Cap-assisted endoscopic mucosal resection of large polyps involving the ileocecal valve

M. Conio, S. Blanchi, R. Filiberti, C. Ruggeri, D. A. Fisher

Research output: Contribution to journalArticlepeer-review

Abstract

Standard endoscopic mucosal resection (EMR) is limited with regard to lesions below or involving the ileocecal valve. We describe the treatment and outcomes when using cap-assisted EMR (EMR-C) to remove large laterally spreading tumors (LSTs) with ileal infiltration in seven patients (median age 74 years). Each LST (median size 40mm) was successfully resected in one session (median procedure time 50 minutes). Intraprocedural and early bleeding occurred in two patients, and delayed hemorrhage in one. Circumferential resection of the ileum caused asymptomatic strictures in six patients, with regression during follow-up for five. We conclude that the novel EMR-C method is a potentially effective treatment for cecal LST involving the distal ileum. Serious complications such as perforation or symptomatic strictures of the ileocecal valve were not observed and any procedure-related bleeding was easily controlled.

Original languageEnglish
Pages (from-to)677-680
Number of pages4
JournalEndoscopy
Volume42
Issue number8
DOIs
Publication statusPublished - 2010

ASJC Scopus subject areas

  • Gastroenterology
  • Medicine(all)

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