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CC BY-NC-ND 4.0 · Endosc Int Open 2024; 12(07): E914-E915
DOI: 10.1055/a-2348-8027
VidEIO

Strategies to successfully complete complex ESD in the colon

David Barquero Declara 
1   Gastroenterology Unit, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despi, Spain (Ringgold ID: RIN223474)
,
Alex Blasco Pelicano
1   Gastroenterology Unit, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despi, Spain (Ringgold ID: RIN223474)
,
Claudia Berbel Comas
1   Gastroenterology Unit, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despi, Spain (Ringgold ID: RIN223474)
,
Alfredo Mata Bilbao
1   Gastroenterology Unit, Hospital de Sant Joan Despí Moisès Broggi, Sant Joan Despi, Spain (Ringgold ID: RIN223474)
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Introduction

Endoscopic submucosal dissection (ESD) is challenging in the colon. Lesions with fibrosis and located in diverticular areas add extra technical difficulty [1] [2] [3].

We describe the case of a 71-year-old woman with a sigma 20-mm nongranular, laterally spreading tumor (LST NG) with a type Vi pit pattern and NICE 2, surrounded by diverticula and in contact with a tattoo ([Fig. 1] and [Fig. 2]). A tattoo close to a lesion can make its resection even harder [4].

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Fig. 1 Lesion.
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Fig. 2 Lesion i-Scan.


Publication History

Received: 06 January 2024

Accepted after revision: 14 March 2024

Article published online:
25 July 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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