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


Authors: O. Urban 1;  P. Falt 1;  P. Flodr 2;  I. Überall 2
Authors‘ workplace: II. interní klinika – gastroenterologická a geriatrická LF UP a FN Olomouc 1;  Ústav klinické a molekulární patologie LF UP a FN Olomouc 2
Published in: Gastroent Hepatol 2025; 79(3): 172-176
Category: Case Report
doi: https://doi.org/10.48095/ccgh2025172

Overview

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 – endoscopic submucosal dissection


Sources

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.

ORCID autorů

O. Urban 0000-0002-6705-7912,

P. Falt 0000-0001-8843-4716,

P. Flodr 0000-0002-7982-5229,

I. Uberall 0000-0002-3330-3054.

Doručeno/Submitted: 21. 3. 2025

Přijato/Accepted: 8. 4. 2025

Korespondenční autor

prof. MUDr. Ondřej Urban, Ph.D.

II. interní klinika – gastroenterologická a geriatrická

LF UP a FN Olomouc

Zdravotníků 248/7

779 00 Olomouc

Ondrej.Urban@fnol.cz

Labels
Paediatric gastroenterology Gastroenterology and hepatology Surgery

Article was published in

Gastroenterology and Hepatology

Issue 3

2025 Issue 3

Most read in this issue
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