Lower GI-WIDE FIELD ENDOSCOPIC MUCOSAL RESECTION OF A GIANT LATERALLY SPREADING RECTAL TUMOR WITH MULTI-BAND LIGATION TECHNIQUE

WIDE FIELD ENDOSCOPIC MUCOSAL RESECTION OF A GIANT LATERALLY SPREADING RECTAL TUMOR WITH MULTI-BAND LIGATION TECHNIQUE

Video Transcription

Video Summary

This video summarizes a case study of a 51-year-old woman with a large rectal tumor. The video showcases the use of the ligation EMR technique for resecting the tumor. The procedure involved creating a pseudopolyp using a band ligator and removing it with electrocautery snare resection. A total of 54 band ligations with mucosal resection were performed to achieve complete resection. The video demonstrates the stepwise process of the resection, including marking the borders of the lesion, injecting saline with methylene blue, and using the snare technique. The resection margins were clean, and no complications were reported post-procedure. This novel application of ligation EMR may serve as an alternative for technically challenging or lengthy traditional resection techniques, as well as when complex EMR or endoscopic submucosal dissection is not accessible.

Asset Subtitle

World Cup - Authors: Adam J. Kichler, David L. Diehl

Keywords

rectal tumor

ligation EMR technique

pseudopolyp

electrocautery snare resection

band ligator