Year 2018 / Volume 110 / Number 1
Case Report
Underwater hybrid endoscopic submucosal dissection in a rectal polyp: a case report of a new application of “underwater endoscopy”

62-64

DOI: 10.17235/reed.2017.5181/2017

Joaquín Rodríguez Sánchez, Margarita úbeda Muñoz, Eva de la Santa Belda, Pilar Olivencia Palomar, José Olmedo Camacho,

Abstract
ABSTRACT Background: Hybrid endoscopic submucosal dissection (ESD) has been described as an alternative to traditional ESD. This technique is less time consuming, but the en bloc resection rate is lower than in ESD. Similar to endoscopic mucosal resection, the underwater technique could improve preliminary disadvantages of hybrid ESD. Case report: We attempted a mixture resection technique of Hybrid ESD with underwater endoscopic mucosal resection (EMR). Using this approach, an underwater hybrid ESD was successfully performed without adverse events on a 71 year old woman with a 20 mm adenoma. The histologic analysis identified a tubulovillious adenoma with high grade dysplasia and tumor free margins. Discussion: Underwater hybrid ESD could be an alternative to ESD. Moreover the modification of the “underwater method” provides a suitable way to overcome the technical drawbacks of the hybrid ESD.
Share Button
New comment
Comments

20/03/2018 11:54:56
bueno!


References
1. Ryu CB. Expanding indications for ESD: mucosal disease (upper and lower gastrointestinal tract). Gastrointest Endosc Clin N Am 2014;24:161-7.
2. Kato M, Gromski M, Jung Y, et al. The learning curve for endoscopic submucosal dissection in an established experimental setting. Surg Endosc 2013;27:154-61.
3. Lee EJ, Lee JB, Lee SH, et al. Endoscopic submucosal dissection for colorectal tumors--1,000 colorectal ESD cases: one specialized institute's experiences. Surg Endosc 2013;27:31-9.
4. Byeon JS, Yang DH, Kim KJ, et al. Endoscopic submucosal dissection with or without snaring for colorectal neoplasms. Gastrointest Endosc 2011;74:1075-83.
5. Kim YJ, Kim ES, Cho KB, et al. Comparison of clinical outcomes among different endoscopic resection methods for treating colorectal neoplasia. Dig Dis Sci 2013;58:1727-36.
6. Binmoeller KF, Weilert F, Shah J, et al. "Underwater" EMR without submucosal injection for large sessile colorectal polyps (with video). Gastrointest Endosc 2012;75:1086-91.
7. Binmoeller KF, Hamerski CM, Shah JN, et al. Underwater EMR of adenomas of the appendiceal orifice (with video). Gastrointest Endosc 2016;83:638-42.
8. 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.
9. Bae JH, Yang DH, Lee S, et al. Optimized hybrid endoscopic submucosal dissection for colorectal tumors: a randomized controlled trial. Gastrointest Endosc 2016;83:584-92.
10. Binmoeller KF, Hamerski CM, Shah JN, et al. Attempted underwater en bloc resection for large (2-4 cm) colorectal laterally spreading tumors (with video). Gastrointest Endosc 2015;81:713-8.
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, úbeda Muñoz M, de la Santa Belda E, Olivencia Palomar P, Olmedo Camacho J. Underwater hybrid endoscopic submucosal dissection in a rectal polyp: a case report of a new application of “underwater endoscopy”. 5181/2017


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 995 visits.
This article has been downloaded 271 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 20/07/2017

Accepted: 22/10/2017

Online First: 23/11/2017

Published: 12/01/2018

Article revision time: 89 days

Article Online First time: 126 days

Article editing time: 176 days


Share
This article has been rated by 2 readers.
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