Endoscopy 2022; 54(S 01): S111-S112
DOI: 10.1055/s-0042-1744845
Abstracts | ESGE Days 2022
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PLAYING HIDE-AND-SEEK – ENDOSCOPIC SUBMUCOSAL DISSECTION OF A LARGE POLYPOID LESION OF THE TERMINAL ILEUM

C. O'Neill
1   Centro Hospitalar Lisboa Ocidental, Gastroenterology Department, Lisbon, Portugal
,
P. Barreiro
1   Centro Hospitalar Lisboa Ocidental, Gastroenterology Department, Lisbon, Portugal
2   Hospital Lusíadas de Lisboa, Gastroenterology Department, Lisbon, Portugal
,
A. Mascarenhas
1   Centro Hospitalar Lisboa Ocidental, Gastroenterology Department, Lisbon, Portugal
,
A.R. Franco
1   Centro Hospitalar Lisboa Ocidental, Gastroenterology Department, Lisbon, Portugal
,
R. Mendo
1   Centro Hospitalar Lisboa Ocidental, Gastroenterology Department, Lisbon, Portugal
,
C. Félix
1   Centro Hospitalar Lisboa Ocidental, Gastroenterology Department, Lisbon, Portugal
,
A.C. Albuquerque
3   Centro Hospitalar Lisboa Ocidental, Pathology Department, Lisbon, Portugal
,
C. Chagas
1   Centro Hospitalar Lisboa Ocidental, Gastroenterology Department, Lisbon, Portugal
› Author Affiliations
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65-year-old man referred for treatment decision of a large cecal lesion identified at screening colonoscopy. Subsequent colonoscopy identified no lesion in the cecum; suddenly a 4-cm semi-pedunculated broad-base ileal lesion, without clear invasive features protruded from the ileocecal valve to the cecum. ESD was successfully performed with en-bloc excision, without adverse events. Pathological analysis showed a 48mm-tubulovillous low-grade-dysplasia adenoma, R0.

ESD is a feasible treatment for large lesions/adenomas of the terminal ileum because of its minimally invasive nature, ICV preservation and reliable en-bloc resection.

According to authors’ knowledge, this is the largest lesion of the terminal ileum removed by ESD.



Publication History

Article published online:
14 April 2022

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