/pregabalin, and/or proton pump inhibitors are increasingly prescribed to persons with cirrhosis. Deprescribing is a promisi...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640620975224

    authors: Williams S,Louissaint J,Nikirk S,Bajaj JS,Tapper EB

    更新日期:2020-11-23 00:00:00

  • Acute abdominal pain in the emergency department of a university hospital in Italy.

    abstract:BACKGROUND:Acute abdominal pain (AAP) is one of the most common causes of referral to an emergency department (ED), but information about its impact is limited. OBJECTIVES:The objectives of this article are to define the prevalence of AAP among ED visits in a large university hospital and analyze its main clinical fea...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640615606012

    authors: Caporale N,Morselli-Labate AM,Nardi E,Cogliandro R,Cavazza M,Stanghellini V

    更新日期:2016-04-01 00:00:00

  • Endoscopic modalities for the diagnosis of Barrett's oesophagus.

    abstract::Barrett's oesophagus is a pre-malignant condition associated with the development of oesophageal adenocarcinoma. Currently white light endoscopy and biopsy is the mainstay diagnostic tool. Yet this approach is troubled by issues related to cumbersome biopsy sampling, biopsy sampling errors and cost. Therefore in order...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章,评审

    doi:10.1177/2050640615619281

    authors: Sharma N,Srivastava S,Kern F,Xian W,Ming T,McKeon F,Ho KY

    更新日期:2016-12-01 00:00:00

  • Standard versus Endocuff versus cap-assisted colonoscopy for adenoma detection: A randomised controlled clinical trial.

    abstract:BACKGROUND AND AIMS:Adenoma detection rate (ADR) in colon cancer screening is most important for cancer prophylaxis. This work is the first three-armed randomised controlled clinical trial aimed at comparing a head-to-head setting standard colonoscopy (SC) with Endocuff-assisted colonoscopy (EC) and cap-assisted colono...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640620982952

    authors: Floer M,Tschaikowski L,Schepke M,Kempinski R,Neubauer K,Poniewierka E,Kunsch S,Ameis D,Heinzow HS,Auer A,Schmidt HH,Ellenrieder V,Meister T

    更新日期:2020-12-21 00:00:00

  • Prognostic factors of hepatocellular carcinoma survival after radiofrequency ablation: A US population-based study.

    abstract:OBJECTIVE:To determine the survival outcome and prognostic factors of hepatocellular carcinoma (HCC) survival in patients who underwent radiofrequency ablation (RFA). METHODS:The Surveillance, Epidemiology and End Results (SEER) database was queried: There were 2588 HCC patients from 2004 to 2012 who underwent RFA. Th...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640616659024

    authors: El-Fattah MA,Aboelmagd M,Elhamouly M

    更新日期:2017-03-01 00:00:00

  • Fecal SCFAs and SCFA-producing bacteria in gut microbiome of human NAFLD as a putative link to systemic T-cell activation and advanced disease.

    abstract:Background:Intestinal microbiota and their metabolites (e.g. short-chain fatty acids (SCFAs)) may influence nonalcoholic fatty liver disease (NAFLD). Objective:The objective of this article is to analyze gut bacterial diversity together with fecal SCFA concentrations and immunophenotyping of peripheral blood in histol...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640618804444

    authors: Rau M,Rehman A,Dittrich M,Groen AK,Hermanns HM,Seyfried F,Beyersdorf N,Dandekar T,Rosenstiel P,Geier A

    更新日期:2018-12-01 00:00:00

  • Feasibility study of minimal prepared hydroflush screening colonoscopy.

    abstract:BACKGROUND:Although screening colonoscopy is effective for early detection of colorectal cancer (CRC), screening rates remain low. Multiple factors are thought to be responsible for the low rates of screening colonoscopy, but bowel preparation appears to be a key deterrent. Tolerability issues with bowel preparations m...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640615583409

    authors: Moshkowitz M,Fokra A,Itzhak Y,Arber N,Santo E

    更新日期:2016-02-01 00:00:00

  • Young GI Societies in Europe: 2019 update.

    abstract:BACKGROUND:One of the aims of the Young Talent Group (YTG) is to make United European Gastroenterology (UEG) more attractive to young fellows interested in gastroenterology (GI), and to actively involve them in UEG activities and the activities of their respective national societies. In 2017, we conducted a survey amon...

    journal_title:United European gastroenterology journal

    pub_type: 新闻

    doi:10.1177/2050640620906771

    authors: Heinrich H,Rodríguez-Lago I,Nakov R,Skuja V,Acedo P,Nitsche U,Mikolasevic I,van Herwaarden Y

    更新日期:2020-03-01 00:00:00

  • Cognitive impairment in Crohn's disease is associated with systemic inflammation, symptom burden and sleep disturbance.

    abstract:BACKGROUND:Patients with Crohn's disease (CD) frequently complain of cognitive difficulties such as problems with concentration and clouding of thought, yet this has scarcely been objectively defined and underlying mechanisms remain unknown. OBJECTIVE:The objective of this article is to objectively measure cognitive i...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640616663397

    authors: van Langenberg DR,Yelland GW,Robinson SR,Gibson PR

    更新日期:2017-06-01 00:00:00

  • Rising incidence of acute pancreatitis in Sweden: National estimates and trends between 1990 and 2013.

    abstract:BACKGROUND:Recent reports from western countries have indicated an increased incidence and a decreased mortality in acute pancreatitis. However, the incidence assessment has often been hampered by the inclusion of both first-time and recurrent episodes of acute pancreatitis. METHODS:In this retrospective cohort study,...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640620913737

    authors: Oskarsson V,Hosseini S,Discacciati A,Videhult P,Jans A,Ekbom A,Sadr-Azodi O

    更新日期:2020-05-01 00:00:00

  • Vitamin D deficiency predicts severe acute pancreatitis.

    abstract:Background:The ability to predict the severity of disease is important to reduce morbidity and mortality in patients with acute pancreatitis (AP). Vitamin D deficiency has been associated with severity in various diseases. Objective:This study was conducted to assess vitamin D as a predictor of disease severity in pat...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640618811489

    authors: Huh JH,Kim JW,Lee KJ

    更新日期:2019-02-01 00:00:00

  • Effects of conventional and a novel colonic-release bile acid sequestrant, A3384, on fibroblast growth factor 19 and bile acid metabolism in healthy volunteers and patients with bile acid diarrhoea.

    abstract:BACKGROUND:Primary bile acid diarrhoea (BAD) is associated with increased bile acid synthesis and low fibroblast growth factor 19 (FGF19). Bile acid sequestrants are used as therapy, but are poorly tolerated and may exacerbate FGF19 deficiency. AIM:The purpose of this study was to evaluate the pharmacological effects ...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640616662432

    authors: Appleby RN,Bajor A,Gillberg PG,Graffner H,Simrén M,Ung KA,Walters J

    更新日期:2017-04-01 00:00:00

  • The XL probe: A luxury or a necessity? Risk stratification in an obese community cohort using transient elastography.

    abstract:Background:Transient elastography is a non-invasive tool which can stratify patients at risk of chronic liver disease. However, a raised body mass index has been independently associated with a failed or unreliable examination. Objective:The purpose of this study was to analyse the performance of two probes (M/XL) on ...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640618772944

    authors: Harris R,Card TR,Delahooke T,Aithal GP,Guha IN

    更新日期:2018-11-01 00:00:00

  • The learning curve for needle knife precut sphincterotomy revisited.

    abstract:Background:There is no consensus on what constitutes adequate training for needle knife precut sphincterotomy. Objective:The purpose of this study was to determine the number of procedures required before effective and safe precut sphincterotomy can be achieved. Methods:This retrospective study examined the cumulativ...

    journal_title:United European gastroenterology journal

    pub_type: 杂志文章

    doi:10.1177/2050640617701808

    authors: Li JW,Ang TL,Kam JW,Kwek ABE,Teo EK

    更新日期:2017-12-01 00:00:00