Endoscopy 2020; 52(S 01): S144
DOI: 10.1055/s-0040-1704445
ESGE Days 2020 ePoster Podium presentations
Thursday, April 23, 2020 11:00 – 11:30 Keeping the lumen 1 ePoster Podium 8
© Georg Thieme Verlag KG Stuttgart · New York

TWO-STEPS FULL-THICKNESS RESECTION PLUS ANCHOR-DEVICE OF AN LST-GRANULAR TYPE INSIDE A RECTAL RECESS IN A PATIENT WITH AN ILEO-RECTAL ANASTOMOSIS

B Mangiavillano
1   Humanitas - Mater Domini- Research Hospital, Gastrointestinal Endoscopy, Castellanza (VA), Italy
2   Humanitas - University, Milan, Italy
,
F Auriemma
1   Humanitas - Mater Domini- Research Hospital, Gastrointestinal Endoscopy, Castellanza (VA), Italy
,
M Bianchetti
1   Humanitas - Mater Domini- Research Hospital, Gastrointestinal Endoscopy, Castellanza (VA), Italy
,
A Repici
3   Humanitas - Research Hospital, Gastrointestinal Endoscopy, Milan, Italy
4   Humanitas University, Milan, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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A of 70-years old woman undergone ileo-rectal anastomosis following colectomy and lower anterior resection for synchronous adenocarcinomas of right colon and proximal rectum underwent follow-up lower GI endoscopy showed a granular laterally spreading tumour (LST-G) of 3 cm, completely involving a recess of remnant rectum and the suture line. A full-thickness resection-device (FTRD), with the addition of an anchor-device, was performed. Histology showed tubular-villous adenoma with low grade dysplasia. After three months endoscopy revealed a recurrence of granular adenoma tissue upon the clip. Hot snaring was performed to complete resection. At six months later lower GI endoscopy showed complete eradication.