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©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Jan 21, 2012; 18(3): 291-294
Published online Jan 21, 2012. doi: 10.3748/wjg.v18.i3.291
Published online Jan 21, 2012. doi: 10.3748/wjg.v18.i3.291
Endoscopic submucosal dissection for large laterally spreading tumors involving the ileocecal valve and terminal ileum
Gustavo Kishimoto, Yutaka Saito, Hajime Takisawa, Haruhisa Suzuki, Taku Sakamoto, Takeshi Nakajima, Takahisa Matsuda, National Cancer Center Hospital, Endoscopy Division, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan
Author contributions: Kishimoto G and Saito Y designed the study, collected and analyzed the data, and wrote the manuscript; Takisawa H, Suzuki H, Sakamoto T, Nakajima T, Matsuda T contributed to the discussion and reviewed the manuscript.
Correspondence to: Yutaka Saito, MD, PhD, National Cancer Center Hospital, Endoscopy Division, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan. ytsaito@ncc.go.jp
Telephone: +81-3-35422511 Fax: +81-3-35423815
Received: October 11, 2010
Revised: May 27, 2011
Accepted: June 4, 2011
Published online: January 21, 2012
Revised: May 27, 2011
Accepted: June 4, 2011
Published online: January 21, 2012
Abstract
Endoscopic submucosal dissection is a challenging technique that enables en-bloc resection for large colorectal tumors, as laterally spreading tumors, particularly difficult, if the ileocecal valve and terminal ileum is involved. Herein, we report on one of 4 cases. The procedures, using a bipolar needle knife (B-Knife) to reduce the perforation risk and carbon dioxide instead of conventional air insufflation for patient comfort, achieved curative resections without any complications.
Keywords: Ileocecal valve, Colorectal neoplasms, Laterally spreading tumor, Endoscopic mucosal resection, Endoscopic submucosal dissection, Bipolar current needle knife, B-Knife, IT-Knife