World Cup 2021-A CASE OF ENDOSCOPIC DIAGNOSIS AND TREATMENT OF AN EXTENDED CIRCULAR LST LESION OF THE RECTUM WITH SUBSEQUENT DEVELOPMENT OF THE CICATRICIAL SCTICTURE AND ITS FURTHER BALLOON DILATION

A CASE OF ENDOSCOPIC DIAGNOSIS AND TREATMENT OF AN EXTENDED CIRCULAR LST LESION OF THE RECTUM WITH SUBSEQUENT DEVELOPMENT OF THE CICATRICIAL SCTICTURE AND ITS FURTHER BALLOON DILATION

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Video Transcription

Video Summary

This video discusses the case of a 62-year-old male who had a large circumferential rectal lesion known as a lateral spreading tumor (LST). The video explains that endoscopic submucosal dissection (ESD) was considered the best treatment option for the LST. The procedure involved making incisions using different types of knives and creating tunnels to connect them. After the lesion was completely removed, the wound surface was assessed and showed no signs of perforation or bleeding. However, one month later, the patient developed a tight stricture in the rectum. Balloon dilation was performed over several months to treat the stricture, and ultimately, the lumen became freely passable. The video concludes by noting the high risk of stricture formation after total circumferential ESD and the potential need for multiple dilation sessions for treatment. No credits were mentioned in the video.

Asset Subtitle

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

Keywords

rectal lesion

lateral spreading tumor

endoscopic submucosal dissection

stricture formation

balloon dilation