ASGE DDW Videos from Around the World | 2023-MULTIPLE POCKET ESD FOR A LARGE 15 BY 12 CMS LST G MIXED NODULAR TYPE- CHALLENGES FACED AND TRICKS FOR SUCCESS

MULTIPLE POCKET ESD FOR A LARGE 15 BY 12 CMS LST G MIXED NODULAR TYPE- CHALLENGES FACED AND TRICKS FOR SUCCESS

Video Transcription

Video Summary

The video discusses a case of a 70-year-old female in India who was diagnosed with a large anorectal polyp. The polyp was a mixed nodular type and was reluctant to undergo surgery, so an endoscopic submucosal dissection (ESD) was planned with a surgical backup. The video shows the procedure, including the creation of tunnels and dissection of the lesion. The dissection was challenging due to vascularity, bleeding, and the size of the lesion. The procedure had to be stopped due to fatigue but was completed the next day. The histology revealed adenoma with dysplasia and early adenocarcinoma. The case highlights the difficulties of resecting large, complex polyps with ESD. No credits were mentioned in the video.

Asset Subtitle

Honorable Mention

Keywords

anorectal polyp

endoscopic submucosal dissection

surgical backup

lesion dissection

large polyps