Abstract

Submucosal injection is widely performed prior to endoscopicmucosal resection (EMR) of large sessile colorectal polyps to facilitate resection and reduce perforation risk. However, submucosal injection may make snare capture of a flat polyp more difficult, and injecting through the polyp may risk needle tracking of neoplastic cells into deeper wall layers. We developed a novel method of “underwater” EMR (UEMR) that eliminates submucosal injection. AIM Evaluate the feasibility and outcomes of UEMR without submucosal injection for large sessile colorectal adenomas.

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