Year 2018 / Volume 110 / Number 12
Case Report
Endoscopic submucosal hydro-dissection as a rescue treatment of a large recurrent lateral spreading tumor in an ileorectal anastomosis

829-831

DOI: 10.17235/reed.2018.5690/2018

Joaquín Rodríguez Sánchez, Mónica Sánchez Alonso, José Olmedo Camacho,

Abstract
Background: subtotal colectomy with ileorectal anastomosis (IRA) is currently the most common surgical option in young patients with familial adenomatous polyposis (FAP). However, this surgery does prevent the appearance of lesions in the rectal remnant. In these cases, the endoscopic submucosal dissection might be a feasible option. However, drawbacks such as extreme fibrosis and a difficult maneuverability in the rectal remnant make this technique rather challenging. An ESD by the pocket creation method was planned with the purpose of overcoming these handicaps. Case report: an en-bloq resection of 30 mm of the recurrent adenoma located in rectal remnant of a 42-year-old woman with FAP was successfully achieved following this approach. Two months of follow up endoscopy did not show residual adenomatous tissue. Discussion: in summary, endoscopic submucosal dissection by the pocket creation method allowed a safe and effective dissection and an en-bloc resection of this challenging polyp was achieved.
Share Button
New comment
Comments
No comments for this article
References
1. Koskenvuo L, Renkonen-Sinisalo L, Jarvinen HJ, et al. Risk of cancer and secondary proctectomy after colectomy and ileorectal anastomosis in familial adenomatous polyposis. Int J Colorectal Dis 2014;29:225-30.
2. Belderbos TD, Leenders M, Moons LM, et al. Local recurrence after endoscopic mucosal resection of nonpedunculated colorectal lesions: systematic review and meta-analysis. Endoscopy 2014;46:388-402.
3. Sansone S, Nakajima T, Saito Y. Endoscopic submucosal dissection of a large neoplastic lesion at the ileorectal anastomosis in a familial adenomatous polyposis patient. Dig Endosc 2017;29:390-391.
4. Rodriguez Sanchez J, de la Santa Belda E, Gonzalez Lopez L, et al. Endoscopic transmural hydro-dissection as a rescue therapy for rectal fibrotic adenoma. Endoscopy 2018. doi: 10.1055/s-0044-101598
5. Sakamoto H, Hayashi Y, Miura Y, et al. Pocket-creation method facilitates endoscopic submucosal dissection of colorectal laterally spreading tumors, non-granular type. Endosc Int Open 2017;5:E123-E129.
1. Koskenvuo L, Renkonen-Sinisalo L, Jarvinen HJ, et al. Risk of cancer and secondary proctectomy after colectomy and ileorectal anastomosis in familial adenomatous polyposis. Int J Colorectal Dis 2014;29:225-30.
2. Albeniz E, Pellise M, Gimeno-Garcia AZ, et al. Clinical guidelines for endoscopic mucosal resection of non-pedunculated colorectal lesions. Rev Esp Enferm Dig 2018;110:179-194. doi: 10.1016/j.gastrohep.2017.08.013
3. Sansone S, Nakajima T, Saito Y. Endoscopic submucosal dissection of a large neoplastic lesion at the ileorectal anastomosis in a familial adenomatous polyposis patient. Dig Endosc 2017;29:390-391.
4. Rodriguez Sanchez J, de la Santa Belda E, Gonzalez Lopez L, et al. Endoscopic transmural hydro-dissection as a rescue therapy for rectal fibrotic adenoma. Endoscopy. 2018 Jun;50(6):E121-E123. doi: 10.1055/s-0044-101598
5. Sakamoto H, Hayashi Y, Miura Y, et al. Pocket-creation method facilitates endoscopic submucosal dissection of colorectal laterally spreading tumors, non-granular type. Endosc Int Open 2017;5:E123-E129.
Related articles

Letter

A case of achalasia associated with early esophageal cancer

DOI: 10.17235/reed.2024.10177/2023

Letter

An early-stage primary signet ring cell carcinoma of the colon

DOI: 10.17235/reed.2023.10016/2023

Digestive Diseases Image

Sustained silence of a small signet ring cell carcinoma

DOI: 10.17235/reed.2023.9891/2023

Letter

Pseudo-submucosal tumor in the colon: seeing is believing

DOI: 10.17235/reed.2023.9773/2023

Digestive Diseases Image

Endoscopic submucosal dissection of an anorectal Condyloma acuminatum

DOI: 10.17235/reed.2023.9622/2023

Letter

Successful endoscopic removal of a giant duodenal bulb mass

DOI: 10.17235/reed.2022.8595/2022

Editorial

Colorectal endoscopic submucosal dissection is here to stay

DOI: 10.17235/reed.2020.6960/2020

Digestive Diseases Image

A rare mass in the duodenal bulb: Brunner’s glands cystadenoma

DOI: 10.17235/reed.2018.5344/2017

Letter to the Editor

Gastric neuroendocrine tumor presenting with gastrointestinal bleeding

DOI: 10.17235/reed.2015.3998/2015

Letter to the Editor

Endoscopic submucosal dissection for a gastric fibrolipoma

DOI: 10.17235/reed.2015.3982/2015

Citation tools
Rodríguez Sánchez J, Sánchez Alonso M, Olmedo Camacho J. Endoscopic submucosal hydro-dissection as a rescue treatment of a large recurrent lateral spreading tumor in an ileorectal anastomosis. 5690/2018


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1130 visits.
This article has been downloaded 131 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 01/05/2018

Accepted: 13/07/2018

Online First: 22/10/2018

Published: 03/12/2018

Article revision time: 69 days

Article Online First time: 174 days

Article editing time: 216 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology