Endoscopy 2020; 52(S 01): S6
DOI: 10.1055/s-0040-1704028
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 ENDOSCOPIC RESECTION OF A LST POLYP WITH CIRCUMFERENTIAL INVOLVEMENT OF ILEOCECAL VALVE WITH ILEUM EXTENSION

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

Publication History

Publication Date:
23 April 2020 (online)

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Clinical case A 30mm NG-LST polyp, with circumferential involvement of ileocecal valve.

Endoscopic findings NBI-near focus and crystal violet chromoendoscopy showing JNET 2A and Kudo III-L. Underwater endoscopic resection was planned. Air aspiration and distilled water instillation until completely filling of the area. EMR with rounded 25mm and 15mm snare (pulse slowcut 70W mode,effect 2)(ESG 300,Olympus).Piecemeal in 2 major fragments and few small fragments, following a systematic and circumferential approach. Complete resection is achieved,with final inspection of scar and terminal ileum without lesions.

Conclusions Underwater EMR is useful for complex resections such as NG-LST with circumferential involvement of ileocecal valve.