Should we be more proactive in dealing with colonic lipomas and local recurrences after oesophageal CRT?

Srisha Hebbar and Peter Siersema challenge my prejudices and suggest that endoscopy can help patients with colonic lipomas and local recurrence after chemo-radiotherapy, two relatively uncommon conditions.  They both make convincing arguments!  

References
Al-Jaabu A et.al.  Salvage EMR after definitive CRT for esophageal cancer. GIE 2020; 1-11

The ‘Sano-trial’. Noordman BJ. Et.al. Neoadjuvant chemoradiotherapy plus surgery versus active surveillance for oesophageal cancer: a stepped-wedge cluster randomised trial. BMC cancer 2018;18:42 

Chandrapalan S. et.al. Needle knife mucosal incision to obtain deep biopsies of submucosal lesions along the gi tract – efficacy and safety. Gut 2015;64:A61.

​Srisha has also uploaded a video to explain how to safely deal with colonic lipomas.