ASGE DDW Videos from Around the World | 2023-A NOVEL ENDOSCOPIC TRANSCEAL APPENDECTOMY TECHNIQUE FOR REMOVAL OF A COMPLEX APPENDICEAL POLYP A VIDEO CASE PRESENTATION

A NOVEL ENDOSCOPIC TRANSCEAL APPENDECTOMY TECHNIQUE FOR REMOVAL OF A COMPLEX APPENDICEAL POLYP A VIDEO CASE PRESENTATION

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Video Transcription

Video Summary

This video demonstrates a novel transceical endoscopic appendectomy approach for the removal of complex appendiceal polyps. The unique anatomy of the appendix makes it difficult to visualize the entire polyp and determine its depth within the appendiceal lumen. Other techniques like EMR and ESD have limitations and carry a risk of appendicitis. In this case, a 69-year-old female with a sessile serrated polyp occupying 50% of the appendix circumference underwent the transceical endoscopic appendectomy. The procedure involved circumferential incision, lifting solution injection, dissection of the appendix from the meso-appendix, and closure with multiple clips. The method is effective for managing complex appendiceal polyps and eliminating the risk of appendicitis associated with full-thickness resection.

Asset Subtitle

Video Plenary
Authors: Mohamed O. Othman, Tara Keihanian

Keywords

transceical endoscopic appendectomy

complex appendiceal polyps

appendix anatomy

EMR

ESD