Full-thickness endoscopic resection of local residual neoplasia in the hepatic flexure – video case report

Česká verzia

Authors: Přemysl Falt ^1,2 ; O. Urban ^1,2; M. Hanousek ¹; R. Andělová ³
Authors place of work: Centrum péče o zažívací trakt, Vítkovická nemocnice a. s., Ostrava ¹; Lékařská fakulta OU v Ostravě ²; Patologie, Laboratoře Agel a. s., Nový Jičín ³
Published in the journal: Gastroent Hepatol 2016; 70(5): 398-401
Category:
doi: https://doi.org/10.14735/amgh2016398

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.

Key words:
colorectal cancer – local residual neoplasia – full-thickness resection

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE „uniform requirements“ for biomedical papers.

Submitted:
31. 8. 2016

Accepted:
21. 9. 2016

Zdroje

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.