Full-thickness resection with an over-the-scope device: possible translocation of adenoma tissue in a case of an incomplete resection at the appendix

Background and study aims  Clip-assisted endoscopic full-thickness resection has great potential for treatment of difficult-to-resect colorectal neoplasia. Here, we report on endoscopic full-thickness resection at the appendiceal orifice with the appendix in situ requiring emergency surgery due to a...

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Autores principales: Dumoulin, Franz Ludwig, Gorris, Dominik G., Berger, Susanne, Hildenbrand, Ralf, Sido, Bernd
Formato: Online Artículo Texto
Lenguaje:English
Publicado: © Georg Thieme Verlag KG 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943692/
https://www.ncbi.nlm.nih.gov/pubmed/29756021
http://dx.doi.org/10.1055/a-0589-9850
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author Dumoulin, Franz Ludwig
Gorris, Dominik G.
Berger, Susanne
Hildenbrand, Ralf
Sido, Bernd
author_facet Dumoulin, Franz Ludwig
Gorris, Dominik G.
Berger, Susanne
Hildenbrand, Ralf
Sido, Bernd
author_sort Dumoulin, Franz Ludwig
collection PubMed
description Background and study aims  Clip-assisted endoscopic full-thickness resection has great potential for treatment of difficult-to-resect colorectal neoplasia. Here, we report on endoscopic full-thickness resection at the appendiceal orifice with the appendix in situ requiring emergency surgery due to acute appendicitis. Final histopathology showed appendicitis and residual serrated adenoma within the appendiceal stump, but unexpectedly, also a displaced adenoma fragment at the serosal surface of the cecum. Given the transmural placement of the clip prior to snare resection, translocation of neoplastic tissue to the extra luminal site in cases of incomplete adenoma/carcinoma resection could be a concern.
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spelling pubmed-59436922018-05-11 Full-thickness resection with an over-the-scope device: possible translocation of adenoma tissue in a case of an incomplete resection at the appendix Dumoulin, Franz Ludwig Gorris, Dominik G. Berger, Susanne Hildenbrand, Ralf Sido, Bernd Endosc Int Open Background and study aims  Clip-assisted endoscopic full-thickness resection has great potential for treatment of difficult-to-resect colorectal neoplasia. Here, we report on endoscopic full-thickness resection at the appendiceal orifice with the appendix in situ requiring emergency surgery due to acute appendicitis. Final histopathology showed appendicitis and residual serrated adenoma within the appendiceal stump, but unexpectedly, also a displaced adenoma fragment at the serosal surface of the cecum. Given the transmural placement of the clip prior to snare resection, translocation of neoplastic tissue to the extra luminal site in cases of incomplete adenoma/carcinoma resection could be a concern. © Georg Thieme Verlag KG 2018-05 2018-05-08 /pmc/articles/PMC5943692/ /pubmed/29756021 http://dx.doi.org/10.1055/a-0589-9850 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Dumoulin, Franz Ludwig
Gorris, Dominik G.
Berger, Susanne
Hildenbrand, Ralf
Sido, Bernd
Full-thickness resection with an over-the-scope device: possible translocation of adenoma tissue in a case of an incomplete resection at the appendix
title Full-thickness resection with an over-the-scope device: possible translocation of adenoma tissue in a case of an incomplete resection at the appendix
title_full Full-thickness resection with an over-the-scope device: possible translocation of adenoma tissue in a case of an incomplete resection at the appendix
title_fullStr Full-thickness resection with an over-the-scope device: possible translocation of adenoma tissue in a case of an incomplete resection at the appendix
title_full_unstemmed Full-thickness resection with an over-the-scope device: possible translocation of adenoma tissue in a case of an incomplete resection at the appendix
title_short Full-thickness resection with an over-the-scope device: possible translocation of adenoma tissue in a case of an incomplete resection at the appendix
title_sort full-thickness resection with an over-the-scope device: possible translocation of adenoma tissue in a case of an incomplete resection at the appendix
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5943692/
https://www.ncbi.nlm.nih.gov/pubmed/29756021
http://dx.doi.org/10.1055/a-0589-9850
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