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ESD OF A LARGE CECAL POLYP INVOLVING THE ILEOCECAL VALVE AND THE TERMINAL ILEUM

G. Mavrogenis, F. Bazerbachi, D. Mpalomenos, I. Tsevgas, D. Zachariadis

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Abstract

Aim An 83-year-old man was referred for endoscopic resection of a large cecal polyp that involved the ileocecal valve and extended 1 cm upstream in the terminal ileum. Methods The lesion was removed en block by means of ESD using various techniques: clip and band multifocal traction, pocket creation method, undersaline immersion technique, and various ESD-knives (Dual Knife, IT Knife). The lesion was removed en-block. Histology showed R0 resection of a 6 cm tubulo-villous adenoma with low grade dysplasia. Conclusion: We demonstrate the successful resection of a large ileocecal polyp with terminal ileum involvement by means of various ESD techniques. Publication History Article published online: 14 April 2022 © 2022. European Society of Gastrointestinal Endoscopy. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

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Aim An 83-year-old man was referred for endoscopic resection of a large cecal polyp that involved the ileocecal valve and extended 1 cm upstream in the terminal ileum. Methods The lesion was removed en block by means of ESD using various techniques: clip and band multifocal traction, pocket creation method, undersaline immersion technique, and various ESD-knives (Dual Knife, IT Knife). The lesion was removed en-block. Histology showed R0 resection of a 6 cm tubulo-villous adenoma with low grade dysplasia. Conclusion: We demonstrate the successful resection of a large ileocecal polyp with terminal ileum involvement by means of various ESD techniques. Publication History Article published online: 14 April 2022 © 2022. European Society of Gastrointestinal Endoscopy. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

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Available abstract

Aim An 83-year-old man was referred for endoscopic resection of a large cecal polyp that involved the ileocecal valve and extended 1 cm upstream in the terminal ileum. Methods The lesion was removed en block by means of ESD using various techniques: clip and band multifocal traction, pocket creation method, undersaline immersion technique, and various ESD-knives (Dual Knife, IT Knife). The lesion was removed en-block. Histology showed R0 resection of a 6 cm tubulo-villous adenoma with low grade dysplasia. Conclusion: We demonstrate the successful resection of a large ileocecal polyp with terminal ileum involvement by means of various ESD techniques. Publication History Article published online: 14 April 2022 © 2022. European Society of Gastrointestinal Endoscopy. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

Key concepts: Ileocecal valve, Terminal ileum, Medicine, Ileum, Cecum, Proximal colon, Internal medicine, Colorectal cancer

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ESD OF A LARGE CECAL POLYP INVOLVING THE ILEOCECAL VALVE AND THE TERMINAL ILEUM — Research Paper | ScholarLens