Abstract:
Endoscopic resection (ER) of colorectal polyps has become a daily practice in most endoscopic units providing a colorectal cancer screening program and requires the availability of local experts and high-end endoscopic devices. ER procedures have evolved over the past few years from endoscopic mucosal resection (EMR) to more advanced techniques, such as endoscopic submucosal dissection and endo-scopic full-thickness resection. Complete resection and disease eradication are the ultimate goals of ER-based techniques, and novel devices have been developed to achieve these goals. The EndoRotor® Endoscopic Powered Resection System (Interscope Medical, Inc., Northbridge, Massachusetts, United States) is one such device. The EndoRotor is a powered resection tool for the removal of alimentary tract mucosa, including post-EMR persistent lesions with scarring, and has both CE Mark and FDA clearance. This review covers available published evidence documenting the usefulness of EndoRotor for the management of recurrent colorectal polyps.
摘要:
结直肠息肉的内窥镜切除术(ER)已成为大多数提供结直肠癌筛查计划的内窥镜单位的日常实践,并且需要当地专家和高端内窥镜设备的可用性。在过去的几年中,ER程序从内窥镜粘膜切除术(EMR)发展到更先进的技术,如内镜黏膜下剥离术和内镜下全层切除术。完全切除和根除疾病是基于ER的技术的最终目标,并且已经开发了新颖的设备来实现这些目标。EndoRotor®内窥镜动力切除系统(内窥镜医疗,Inc.,北桥,马萨诸塞州,美国)就是这样一种设备。EndoRotor是一种用于去除消化道粘膜的动力切除工具,包括EMR后持续性病变并伴有瘢痕,并具有CE标志和FDA许可。这篇综述涵盖了现有的已发表证据,这些证据记录了EndoRotor在治疗复发性结直肠息肉中的有用性。