Clinical Case: ESD in Rectum With the Tunnel Formation in Submucosal Layer

In 66-year-old patient in rectum detected lesion 3,0x2,0 cm, 0-Is+0-IIc (Paris classification), 2b (JNET classification). The lesion was removed by ESD with the tunnel formation.Postoperative diagnosis: adenocarcinoma pT1 (sm1-250µ), G1, ly0 v0, R0. Postoperative period without complications.

The location of the lesion parallel to the axis of the endoscope makes it convenient to form a tunnel during ESD in the rectum. Forming a tunnel in the submucosal layer allows you to simultaneously maintain the fixation of the lesion and the tension of the layer, which gives better visualization during the operation.

Citation: Vanyan A. et al. eP230V CLINICAL CASE: ESD IN RECTUM WITH THE TUNNEL FORMATION IN SUBMUCOSAL LAYER. Endoscopy 2021; 53: S174.

Publication History

Article published online:
19 March 2021