Full-thickness endoscopic resection of local residual neoplasia in the hepatic flexure – video case report
Přemysl Falt Orcid.org 1, Ondřej Urban Orcid.org 2,3, Martin Hanousek Orcid.org 4, Romana Andělová5
+ Affiliation
Summary
Full-thickness resection (FTR) is a new endoscopic technique enabling transmural resection of the large intestine via a combination of over-the-scope clip application and cap-assisted endoscopic mucosal resection. In fact, there is an intended perforation closed by the clip before the resection. According to existing but limited evidence, FTR is a feasible and safe alternative to endoscopic submucosal dissection or surgical resection of local residual neoplasia, early colorectal neoplasia with suspected submucosal invasion/fibrosis, and neuroendocrine tumors. We present a case of a 56-year-old patient after low anterior resection for rectal carcinoma and with local residual neoplasia after endoscopic mucosal resection in the hepatic flexure. The lesion was resected using the endoscopic FTR technique. Histological examination confirmed a completely resected tubular adenoma with high-grade intraepithelial neoplasia. The patient was dismissed after two days without any complications.
Keywords
colorectal cancer, local residual neoplasia, full-thickness resectionTo read this article in full, please register for free on this website.
Benefits for subscribers
Benefits for logged users
Literature
1. Schmidt A, Meier B, Caca K. Endoscopic full-thickness resection: current status. World J Gastroenterol 2015; 21 (31): 9273–9285. doi: 10.3748/wjg.v21.i31.9273.
2. Schmidt A, Bauerfeind P, Gubler C et al. Endoscopic full-thickness resection in the colorecum with a novel over-the-scope device: first experience. Endoscopy 2015; 47 (8): 719–725. doi: 10.1055/s-0034-1391 781.
3. Schmidt A, Meining A, Birk M et al. Endoscopic full-thickness resection in the colorectum using an over-the-scope device – interim results of a prospective multicenter study. Gastrointest Endosc 2016; 83 (Suppl 5): AB119.