Endoscopic techniques to reduce recurrence rates after colorectal EMR: systematic review and meta-analysis.

ABSTRACT:

Background

Colorectal endoscopic mucosal resection (EMR) is an effective, safe, and minimally invasive treatment for large lateral spreading and sessile polyps. The reported high recurrence rate of approximately 20% is however one of the major drawbacks. Several endoscopic interventions have been suggested to reduce recurrence rates. We conducted a systematic review and meta-analysis to assess the efficacy of endoscopic interventions targeting the EMR margin to reduce recurrence rates.

Methods

We searched in PubMed and Ovid for studies comparing recurrence rates after interventions targeting the EMR margin with standard EMR. The primary outcome was the recurrence rate at the first surveillance colonoscopy (SC1) assessed histologically or macroscopically. For the meta-analysi

SUBMITTER: Kemper G 

PROVIDER: S-EPMC8437853 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature