World Cup 2021-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 showcases the use of wide-field endoscopic mucosal resection (EMR) with multi-band ligation technique in the resection of a large laterally spreading tumor of the rectum. The patient, a 51-year-old woman, had a tumor detected during a colonoscopy and was referred for consideration of surgical or endoscopic resection. Ligation EMR involves creating pseudopolyps through band ligation and then using electrocautery snare resection. The video demonstrates the resection of the tumor in a piecemeal fashion, requiring a total of 54 band ligations with mucosal resection. The procedure is successful, resulting in complete removal of the tumor and no post-procedural complications. This technique can be considered as an alternative for technically challenging or lengthy endoscopic submucosal dissection or traditional snare EMR, particularly in cases where complex EMR or endoscopic submucosal dissection is not available.

Asset Subtitle

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

Keywords

wide-field endoscopic mucosal resection

multi-band ligation technique

laterally spreading tumor

rectum

ligation EMR