Combination of endoscopic mucosal resection and full-thickness resection in the treatment of local residual neoplasia of the colon − two case reports
Authors:
Přemysl Falt 1,2; Martin Štěpán 1; R. Andělová 3; O. Urban 1,2
Authors‘ workplace:
Centrum péče o zažívací trakt, Vítkovická nemocnice, Ostrava
vedoucí pracoviště: prim. MUDr. O. Urban, Ph. D.
1; Lékařská fakulta, Ostravská univerzita
děkan: doc. MUDr. A. Martínek, CSc.
2; Oddělení patologie, Nemocnice Nový Jičín
primář: MUDr. R. Andělová
3
Published in:
Rozhl. Chir., 2017, roč. 96, č. 9, s. 394-398.
Category:
Case Report
Overview
We present the case of a 61-year-old patient with local residual neoplasia (LRN) of the rectum and the case of a 65-year-old patient with LRN of the cecum. In both cases, the lesion measured 25 mm in diameter and its center was fixed by submucosal fibrosis causing the non-lifting sign. For endoscopic treatment, which was uneventful,a combination of endoscopic mucosal resection (EMR) and full-thickness resection (FTR) was used. In both cases, histological examination showed completely resected tubular adenoma with HGIN.
Key words:
colorectal carcinoma − local residual neoplasia − full-thickness resection − endoscopic mucosal resection
Sources
1. Urban O, Kijonkova B, Kajzrlikova IM, et al. Local residual neoplasia after endoscopic treatment of laterally spreading tumors during 15 months of follow-up. Eur J Gastroenterol Hepatol 2013;25:733−8.
2. Urban O, Pipek B, Kajzrlikova IM, et al. The efficacy of treatment of local residual neoplasia under standardized conditions. Vnitr Lek 2016;62:365−9.
3. Schmidt A, Meier B, Caca K. Endoscopic full-thickness resection: Current status. World J Gastroenterol 2015;21:9273−85.
4. Falt P, Urban O, Hanousek M, et al. „Full-thickness“ endoskopická resekce lokální reziduální neoplazie v hepatální flexuře - videokazuistika. Gastroenterol Hepatol 2016;70:398−401.
5. Schmidt A, Meining A, Birk M. Endoscopic full-thickness resection in the colorectum using an over-the-scope device - interim results of a prospective multicenter study. Gastrointest Endosc 2016;83:AB119.
6. Schmidt A, Meier B, Cahyadi O, et al. Duodenal endoscopic full-thickness resection (with video). Gastrointest Endosc 2015;82:728−33.
7. Meier B, Caca K, Schmidt A. Hybrid endoscopic mucosal resection and full-thickness resection: a new approach for resection of large non-lifting colorectal adenomas (with video). Surg Endosc 2017. [Epub ahead of print]
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2017 Issue 9
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