Endoscopic intermuscular dissection (EID) for removing early rectal cancers and benign fibrotic rectal lesions.
Cancer
Endoscopic intermuscular dissection
Endoscopic submucosal dissection
Endoscopy
Polyp
Rectum
Journal
Techniques in coloproctology
ISSN: 1128-045X
Titre abrégé: Tech Coloproctol
Pays: Italy
ID NLM: 9613614
Informations de publication
Date de publication:
12 2023
12 2023
Historique:
received:
07
04
2023
accepted:
13
09
2023
medline:
13
11
2023
pubmed:
29
9
2023
entrez:
29
9
2023
Statut:
ppublish
Résumé
In the current era of screening colonoscopy and increasing incidence of early rectal cancer, interventional endoscopy moves toward resections in deeper planes than the submucosal layer. Several reports support the use of endoscopic intermuscular dissection (EID) instead of endoscopic submucosal dissection (ESD) for the removal of deeply invasive rectal submucosal cancers. The resection plane into the intermuscular space, the space between the longitudinal (external) and circular (internal) muscle layer, allows radical removal of rectal invasive submucosal cancers. Furthermore, the technique offers the potential for dissection of scarred and severe fibrotic lesions in the rectum by cutting deeper and performing a partial myectomy avoiding the narrow submucosal space. We present 23 cases of EIDs both for deeply invasive rectal cancers and benign rectal lesions. This is the first report in the literature of EID resections for malignant and benign disease, including cases of severely fibrotic rectal lesions.
Identifiants
pubmed: 37773471
doi: 10.1007/s10151-023-02862-7
pii: 10.1007/s10151-023-02862-7
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1393-1400Informations de copyright
© 2023. Springer Nature Switzerland AG.
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