Endoscopy 2003; 35(11): 973-974
DOI: 10.1055/s-2003-43471
Case Report
© Georg Thieme Verlag Stuttgart · New York

Endoscopic Mucosal Resection of Superficially Spreading Colonic Neoplasms Larger Than 5 cm in the Right Colon After Injection of Dilute Sodium Hyaluronate: Report of Two Cases

M.  Mukai1 , I.  Ito1 , S.  Mukoyama1 , Y.  Okamoto1 , M.  Sugimoto2 , K.  Tsuchiya2 , S.  Sato3 , H.  Nakasaki1 , H.  Makuuchi4
  • 1 Department of Surgery, Tokai University Oiso Hospital, Kanagawa, Japan
  • 2 Endoscopic unit, Tokai University Oiso Hospital, Kanagawa, Japan
  • 3 Department of Pathology, Tokai University Oiso Hospital, Kanagawa, Japan
  • 4 Department of Surgery, Tokai University School of Medicine, Kanagawa, Japan
Further Information

Publication History

Submitted 13 September 2002

Accepted after Revision 25 March 2003

Publication Date:
07 November 2003 (online)

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Submucosal injection is the most important procedure for the safe performance of endoscopic mucosal resection in the large intestine while avoiding the risk of perforation. We used dilute sodium hyaluronate containing Bosmin and achieved safe piecemeal resection of large superficial tumors in the right colon in two patients. Piecemeal snare resection is considered to be acceptable if all the tissue pieces can be collected for histopathological diagnosis.