Endoscopy 2020; 52(S 01): S6-S7
DOI: 10.1055/s-0040-1704029
ESGE Days 2020 oral presentations
Thursday, April 23, 2020 08:30 – 10:00 Large colonic polyps: Slice and dice Ecocem Room
© Georg Thieme Verlag KG Stuttgart · New York

UNDERWATER EMR FOR ADENOMATOUS LESION WITH DEEP EXTENSION INTO THE APPENDICEAL ORIFICE (AO)

H Uchima
Hospital Universitari Germans Trias I Pujol, Gastrointestinal Endoscopy, Badalona, Spain
,
J Antonio Colan Hernandez
Hospital Universitari Germans Trias I Pujol, Gastrointestinal Endoscopy, Badalona, Spain
,
D Luna
Hospital Universitari Germans Trias I Pujol, Gastrointestinal Endoscopy, Badalona, Spain
,
EN Caballero
Hospital Universitari Germans Trias I Pujol, Gastrointestinal Endoscopy, Badalona, Spain
,
I Marin
Hospital Universitari Germans Trias I Pujol, Gastrointestinal Endoscopy, Badalona, Spain
,
M Calafat
Hospital Universitari Germans Trias I Pujol, Gastrointestinal Endoscopy, Badalona, Spain
,
M Puertas
Hospital Universitari Germans Trias I Pujol, Gastrointestinal Endoscopy, Badalona, Spain
,
I Iborra
Hospital Universitari Germans Trias I Pujol, Gastrointestinal Endoscopy, Badalona, Spain
,
A Aguilar
Hospital Universitari Germans Trias I Pujol, Gastrointestinal Endoscopy, Badalona, Spain
,
E Domenech
Hospital Universitari Germans Trias I Pujol, Gastrointestinal Endoscopy, Badalona, Spain
,
VM De Vega
Hospital Universitari Germans Trias I Pujol, Gastrointestinal Endoscopy, Badalona, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

Also available at
 
 

    Lesions with extension into the AO are often challenging for EMR.

    When the involvement is deep, surgery is usually the first recommendation, however in some cases of deep involvement an endoscopic treatment can be performed.

    We present the case of a lesion with deep extension into the AO resected by “underwater” EMR (video).

    UEMR was performed with a 15mm rounded snare.

    To complete the resection of the deep component, suction of the water and the tissue were performed.

    Time of the procedure until specimen retrieval was 24 minutes. Patient was discharged after 2 hours with no complications.Histology showed LGD adenoma.


    #