Year 2024 / Volume 116 / Number 1
Letter
Bridging polyp in an anastomosis resected by endoscopic submucosal dissection (ESD)

53-54

DOI: 10.17235/reed.2023.9565/2023

Wenli Xu, Qian Zhang, Lu Wang, Chao Sun, Haina Chai, Pinghong Zhou, Jun Liu,

Abstract
A 60-year-old man was admitted to our hospital for routine postoperative review of colon cancer. He underwent a colonoscopy, which showed a bridge-like polyp located 13 cm from the anal verge, with the base of the polyp located 1.5 cm above the anastomosis and the head of it located on the anastomosis and fusion growth with the anastomosiz. The patient accepted ESD to remove the lesion. During the ESD procedure, the basal of the polyp was incised using an insulated-tip knife, when the polyp tip located at the anastomosis was gradually dissected with a hook knife, severe fibrosis and three staples was found in the submucosal. We carefully separated the scar tissue and pulled out staples with hook knife in electrocision mode. Finally, we removed the lesion completely.
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References
1. Draganov PV, Wang AY, Othman MO, et al. AGA Institute clinical practice update: endoscopic submucosal dissection in the United States. Clin Gastroenterol Hepatol 2019; 17:16–25.
2. Esaki M, Suzuki S, Hayashi Y, et al. Propensity score-matching analysis to compare clinical outcomes of endoscopic submucosal dissection for early gastric cancer in the postoperative and non-operative stomachs. BMC Gastroenterol. 2018;18(1):125.
3. Chen Z, Dou L, Zhang Y, et al. Safety and efficacy of endoscopic submucosal dissection for metachronous early cancer or precancerous lesions emerging at the anastomotic site after curative surgical resection of colorectal cancer. Ann Transl Med. 2020;8(21):1411.
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Citation tools
Xu W, Zhang Q, Wang L, Sun C, Chai H, Zhou P, et all. Bridging polyp in an anastomosis resected by endoscopic submucosal dissection (ESD). 9565/2023


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Publication history

Received: 01/03/2023

Accepted: 26/03/2023

Online First: 19/04/2023

Published: 11/01/2024

Article revision time: 18 days

Article Online First time: 49 days

Article editing time: 316 days


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