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DOI: 10.1055/s-0045-1805715
Intra-Appendicular EMR
Abstract Text Two female patients, aged between 70 and 80 years, were diagnosed with caecal granular LST JNET 2a and JNET 2b respectively, both involving the entire appendicular orifice (type 3 according to Toyonaga's classification) [1] [2].
We performed a piecemeal EMR of the extra-appendicular portion, then we excised the intra-appendicular tissue by suction in the cap and resection with a diathermic snare. All intra-appendicular specimens were affected by adenoma with high-grade dysplasia. In the absence of a demonstrable healthy margin, the patients underwent surgery, but no adenomatous tissue was demonstrated on the surgical specimen. No adverse events occurred. Intra-appendicular EMR appears to be safe and effective for the removal of appendicular lesions.
Publikationsverlauf
Artikel online veröffentlicht:
27. März 2025
© 2025. European Society of Gastrointestinal Endoscopy. All rights reserved.
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References
- 1 Figueiredo M, Yzet C, Wallenhorst T, Rivory J, Rostain F, Schaefer M, Chevaux JB, Leblanc S, Lépilliez V, Corre F, Rahmi G, Jacques J, Albouys J, Pioche M.. Endoscopic submucosal dissection of appendicular lesions is feasible and safe: a retrospective multicenter study (with video). Gastrointest Endosc 2023; 98 (4): 634-638 Epub 2023 Jun 2637380005
- 2 Jacob H, Toyonaga T, Ohara Y, Tsubouchi E, Takihara H, Baba S, Yoshizaki T, Kawara F, Tanaka S, Ishida T, Hoshi N, Morita Y, Umegaki E, Azuma T.. Endoscopic submucosal dissection of cecal lesions in proximity to the appendiceal orifice. Endoscopy 2016; 48 (9): 829-36 Epub 2016 Jul 2827467815