Hideyuki Chiba et al. Endoscopic submucosal dissection of large pedunculated polyps with wide stalks: a retrospective multicenter study
This study included 29 patients, each with a very large polyp that was not amenable to standard techniques, and who underwent resection by endoscopic submucosal dissection (ESD). Curative resection was achieved in 24/28 (86 %) with few adverse events; however, the authors note that ESD can be technically challenging, with difficulties „related to fibrosis and polyp mobility.
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