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)

Autor*innen

  • 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
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Publikationsverlauf

Publikationsdatum:
23. April 2020 (online)

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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.