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Treatment of laterally spreading tumor in the rectum and sigmoid colon by endoscopic submucosal dissection: A case report

Year 2013, Volume: 12 Issue: 3, 127 - 130, 01.12.2013

Abstract

Endoscopic submucosal dissection is an effective and safe method, enabling en bloc complete resection of lesions, even large early-stage gastrointestinal tumors without submucosal and lymph node involvement, providing an accurate and precise pathological examination. Due to the anatomical features of the colon, longer duration of the procedure and increased risk of perforations due to the procedure, colorectal endoscopic submucosal dissection is not as widely performed as gastric endoscopic submucosal dissection. We report a case of “intramucosal carcinoma developed on the basis of villous adenoma” measuring 95x70 mm in diameter, starting from the rectum and extending to the sigmoid colon, which was successfully resected by colorectal endoscopic submucosal dissection.

References

  • Inoue H, Takeshita K, Hori H, et al. Endoscopic mucosal resection with a cap-fitted panendoscope for esophagus, stomach, and co- lon mucosal lesions. Gastrointest Endosc 1993;39:58-62.
  • Yamamoto H, Sekine Y, Higashizawa T, et al. Successful en bloc resection of a large superficial gastric cancer by using sodium hy- aluronate and electrocautery incision forceps. Gastrointest Endosc 2001;54:629-32.
  • Yamamoto H, Kita H. Endoscopic therapy of early gastric cancer. Best Pract Res Clin Gastroenterol 2005;19:909-26.
  • Saito Y, Uraoka T, Yamaguchi Y, et al. A prospective, multicenter study of 1111 colorectal endoscopic submucosal dissections (with video). Gastrointest Endosc 2010;72:1217-25.
  • Uraoka T, Saito Y, Yahagi N. What are the latest developments in colorectal endoscopic submucosal dissection? World J Gastrointest Endosc 2012;4:296-300.
  • Yamamoto H. Endoscopic submucosal dissection--current success and future directions. Nat Rev Gastroenterol Hepatol 2012;9:519-29.
  • Tanaka S, Terasaki M, Hayashi N, et al. Warning for unprincipled colorectal endoscopic submucosal dissection: accurate diagnosis and reasonable treatment strategy. Dig Endosc 2013;25:107-16.
  • Oka S, Tanaka S, Kanao H, et al. Current status in the occurrence of postoperative bleeding, perforation and residual/local recurrence during colonoscopic treatment in Japan. Dig Endosc 2010;22:376- 80.
  • Saito Y, Otake Y, Sakamoto T, et al. Indications for and technical aspects of colorectal endoscopic submucosal dissection. Gut Liver 2013;7:263-9.
  • Yahagi N. Endoscopic Submucosal Dissection in the Colon. In: Waye JD, Rex KD, Williams CB, Editors, Colonoscopy: Principles and Practice, Chapter 44, Second Edition, Wiley-Blackwell 2009;603- 6012.
  • Kudo S. Endoscopic mucosal resection of flat and depressed types of early colorectal cancer. Endoscopy 1993;25:455-61.
  • Kudo S, Lambert R, Allen JI, et al. Nonpolypoid neoplastic lesions of the colorectal mucosa. Gastrointest Endosc 2008;68(Suppl):S3-47.
  • Uraoka T, Saito Y, Matsuda T, et al. Endoscopic indications for endoscopic mucosal resection of laterally spreading tumors in col- orectum. Gut 2006;55:1592-7.
  • Oka S, Tanaka S, Kanao H, et al. Therapeutic strategy for colorectal laterally spreading tumor. Dig Endosc 2009;21(Suppl 1):S43-6.

Rektum ve sigmoid kolondaki lateral spreading tümörün endoskopik submukozal diseksiyon ile tedavisi: Olgu sunumu

Year 2013, Volume: 12 Issue: 3, 127 - 130, 01.12.2013

Abstract

Endoskopik submukozal diseksiyon, submukoza ve lenf nodu tutulumu
olmayan, erken evre çok büyük lezyonlarda, lezyonun tek parça çıkarılabilmesini
sağlayarak doğru ve kesin patolojik değerlendirilmeyi sağlayan
etkin bir tedavi yöntemidir. Kolorektal endoskopik submukozal diseksiyon,
kolonun anatomik özellikleri, daha uzun işlem süresi gerektirmesi
ve işleme bağlı perforasyonların görülmesi nedeniyle gastrik endoskopik
submukozal diseksiyon kadar sık uygulanmamaktadır. Kolorektal endoskopik
submukozal diseksiyonla başarılı olarak çıkarılmış olan rektumdan
başlayıp sigmoid kolona uzanan, 95x70 mm boyutlarında, “villoz adenom
zemininde gelişmiş intramukozal karsinom” olgusunu sunuyoruz.

References

  • Inoue H, Takeshita K, Hori H, et al. Endoscopic mucosal resection with a cap-fitted panendoscope for esophagus, stomach, and co- lon mucosal lesions. Gastrointest Endosc 1993;39:58-62.
  • Yamamoto H, Sekine Y, Higashizawa T, et al. Successful en bloc resection of a large superficial gastric cancer by using sodium hy- aluronate and electrocautery incision forceps. Gastrointest Endosc 2001;54:629-32.
  • Yamamoto H, Kita H. Endoscopic therapy of early gastric cancer. Best Pract Res Clin Gastroenterol 2005;19:909-26.
  • Saito Y, Uraoka T, Yamaguchi Y, et al. A prospective, multicenter study of 1111 colorectal endoscopic submucosal dissections (with video). Gastrointest Endosc 2010;72:1217-25.
  • Uraoka T, Saito Y, Yahagi N. What are the latest developments in colorectal endoscopic submucosal dissection? World J Gastrointest Endosc 2012;4:296-300.
  • Yamamoto H. Endoscopic submucosal dissection--current success and future directions. Nat Rev Gastroenterol Hepatol 2012;9:519-29.
  • Tanaka S, Terasaki M, Hayashi N, et al. Warning for unprincipled colorectal endoscopic submucosal dissection: accurate diagnosis and reasonable treatment strategy. Dig Endosc 2013;25:107-16.
  • Oka S, Tanaka S, Kanao H, et al. Current status in the occurrence of postoperative bleeding, perforation and residual/local recurrence during colonoscopic treatment in Japan. Dig Endosc 2010;22:376- 80.
  • Saito Y, Otake Y, Sakamoto T, et al. Indications for and technical aspects of colorectal endoscopic submucosal dissection. Gut Liver 2013;7:263-9.
  • Yahagi N. Endoscopic Submucosal Dissection in the Colon. In: Waye JD, Rex KD, Williams CB, Editors, Colonoscopy: Principles and Practice, Chapter 44, Second Edition, Wiley-Blackwell 2009;603- 6012.
  • Kudo S. Endoscopic mucosal resection of flat and depressed types of early colorectal cancer. Endoscopy 1993;25:455-61.
  • Kudo S, Lambert R, Allen JI, et al. Nonpolypoid neoplastic lesions of the colorectal mucosa. Gastrointest Endosc 2008;68(Suppl):S3-47.
  • Uraoka T, Saito Y, Matsuda T, et al. Endoscopic indications for endoscopic mucosal resection of laterally spreading tumors in col- orectum. Gut 2006;55:1592-7.
  • Oka S, Tanaka S, Kanao H, et al. Therapeutic strategy for colorectal laterally spreading tumor. Dig Endosc 2009;21(Suppl 1):S43-6.
There are 14 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Fatih Aslan This is me

Emrah Alper This is me

Zehra Akpınar This is me

Neşe Ekinci This is me

Ali Rıza Şeren This is me

Melek Küçük This is me

Belkıs Ünsal - This is me

Publication Date December 1, 2013
Published in Issue Year 2013 Volume: 12 Issue: 3

Cite

APA Aslan, F., Alper, E., Akpınar, Z., Ekinci, N., et al. (2013). Rektum ve sigmoid kolondaki lateral spreading tümörün endoskopik submukozal diseksiyon ile tedavisi: Olgu sunumu. Akademik Gastroenteroloji Dergisi, 12(3), 127-130.

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