Endoscopy 2020; 52(S 01): S114
DOI: 10.1055/s-0040-1704353
ESGE Days 2020 oral presentations
Saturday, April 25, 2020 08:30 – 10:30 Large colonic polyps: Slice and dice The Liffey B
© Georg Thieme Verlag KG Stuttgart · New York

GEL IMMERSION ENDOSCOPY (GIE) FACILITATES HAEMOSTASIS FOR THE MANAGEMENT OF BLEEDING POST WIDE-FIELD CAECAL ENDOSCOPIC MUCOSAL RESECTION (EMR)

N Lazaridis
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
EJ Despott
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
A Podesta
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
E Athanasiadou
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
F Solonos
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
R Raymond
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
N Koukias
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
,
T Yano
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
2   Jichi Medical University, Division of Gastroenterology, Department of Medicine, Shimotsuke, Japan
,
A Murino
1   The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Royal Free Unit for Endoscopy, London, UK
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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Post-procedural-bleeding(PPB) is an adverse event that may lead to hospitalisation, transfusion and additional endotherapy after wide-field-EMR(WF-EMR). Gel-immersion-endoscopy(GIE) has been recently described to improve targeted views and facilitate endotherapy.

WF-EMR was performed for a 60mm mixed-nodular type granular-laterally-spreading caecal-tumour(LST-G) and patient presented after 24h with PPB which required blood transfusion.

CO2-insufflation and water-irrigation were used without success at optimising views due to luminal fresh blood. Rapid mixture of blood and water prevented identification of bleeding-point. A clear-gel with increased viscosity was then infused into the lumen; this results in a clear ‘visual-shield’ which enhances visualisation and treatment of the culprit vessel.