Indications and Techniques for Closure after Endoscopic Mucosal Resection

Authors

Muhammad S. Faisal, Henry Ford HealthFollow
Mazen M. El-Atrache, Henry Ford HealthFollow
Tobias Zuchelli, Henry Ford HealthFollow
Cyrus Piraka, Henry Ford HealthFollow

Recommended Citation

Faisal MS, Elatrache M, Zuchelli T, Piraka C. Indications and Techniques for Closure after Endoscopic Mucosal Resection. Gastrointest Endosc Clin N Am. 2026.

Document Type

Article

Publication Date

2-5-2026

Publication Title

Gastrointest Endosc Clin N Am

Keywords

Endoscopic mucosal resection, Endoscopic closure, Through the scope clip, Over the scope clip, Cold snare resection, Hot snare resection

Abstract

The need for closure after endoscopic mucosal resection (EMR) is dependent on the location and technique of resection. EMR in the esophagus generally does not require closure unless there is a complication such as perforation or bleeding. Hot EMR generally requires closure to decrease the risk of delayed bleeding, especially in the duodenum and right colon. Closure devices include through-the-scope clips, over-the-scope clips, and various endoscopic suturing platforms. The choice of closure device and technique is dependent on the location and expertise of the endoscopist.

Comments

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ePublication

ePub ahead of print