What is it about?
ESD has been performed in the terminal ileum achieving an en bloc resection with negative margins (R0) of a superficial neoplasm with high-grade dysplasia (curative resection). ESD has never been performed in this location due to the high difficulty level and risk of adverse events. The ileal neoplasm has been diagnosed at retrograde ileoscopy performed routinely in our center.
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Why is it important?
ESD is feasible and safe in the terminal ileum by ESD experts. Retrograde ileoscopy should be performed routinely during colonoscopy.
Perspectives
Retrograde ileoscopy should be performed routinely during colonoscopy. ESD should be always considered before surgery referral.
Dr Federico Iacopini
Gastroenterology and Endoscopy, Ospedale S Giuseppe, Albano, Rome
Read the Original
This page is a summary of: Endoscopic submucosal dissection of a nonpolypoid superficial neoplasm of the terminal ileum, Endoscopy, February 2016, Thieme Publishing Group,
DOI: 10.1055/s-0042-101760.
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