Endoscopic mucosal resection with precutting vs. anchoring technique using snare tip for 10-25 mm nonpedunculated colorectal polyps: a randomized controlled trial.

Eur J Gastroenterol HepatolApr 17, 2026 (epub)
Clinical ResearchGastroenterology

Jong Yoon Lee, Hee Yoon Noh, Yang Hyun Baek et al.

✦ AI-curated · Sources linked

In 30 seconds

This randomized controlled trial compared precutting EMR (P-EMR) and anchoring EMR (A-EMR) techniques for resecting nonpedunculated colorectal polyps sized 10-25 mm. Both techniques achieved high R0 resection rates (93.7% for P-EMR vs. 88.9% for A-EMR), but A-EMR had significantly shorter injection-to-snaring and total procedure times.

Key findings

  • R0 resection rates were 93.7% for P-EMR and 88.9% for A-EMR, with no significant difference (P = 0.344).
  • A-EMR had a significantly shorter injection-to-snaring time of 181.8 ± 81.9 seconds compared to 320.9 ± 143.5 seconds for P-EMR (P < 0.001).
  • Total procedure time was significantly shorter for A-EMR at 259.7 ± 139.7 seconds versus 479.8 ± 249.0 seconds for P-EMR (P < 0.001).
  • Adverse events were comparable between both techniques.

Why it matters

Understanding the efficiency and effectiveness of different EMR techniques is crucial for optimizing colorectal polyp management. This study highlights that while both methods are effective, A-EMR may offer time-saving benefits in clinical practice.

Source

PubMed · PMID 42065991

Published in Eur J Gastroenterol Hepatol. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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