A study compared different techniques for reducing recurrence rates after endoscopic mucosal resection (EMR) of large non-pedunculated colorectal polyps. The direct and indirect comparisons showed that EMR combined with submucosal tunneling endoscopic submucosal dissection (EMR+STSC) and underwater EMR (U-EMR) had significantly lower odds of polyp recurrence compared to EMR alone. The p-score ranking indicated that EMR+STSC is a potential first method for reducing polyp recurrence, followed by U-EMR, EMR+APC, and EMR alone. Standardization of methods to detect and prevent polyp recurrence at the time of EMR is necessary.
Review by Radadiya D, Desai M (…) Sharma P et 6 al. in Gastrointest Endosc
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