Prevention is better than cure: the challenges of prophylactic therapy for post-EMR bleeding

The sequence of events leading to the development of colorectal cancer, currently the third most common malignancy in Western countries, is effectively disrupted by the resection of its precursor lesions. Colonoscopy is the mainstay in lesion detection, and endoscopic polypectomy is the conventional therapeutic response for the overwhelming majority of identified polyps. Approximately 2% of lesions are larger (>20  mm) and are laterally spreading lesions (LSLs). EMR is considered the standard of care for the majority of these because it has been proved to be safer, less resource-intensive, and less expensive than surgery.

Source: Gastrointestinal Endoscopy - October 19, 2019 Category: Gastroenterology Authors: W. Arnout van Hattem, Michael J. Bourke Tags: Original article Source Type: research