Jérémie Jacques, Marion Schaefer, Timothée Wallenhorst, Thomas Rösch, Vincent Lépilliez, Stanislas Chaussade, Jérôme Rivory, Romain Legros, Jean-Baptiste Chevaux, Sarah Leblanc, Florian Rostain, Maximilien Barret, Jérémie Albouys, Arthur Belle, Anaïs Labrunie, Pierre-Marie Preux, Hugo Lepetit, Martin Dahan, Thierry Ponchon, Sabrina Crépin, Loïc Marais, Julien Magne, Mathieu Pioche
BACKGROUND: Endoscopic resection of adenomas prevents colorectal cancer, but the optimal technique for larger lesions is controversial. Piecemeal endoscopic mucosal resection (EMR) has a low adverse event (AE) rate but a variable recurrence rate necessitating early follow-up. Endoscopic submucosal dissection (ESD) can reduce recurrence but may increase AEs. OBJECTIVE: To compare ESD and EMR for large colonic adenomas. DESIGN: Participant-masked, parallel-group, superiority, randomized controlled trial...
January 2024: Annals of Internal Medicine