Removal of sessile recidive rectal polyp with endoscopic submucosal dissection. Case report and review of the literature

Orvosi hetilap
Péter LukovichPéter Kupcsulik

Abstract

With the development of flexible endoscopy, removal of the large sessile polyps and superficial malignant tumors that do not exceed the layer muscular mucosa has become today's major challenge. Earlier in various types of mucosectomy performed with such indication it was difficult to control the depth and the lateral margin of the resection surface. Tumors larger than 20 mm could only be removed with the application of the piecemeal technique. 64-year-old female patient's large sessile polyp had been removed earlier with piecemeal technique followed by mucosectomy. On the area of these interventions a recidiv adenoma was found and for this reason endoscopic submucosal dissection was applied. The procedure took 55 minutes, and only small volume of bleeding was detected during the intervention. The postoperative period was uneventful, one day later the patient left the hospital. Vertical and lateral resection surface were free of tumor histologically. The endoscopic submucosal dissection is suitable for the removal of the large sessile polyp, which could not be successfully removed with earlier techniques.

References

Dec 5, 2006·Gastrointestinal Endoscopy·Shiro OkaKazuaki Chayama
May 29, 2007·Gastrointestinal Endoscopy·Stefan von DeliusEckart Frimberger
Jun 27, 2007·Gastrointestinal Endoscopy·Shinji TanakaKazuaki Chayama
Oct 24, 2007·The British Journal of Surgery·D P HurlstoneS Brown

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Citations

Feb 16, 2011·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Ioannis GoutosSudip J Ghosh
Feb 16, 2011·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Arun Goel, Prabhat Shrivastava

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