Removing large rectal polyps: when the whole may be greater than the sum of its parts

Rectal lesions containing dysplasia or early neoplasia confined to the mucosa are typically managed with a minimally invasive transanal approach. Two commonly used modalities for endoscopic removal are EMR and transanal endoscopic microsurgery (TEM). Barendse et al1 recently published a multicenter randomized trial (TREND study) comparing TEM with EMR for the resection of large nonpedunculated rectal polyps. The study consisted of 204 patients with rectal adenomas ≥3 cm randomized to EMR or TEM.

from #ORL-AlexandrosSfakianakis via ola Kala on Inoreader http://ift.tt/2o8w4DZ