Endoscopy 2025; 57(S 02): S298
DOI: 10.1055/s-0045-1805727
Abstracts | ESGE Days 2025
ePosters

Endoscopic Fibrectomy in a refractory stenosis due to circumferential rectal ESD

M Spandre
1   ASL Città di Torino – Ospedale San Giovanni Bosco, Torino, Italy
,
G Testa
1   ASL Città di Torino – Ospedale San Giovanni Bosco, Torino, Italy
,
D Arese
1   ASL Città di Torino – Ospedale San Giovanni Bosco, Torino, Italy
,
F Calvo
1   ASL Città di Torino – Ospedale San Giovanni Bosco, Torino, Italy
,
A Garripoli
1   ASL Città di Torino – Ospedale San Giovanni Bosco, Torino, Italy
,
G Giudici
1   ASL Città di Torino – Ospedale San Giovanni Bosco, Torino, Italy
,
N Sapone
1   ASL Città di Torino – Ospedale San Giovanni Bosco, Torino, Italy
,
F Coppola
1   ASL Città di Torino – Ospedale San Giovanni Bosco, Torino, Italy
› Author Affiliations
› Further Information
Also available ateRef
 

Abstract Text A 74-year-old woman showed a circumferential post-ESD scarring stenosis of the rectum (10 cm from the anal verge), which recurs despite several pneumatic dilations and placement of fully covered metal stent.

We performed endoscopic circumferential resection of the scar with ESD knives, achieving a significant widening of the stenosis, without need for balloon dilatation [1] [2] [3].

We apposed two TTS clips for suspected muscle fiber slimming and triamcinolone was locally injected at the end, in order to avoid stenosis recurrence.

No adverse events occurred.

Endoscopic follow-up one month after treatment showed widening of the substenosis. Clinical 3-months follow-up confirmed relief of symptoms.

Video  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/5f97befc-cb46-4e63-addc-badd8377d3bf/Uploads/16849_Fibrectomy_(ESGE).mp4



Publication History

Article published online:
27 March 2025

© 2025. European Society of Gastrointestinal Endoscopy. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

  • References

  • 1 Gupta S, Vosko S, Shahidi N. et al. Endoscopic resection-related colorectal strictures: risk factors, management, and long-term outcomes. Endoscopy 2023; 55: 1010-1018
    Thieme ConnectPubMedSearch in Google Scholar
  • 2 Abe S, Sakamoto T, Takamaru H, Yamada M, Nakajima T, Matsuda T, Saito Y.. Stenosis rates after endoscopic submucosal dissection of large rectal tumors involving greater than three quarters of the luminal circumference. Surg Endosc 2016; 30 (12): 5459-5464 Epub 2016 Apr 2827126623
    CrossrefPubMedSearch in Google Scholar
  • 3 Gauci JL, Medas R, Kerrison C, Whitfield A, Mandarino FV, Burgess NG, Bourke MJ.. Recalcitrant rectal stricture following circumferential endoscopic mucosal resection: novel application of endoscopic stricturotomy. Endoscopy. 2024; 56 (S 01): E264-E265 Epub 2024 Mar 1438485161PMC10940069
    Thieme ConnectPubMedSearch in Google Scholar