Endoscopic Mucosal Resection with Argon Plasma Coagulation for a Colonic Laterally Spreading Tumor

Abstract Text A 65-year-old male underwent colonoscopy as investigation for the passage of blood clots per rectum. A 2.5-centimeter laterally growing polypoid lesion with overlying regular tubular mucosal pattern was seen at the sigmoid colon and classified as a nodular mixed type of granular laterally spreading tumor (LST-G). Piecemeal endoscopic mucosal resection (EMR) was done; however, adequate resection margins were not achieved with repeated resections. A meta-analysis has supported endoscopic interventions that target EMR margins to decrease risk of tumor recurrence. Argon plasma coagulation (APC) was thus applied onto the post-resection site until with golden-brown appearance. No post-resection bleeding occurred on follow up after two weeks. Histopathology showed tubular adenoma with high-grade dysplasia. Subsequent plan is to do surveillance endoscopy in six months. [1]

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/073e2ca0-60de-40ea-a7ae-e7d1d0a9522b/Uploads/13821_ESGE_Video%20Submission%20-%20EMR%20with%20APC.mp4

Publikationsverlauf

Artikel online veröffentlicht:
15. April 2024

• References

• 1 Kemper G. et al. Endoscopic techniques to reduce recurrence rates after colorectal EMR: systematic review and meta-analysis. Surg Endosc 2021; 35 (10) 5422-5429