Anonymous User
Login / Registration

Gastroenterologie
a hepatologie

Gastroenterology and Hepatology

Gastroent Hepatol 2025; 79(3): 172–176. doi: 10.48095/ccgh2025172.

Endoscopic intermuscular dissection for removal of rectal carcinoma with deep submucosal invasion

Ondřej Urban1, Přemysl Falt1, Patrik Flodr2, Ivo Uberall2

+ Affiliation

Summary

We are presenting a case report of successful treatment of T1 rectal carcinoma with deep submucosal invasion via endoscopic intermuscular dissection.

Keywords

colorectal cancer, endoscopic intermuscular dissection, endsocopic submucosal dissection

To read this article in full, please register for free on this website.

Benefits for subscribers

Benefits for logged users

Literature

1. Falt P, Cyrany J, Kunovský L et al. Doporučené postupy České gastroenterologické společnosti ČLS JEP pro diagnostickou a terapeutickou koloskopii – aktualizované vydání 2024. Gastroent Hepatol 2024; 78(3): 197–235. doi: 10.48095/ccgh2024197.
2. Zwager LW, Bastiaansen BAJ, Montazeri NSM et al. Deep submucosal invasion is not an independent risk factor for lymph node metastasis in T1 colorectal cancer: a meta-analysis. Gastroenterology 2022; 163(1): 174–189. doi: 10.1053/j.gastro.2022.04.010.
3. Rahni DO, Toyonaga T, Ohara Y et al. First reported case of per anal endoscopic myectomy (PAEM): a novel endoscopic technique for resection of lesions with severe fibrosis in the rectum. Endosc Int Open 2017; 5(3): E146–E150. doi: 10.1055/s-0042-122965.
4. Pimentel-Nunes P, Libânio D, Bastiaansen BAJ et al. Endoscopic submucosal dissection for superficial gastrointestinal lesions: European Society of Gastrointestinal Endoscopy (ESGE) guideline – update 2022. Endoscopy 2022; 54(6): 591–622. doi: 10.1055/a-1811-7025.
5. NCCN. NCCN Guidelines, version 2. 2021 [online]. Dostupné z: https: //www.nccn.org/.
6. Dang H, Dekkers N, le Cessie S et al. Risk and time pattern of recurrences after local endoscopic resection of T1 colorectal cancer: a meta-analysis. Clin Gastroenterol Hepatol 2022; 20(2): e298–e314. doi: 10.1016/j.cgh.2020.11.032.
7. Oka S, Tanaka S, Kajiwara Y et al. Treatment decision for locally resected T1 colorectal carcinoma-verification of the Japanese guideline criteria for additional surgery based on long-term clinical outcomes. Am J Gastroenterol 2024; 119(10): 2019–2027. doi: 10.14309/ajg.0000000000002715.
8. Falt P, Zapletalová J, Urban O. Endoscopic full-thickness resection versus endoscopic submucosal dissection in the treatment of colonic neoplastic lesions ≤ 30 mm-a single-center experience. Surg Endosc 2022; 36(3): 2062–2069. doi: 10.1007/s00464-021-08492-0.
9. Urban O, Kliment M, Fojtik P et al. High-frequency ultrasound probe sonography staging for colorectal neoplasia with superficial morphology: its utility and impact on patient management. Surg Endosc 2011; 25(10): 3393–3399. doi: 10.1007/s00464-011-1737-7.
10. Tribonias G, Komeda Y, Leontidis N et al. Endoscopic intermuscular dissection (EID) for removing early rectal cancers and benign fibrotic rectal lesions. Tech Coloproctol 2023; 27(12): 1393–1400. doi: 10.1007/s10151-023- 02862-7.

Credited self-teaching test