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Montori M, Argenziano ME, Poortmans PJ, Smeets S, Sorge A, Maroni L, Tate DJ. Traction-assisted and saline immersion endoscopic submucosal dissection for complete resection of peri-appendiceal large nonpedunculated colorectal polyps. Endoscopy 2025; 57:E179-E180. [PMID: 39978391 PMCID: PMC11842148 DOI: 10.1055/a-2533-2996] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/22/2025]
Affiliation(s)
- Michele Montori
- Clinic of Gastroenterology, Hepatology and Emergency Digestive Endoscopy, Università Politecnica delle Marche, Ancona, Italy
- Department of Gastroenterology and Hepatology, University Hospital Ghent, Gent, Belgium
| | - Maria E. Argenziano
- Clinic of Gastroenterology, Hepatology and Emergency Digestive Endoscopy, Università Politecnica delle Marche, Ancona, Italy
- Department of Gastroenterology and Hepatology, University Hospital Ghent, Gent, Belgium
- Faculty of Medicine and Health Sciences, University of Ghent, Gent, Belgium
| | - Pieter J. Poortmans
- Department of Gastroenterology and Hepatology, University Hospital Ghent, Gent, Belgium
- Faculty of Medicine and Health Sciences, University of Ghent, Gent, Belgium
- Department of Gastroenterology and Hepatology, University Hospital Brussels, Brussel, Belgium
| | - Sander Smeets
- Department of Gastroenterology and Hepatology, University Hospital Ghent, Gent, Belgium
- Faculty of Medicine and Health Sciences, University of Ghent, Gent, Belgium
| | - Andrea Sorge
- Department of Gastroenterology and Hepatology, University Hospital Ghent, Gent, Belgium
- Department of Pathophysiology and Transplantation, University of Milan, Milan, Italy
| | - Luca Maroni
- Clinic of Gastroenterology, Hepatology and Emergency Digestive Endoscopy, Università Politecnica delle Marche, Ancona, Italy
| | - David J. Tate
- Department of Gastroenterology and Hepatology, University Hospital Ghent, Gent, Belgium
- Faculty of Medicine and Health Sciences, University of Ghent, Gent, Belgium
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Jaafar A, Jacques J, Leblanc S, Legros R, Lepilliez V, Berger A, Chabrun E, Le Baleur Y, Pioche M, Barret M, Wallenhorst T, Degand T, Corre F, Schaefer M, Dray X. Feasibility, safety and efficacy of endoscopic submucosal dissection for recurrent superficial rectal neoplastic lesions after transanal microsurgery. Dig Liver Dis 2025; 57:68-73. [PMID: 39472171 DOI: 10.1016/j.dld.2024.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2024] [Revised: 08/28/2024] [Accepted: 10/06/2024] [Indexed: 01/11/2025]
Abstract
BACKGROUND AND AIMS We aimed to evaluate the feasibility, safety and efficacy of endoscopic submucosal dissection for recurrent rectal neoplastic lesions after transanal microsurgery of superficial rectal neoplasms. METHODS Multicenter retrospective study. MAIN OUTCOMES recurrence at first endoscopic follow-up, En bloc, R0 and curative resections. RESULTS 39 patients were included. 71 % percent of lesions were located in the lower rectum, 57 % reached the pectineal line. 67 % were laterally spreading tumor granular type, 33 % were protruding lesions. Median size was 41 mm (IQR 30 - 60). Median operation time was 70 min (IQR 35 - 97). 92 % were successfully resected en bloc. R0 and curative resection rates were 77 % and 71 %, respectively. Perirectal fat was visualized in 10 patients, none of them required surgery. One significant hematochezia (3 %), two stenosis (6 %) and one untreatable anal incontinence (3 %) occurred. Median hospital stay after endoscopic submucosal dissection was 2 days (IQR 1-2). Median period for the first endoscopy follow-up was 6 months (IQR 4-8). A single post endoscopic submucosal dissection recurrence adenoma was found during follow-up (3 %), occurring after a non-en bloc resection. CONCLUSION Endoscopic submucosal dissection is a good option for safely achieving high rates of complete en bloc resection in cases of recurrent superficial rectal tumor after transanal microsurgery.
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Affiliation(s)
- Ali Jaafar
- Department of Hepato Gastroenterology, Caen University Hospital, Caen, France; Sorbonne University, Centre for Digestive Endoscopy, Saint-Antoine Hospital, APHP, Paris, France.
| | - Jeremie Jacques
- Department of Gastroenterology and Endoscopy, Dupuytren University Hospital, Limoges, France
| | - Sarah Leblanc
- Department of Gastroenterology and Endoscopy, Mermoz Hospital, Lyon, France
| | - Romain Legros
- Department of Gastroenterology and Endoscopy, Dupuytren University Hospital, Limoges, France
| | - Vincent Lepilliez
- Department of Gastroenterology and Endoscopy, Mermoz Hospital, Lyon, France
| | - Arthur Berger
- Department of Gastroenterology and Endoscopy, Bordeaux University Hospital, Bordeaux, France
| | - Edouard Chabrun
- Department of Gastroenterology and Endoscopy, Clinique de l'Anjou, Angers, France
| | - Yann Le Baleur
- Department of Gastroenterology, Hospital Paris Saint-Joseph, Paris, France
| | - Mathieu Pioche
- Department of Gastroenterology and Endoscopy, Hôpital Edouard Herriot, Lyon, France
| | - Maximilien Barret
- Department of Gastroenterology and Endoscopy, AP-HP, Cochin Hospital, Paris, France
| | - Timothee Wallenhorst
- Department of Gastroenterology and Endoscopy, Pontchaillou University Hospital, Rennes, France
| | - Thibault Degand
- Department of Gastroenterology, University Hospital of Dijon, Dijon, France
| | - Felix Corre
- Department of Gastroenterology and Endoscopy, AP-HP, Cochin Hospital, Paris, France
| | - Marion Schaefer
- Department of Gastroenterology and Endoscopy, Nancy University Hospital, Nancy, France
| | - Xavier Dray
- Sorbonne University, Centre for Digestive Endoscopy, Saint-Antoine Hospital, APHP, Paris, France
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Asada Y, Kanesaka T, Michida T, Satomi H, Honma K, Ishihara R. Endoscopic submucosal dissection for a large cecal adenoma covering an appendiceal orifice after appendectomy. Endoscopy 2024; 56:E27-E28. [PMID: 38194988 PMCID: PMC10776282 DOI: 10.1055/a-2218-2780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2024]
Affiliation(s)
- Yuya Asada
- Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan
| | - Takashi Kanesaka
- Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan
- Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, Suita, Japan
| | - Tomoki Michida
- Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan
| | - Hidetoshi Satomi
- Department of Diagnostic Pathology and Cytology, Osaka International Cancer Institute, Osaka, Japan
| | - Keiichiro Honma
- Department of Diagnostic Pathology and Cytology, Osaka International Cancer Institute, Osaka, Japan
| | - Ryu Ishihara
- Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan
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Hou R, Hu B, Zhao X. Changing landscape for the surgery of appendiceal lesions. Asian J Surg 2024; 47:1456-1457. [PMID: 38102002 DOI: 10.1016/j.asjsur.2023.11.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 11/24/2023] [Indexed: 12/17/2023] Open
Affiliation(s)
- Ruirui Hou
- Department of Gastroenterology, General Hospital of Ningxia Medical University, No 804 Shengli Street, Xingqing District, Yinchuan City, Ningxia Hui Autonomous Region, China
| | - Bowen Hu
- The First Affiliated Hospital of Zhengzhou University, No. 1 Jianshe East Road, Zhengzhou, China
| | - Xiaohong Zhao
- Department of Gastroenterology, General Hospital of Ningxia Medical University, No 804 Shengli Street, Xingqing District, Yinchuan City, Ningxia Hui Autonomous Region, China.
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Xu Z, Wang L, Ali FS, Shi R, Peng Y. Interventional endoscopy and the appendix: train and assess before intervening. Gastrointest Endosc 2024; 99:304-305. [PMID: 38237969 DOI: 10.1016/j.gie.2023.08.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 08/25/2023] [Indexed: 01/23/2024]
Affiliation(s)
- Zhenglei Xu
- Department of Gastroenterology, Shenzhen People's Hospital; The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, China
| | - Lisheng Wang
- Department of Gastroenterology, Shenzhen People's Hospital; The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, China
| | - Fasial S Ali
- Gastroenterology, Hepatology, and Nutrition Department, University of Texas Health Science Center, Houston, Texas, USA
| | | | - Yueming Peng
- Department of Nursing, Shenzhen People's Hospital; The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, China
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