ASGE DDW Videos from Around the World | 2025-ENDOSCOPIC SUBMUCOSAL DISSECTION OF LATERAL SPREADING POLYPS INVOLVING THE ILEO-CECAL VALVE; TRASCECAL ILEO-CECAL VALVE MUCOSAL RESECTION AND REMODELING

ENDOSCOPIC SUBMUCOSAL DISSECTION OF LATERAL SPREADING POLYPS INVOLVING THE ILEO-CECAL VALVE; TRASCECAL ILEO-CECAL VALVE MUCOSAL RESECTION AND REMODELING

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Video Transcription

Video Summary

The transcript presents a detailed technique for endoscopic submucosal dissection and transcecal mucosal resection of lateral spreading polyps involving the ileocecal (IC) valve, demonstrated through three successful cases. The procedure involves circumferential marking, submucosal dissection, and IC valve remodeling to ensure complete polyp removal and functional preservation of the valve, avoiding hemicolectomy. Different traction methods, including rubber band clips and snare traction, are utilized to facilitate dissection. IC valve remodeling is emphasized to prevent stricture and maintain functionality, reducing the need for traditional surgical interventions and associated complications.

Asset Subtitle

Video Plenary II
Tara Keihanian

Keywords

endoscopic submucosal dissection

transcecal mucosal resection

ileocecal valve

lateral spreading polyps

IC valve remodeling