Gastroenterologie
a hepatologie

Treatment of an adenoma of the ascending colon with the non-lifting sign via a combination of endoscopic mucosal resection and full- thickness resection

Přemysl Falt ^{Orcid.org  1}

+ Affiliation
¹ II. interní klinika – gastroenterologická a geriatrická, LF UP a FN Olomouc

Summary

Endoscopic full-thickness resection (FTR) is a novel technique for transmural resection of the large intestine. The main indications are local residual neoplasia and neoplasia with the non-lifting sign that cannot be treated by standard endoscopic resection. FTR may be limited
because larger lesions cannot be drawn into the cap. We present a 58-year-old patient with a superficial neoplastic lesion measuring 30 mm in the ascending colon with central depression and the non-lifting sign that was diagnosed by a screening colonoscopy. A combination of endoscopic mucosal resection of the lateral parts and FTR of the central part with the non-lifting sign was performed without any complications. Histological examination demonstrated complete resection of a tubular adenoma with high-grade intraepithelial neoplasia.

Keywords

adenoma, endoscopic mucosal resection, colorectal cancer, full-thickness resection

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Literature

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