Colonoscopy with resection of the rectal adenoma
Length: 05:26 Min.

Colonoscopy with resection of the rectal adenoma


Live endoscopy from the HSK Dr. Horst Schmidt Hospitals in Wiesbaden in collaboration with „Video Journal and Encyclopedia of GI Endoscopy“.
Recording in the context of the Falk Symposium 185 „Interfaces and Controversies in Gastroenterology“ on October 3rd – 4th, 2012.
©2013 Elsevier. All rights reserved. Wirth the friendly assistance of Falk Foundation e.V., Freiburg.


Presented by:
Gerhard Mayer, HSK Dr. Horst-Schmidt-Kliniken Wiesbaden, Germany


Summary:
This is the case of a 57-year-old woman in whom a large rectal adenoma was found during a colonoscopy performed because of bowel irregularities.
Here, the resection of the rectal adenoma is presented.


Take home messages:

  • Resection using the cap allows reliable resection of large "laterally spreading tumors" (LST).
  • If the lesions are > 2 cm, the excision is not done "en bloc", but a "piece meal" resection is performed. There are valid data that submucosal injection with viscous substances like gelatin or hydroxyethylene starch leads to a longer lifting of the lesion.