Hybrid Endoscopic Mucosal Resection Combining Conventional Mucosectomy and Full-Thickness Resection Using the FTRD System: Two Practical Applications of Difficult Colorectal Lesions
2021; Thieme Medical Publishers (Germany); Linguagem: Inglês
10.1055/s-0041-1724714
ISSN1438-8812
AutoresC Macedo, Elisa Gravito‐Soares, Marta Gravito‐Soares, Catarina Correia, João Estorninho, Pedro Amaro, Pedro Figueiredo,
Tópico(s)Gastrointestinal Tumor Research and Treatment
ResumoCase 1 An 80-year-old man with multiple comorbidities underwent colonoscopy identifying a 30mm mixed granular-nodular LST in a region of multiple diverticula in sigmoid colon. Almost complete fragmented mucosectomy was performed, except a small pericentimetric area that involved a diverticular orifice. Case 2 A 68-year-old man, diabetic, obese with liver transplantation underwent colonoscopy identifying a 40mm mixed granular-nodular LST in hepatic flexure that was submitted to incomplete fragmented mucosectomy due central area without elevation. Both residual lesions were resected combining full-thickness resection using the FTRD system without complications. This successful minimally invasive technique allows avoiding surgical morbidity in high-risk patients.
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