ESD/Submucosal Endoscopy-A CASE OF ENDOSCOPIC DIAGNOSIS AND TREATMENT OF AN EXTENDED CIRCULAR LST LESION OF THE RECTUM WITH SUBSEQUENT DEVELOPMENT OF THE CICATRICIAL STRICTURE AND ITS FUR

A CASE OF ENDOSCOPIC DIAGNOSIS AND TREATMENT OF AN EXTENDED CIRCULAR LST LESION OF THE RECTUM WITH SUBSEQUENT DEVELOPMENT OF THE CICATRICIAL STRICTURE AND ITS FUR

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Video Transcription

Video Summary

A 62-year-old male with constipation was diagnosed with a large circumferential rectal lateral spreading tumor (LST). An endoscopic submucosal dissection (ESD) procedure was performed to remove the tumor, utilizing a tunneling technique to create two tunnels and connect them. Various knives were used for dissection. The tumor was successfully removed without complications. However, two months later, the patient developed a tight stricture in the rectum requiring balloon dilation in five outpatient sessions over the course of 10 months. Despite steroid treatment, patients who undergo total circumferential ESD for rectal tumors have a high risk of stricture formation, necessitating multiple dilation sessions for management.<br /><br />The video does not provide any credits.

Asset Subtitle

World Cup - Authors: Aleksander Pyrkh, Olga Ivinskaya, Mikhail Agapov, Oleg Nikitin, Aleksei Tashkinov, Denis Shvets

Keywords

62-year-old male

constipation

rectal lateral spreading tumor

endoscopic submucosal dissection

stricture formation