ASGE/JGES Advanced ESD (Live and Virtual) | July 16-17 2023-7-15-23 Bring Your Case 4

Video Transcription

Video Summary

In this video, a 93-year-old female patient with rectal bleeding is shown to have a large mass in the rectum. The doctor performs an endoscopic submucosal dissection (ESD) to remove the mass. During the dissection, the doctor accidentally goes into the intermuscular space and encounters a large artery. The doctor seeks advice from colleagues on how to deal with the artery and ultimately decides to isolate and clip the arteries to prevent bleeding. Various techniques, including coagulation and the use of clips, are discussed. The doctor successfully completes the procedure and applies an X powder to cover the defect. The patient goes home the same day without any post-operative bleeding. The specimen reveals moderately differentiated invasive adenoma with curative resection achieved.

Keywords

rectal bleeding

endoscopic submucosal dissection

intermuscular space

artery isolation

curative resection