Endoscopy 2020; 52(S 01): S62
DOI: 10.1055/s-0040-1704194
ESGE Days 2020 oral presentations
Thursday, April 23, 2020 16:30 – 18:00 Unlock en-bloc 2 Wicklow Hall 1
© Georg Thieme Verlag KG Stuttgart · New York

THE OPENING OF THE ILEOCAECAL VALVE THANKS TO COUNTERTRACTION USING A DOUBLE CLIP AND RUBBER BAND FACILITATES R0 EN BLOC RESECTION OF ILEOCAECAL LSTS

T Wallenhorst
1   CHU Pontchaillou, Endoscopy Unit, Rennes, France
,
M Pioche
2   Hopital Edouard Herriot, Endoscopy Unit, Lyon, France,
,
S Mottais
1   CHU Pontchaillou, Endoscopy Unit, Rennes, France
,
D Cocaign
1   CHU Pontchaillou, Endoscopy Unit, Rennes, France
,
M Pagenault
1   CHU Pontchaillou, Endoscopy Unit, Rennes, France
,
J Jacques
3   CHU Dupuytren, Endoscopy Unit, Limoges, France
,
G Bouguen
1   CHU Pontchaillou, Endoscopy Unit, Rennes, France
,
C Brochard
1   CHU Pontchaillou, Endoscopy Unit, Rennes, France
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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We developed a new technique to better expose ileocaecal valve (ICV) and facilitate R0 en bloc resection of ileocaecal LSTs with adenomatous extension in the distal ileum.

Two cases of ESD are presented here. Visualization of ileal adenoma margins were difficult. We set up two systems of countertraction by double clip and rubber band on the lips of the ICV to open it and make it gaping.

This allowed us to clearly delimit the lesions and achieve R0 en bloc resection in both case.

This technique seems useful for facilitating R0 en bloc resection of LSTs with ileal extension.