Endoscopy 2021; 53(S 01): S169
DOI: 10.1055/s-0041-1724712
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Conic Cap-Suction Uemr for EN Bloc Resection of Non-Granular Pseudodepressed Colonic Lesion: A Novel Technique When Conventional Snaring is not Possible

H Uchima
1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit, Gastroenterology Department, Badalona, Spain
,
J Colán-Hernández
1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit, Gastroenterology Department, Badalona, Spain
,
I Marín
1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit, Gastroenterology Department, Badalona, Spain
,
R López
2   Hospital Universitari Germans Trias i Pujol, Pathology Department, Badalona, Spain
,
C Fumagalli
2   Hospital Universitari Germans Trias i Pujol, Pathology Department, Badalona, Spain
,
A Hernández
2   Hospital Universitari Germans Trias i Pujol, Pathology Department, Badalona, Spain
,
N Caballero
1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit, Gastroenterology Department, Badalona, Spain
,
I Iborra
1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit, Gastroenterology Department, Badalona, Spain
,
L González
1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit, Gastroenterology Department, Badalona, Spain
,
V Moreno
1   Hospital Universitari Germans Trias i Pujol, Endoscopy Unit, Gastroenterology Department, Badalona, Spain
› Author Affiliations
 

Colorectal lesions with a depressed component are difficult to snare and have a high risk of submucosal invasion.

Underwater EMR (Binmoeller, 2012) allows endoscopic resection without previous submucosal injection as the colonic lesion “floats” in a lumen filled with water.

We present a case of a 16mm non-granular 0-IIa+IIc lesion located in the sigmoid colon. UEMR was tried but it was not possible to snare the lesion.

Thereafter, with the lumen filled with water, a conic cap was used to gently aspirate the 0-IIc component, facilitating the infolding of the lesion and it was easily snared and resected by UEMR.

Citation: Uchima H, Colán-Hernández J, Marín I et al. eP216V CONIC CAP-SUCTION UEMR FOR EN BLOC RESECTION OF NON-GRANULAR PSEUDODEPRESSED COLONIC LESION: A NOVEL TECHNIQUE WHEN CONVENTIONAL SNARING IS NOT POSSIBLE. Endoscopy 2021; 53: S169.



Publication History

Article published online:
19 March 2021

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