| Theme | New developments in capsule/balloon-assisted endoscopy | |
|---|---|---|
| Title | Endoscopic resection (polypectomy/EMR) for small-bowel tumors | |
| Publish Date | 2013/12 | |
| Author | Shiro Oka | Department of Endoscopy, Hiroshima University |
| Author | Shinji Tanaka | Department of Endoscopy, Hiroshima University |
| Author | Kei Igawa | Department of Gastroenterology and Metabolism, Hiroshima University |
| Author | Makoto Nakano | Department of Gastroenterology and Metabolism, Hiroshima University |
| Author | Taiki Aoyama | Department of Gastroenterology and Metabolism, Hiroshima University |
| Author | Ikue Watari | Department of Gastroenterology and Metabolism, Hiroshima University |
| Author | Shigeto Yoshida | Department of Endoscopy, Hiroshima University |
| Author | Kazuaki Chayama | Department of Gastroenterology and Metabolism, Hiroshima University |
| [ Summary ] | Balloon-assisted endoscopy (BAE) is very useful not only for diagnosis but also for treatment of various diseases in the small intestine. The effectiveness and safety of endoscopic resection employing polypectomies and endoscopic mucosal resection (EMR) using BAE for tumors of the small-bowel has been widely recognized as the standard treatment for these conditions. The indications for endoscopic resection include multiple polyps in patients with Peutz-Jeghers syndrome, lipoma with a risk of bleeding or invagination, hamartomatous polyps, and adenomas. In this paper, we describe polypectomy procedures and EMR in detail for treatment of tumors of the small bowel. Clipping for mucosal defect after resection is useful to prevent post-bleeding or delayed perforation. |
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