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Underwater Endoscopic Mucosal Resection for 10 mm or Larger Nonpedunculated Colorectal Polyps: A Systematic Review and Meta-Analysis by Rajat Garg; Amandeep Singh; Manik Aggarwal; Jaideep Bhalla; Babu P. Mohan; Carol Burke; Tarun Rustagi; Prabhleen Chahal is a Medicine article available to read on EtoBox.
What is Underwater Endoscopic Mucosal Resection for 10 mm or Larger Nonpedunculated Colorectal Polyps: A Systematic Review and Meta-Analysis about?
## Background/Aims Recent studies have reported the favorable outcomes of underwater endoscopic mucosal resection (UEMR) for colorectal polyps. We performed a systematic review and meta-analysis evaluating the efficacy and safety of UEMR for nonpedunculated polyps ≥10 mm. ## Methods We performed a comprehensive search of multiple databases (through May 2020) to identify studies reporting the outcomes of UEMR for ≥10 mm nonpedunculated colorectal polyps. The assessed outcomes were recurrence rate on the first follow-up, __en bloc__ resection, incomplete resection, and adverse events after UEMR. ## Results A total of 1276 polyps from 16 articles were included in our study. The recurrence rate was 7.3% (95% confidence interval [CI], 4.3–12) and 5.9% (95% CI, 3.6–9.4) for nonpedunculated polyps ≥10 and ≥20 mm, respectively. For nonpedunculated polyps ≥10 mm, the __en bloc__ resection, R0 resection, and incomplete resection rates were 57.7% (95% CI, 42.4–71.6), 58.9% (95% CI, 42.4–73.6), and 1.5% (95% CI, 0.8–2.6), respectively. The rates of pooled adverse events, intraprocedural bleeding, and delayed bleeding were 7.0%, 5.4%, and 2.9%, respectively. The rate of perforation and postpoly
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- Author
- Rajat Garg; Amandeep Singh; Manik Aggarwal; Jaideep Bhalla; Babu P. Mohan; Carol Burke; Tarun Rustagi; Prabhleen Chahal
- Publisher
- The Korean Society of Gastrointestinal Endoscopy
- Published
- 2021
- Language
- EN
- Field
- Medicine (Health Sciences)