25 patients with suspicious lesions in Barrett's esophagus underwent EMR, following endoscopic US to determine the feasibility of resection, in a study published in the September issue of Gastrointestinal Endoscopy.
"Its major advantages include simplicity and retrieval of the specimen en bloc."
Resection involved the lift-and-cut technique (23 patients), or a variceal ligating device (2 patients).
The lesion was a nodule or polyp in 11 patients (44%) and a suspected superficial cancer or high-grade dysplasia in 14 patients (56%).
EMR was successful in diagnosing superficial adenocarcinoma in 13 patients (52%), high-grade dysplasia in 4 (16%), and confirmed lesions to be of a lower neoplastic risk in 8 (40%).
The procedure itself resulted in no complications.