Year 2023 / Volume 115 / Number 6
Letter
Endoscopic “purse-string” to close a rectal endoscopic submucosal dissection eschar with intentional muscular sectioning

334-335

DOI: 10.17235/reed.2022.9271/2022

Maria Manuela Estevinho, Rolando Pinho, Jaime Rodrigues, Edgar Afecto, João Correia, Teresa Freitas,

Abstract
This case demonstrates the utility of the "purse string" to close large defects and shows that optical diagnosis may have pitfalls in evaluating the invasion of neoplastic lesions, particularly large ones.
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References
Boškoski I, Hamanaka J, Barbaro F, Arena V, Mascagni P, Caristo ME, De Siena M, Gallo C, Costamagna G. Feasibility and safety of a new endoscopic synthetic sealant nebulizing device over gastric endoscopic submucosal dissections. Surg Endosc. 2021 Jul;35(7):4048-4054. doi: 10.1007/s00464-021-08480-4.
Omori J, Goto O, Habu T, et al. Prophylactic clip closure for mucosal defects is associated with reduced adverse events after colorectal endoscopic submucosal dissection: a propensity-score matching analysis. BMC Gastroenterol. 2022 Mar 26;22(1):139. doi: 10.1186/s12876-022-02202-3.
Sumimoto K, Tanaka S, Shigita K, et al. Clinical impact and characteristics of the narrow-band imaging magnifying endoscopic classification of colorectal tumors proposed by the Japan NBI Expert Team. Gastrointest Endosc. 2017 Apr;85(4):816-821. doi: 10.1016/j.gie.2016.07.035.
Hosotani K, Imai K, Hotta K, et al. Diagnostic performance for T1 cancer in colorectal lesions ≥10 mm by optical characterization using magnifying narrow-band imaging combined with magnifying chromoendoscopy; implications for optimized stratification by Japan Narrow-band Imaging Expert Team classification. Dig Endosc. 2021 Mar;33(3):425-432. doi: 10.1111/den.13766.
Bogie RMM, Veldman MHJ, Snijders LARS, et al. Endoscopic subtypes of colorectal laterally spreading tumors (LSTs) and the risk of submucosal invasion: a meta-analysis. Endoscopy. 2018 Mar;50(3):263-282. doi: 10.1055/s-0043-121144.
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Citation tools
Estevinho M, Pinho R, Rodrigues J, Afecto E, Correia J, Freitas T, et all. Endoscopic “purse-string” to close a rectal endoscopic submucosal dissection eschar with intentional muscular sectioning. 9271/2022


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Publication history

Received: 09/10/2022

Accepted: 10/10/2022

Online First: 20/10/2022

Published: 06/06/2023

Article Online First time: 11 days

Article editing time: 240 days


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