DOUBLE-CLIP TRACTION ESD FOR RECURRENT ADENOMA

We report a case of ESD of a 15-mm recurrent adenoma of the colon, following 4-cm piecemeal EMR. The submucosa was injected without elevation of the lesion. Mucosa was incised using a Dual Knife J remote from the lesion, to identify the submucosal plane. Our previously reported double-clip traction-ESD strategy was carried out on the rectal part of the lesion, with good exposition of the submucosa and fibrotic area. Good exposure allowed for rapid and safe complete R0 ESD of a 25-mm adenoma in 10 min. DCT-ESD is efficient with a high success rate for endoscopic resection of recurrent adenomas.