Year 2015 / Volume 107 / Number 6
Digestive Diseases Image
A peripheral approach allowing successful endoscopic submucosal dissection for early colorectal carcinoma near the diverticula

378-379

Hideki Kobara, Hirohito Mori, Kazi Rafiq, Shintaro Fujihara and Tsutomu Masaki

Abstract
An 86-year-old man presented with a positive fecal occult blood test. Colonoscopy revealed a 25-mm laterally spreading tumor near the diverticula located in the ascending colon (Fig. 1). Magnifying endoscopy indicated a carcinoma with adenoma, suggesting that en bloc resection by endoscopic submucosal dissection (ESD) would be optimal. In designing a strategy for this lesion, the most important issue was marginal cutting near the diverticula for complete resection without adverse events. Informed consent was received from the patient.
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Hideki Kobara, Hirohito Mori, Kazi Rafiq, Shintaro Fujihara and Tsutomu Masaki. A peripheral approach allowing successful endoscopic submucosal dissection for early colorectal carcinoma near the diverticula. 378-379


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