Endoscopic submucosal dissection for large laterally spreading tumors involving the ileocecal valve and terminal ileum
Kishimoto, G.; Saito, Y.; Takisawa, H.; Suzuki, H.; Sakamoto, T.; Nakajima, T.; Matsuda, T.
World Journal of Gastroenterology 18(3): 291-294
ISSN/ISBN: 1007-9327 PMID: 22294834 Accession: 052967460
Endoscopic submucosal dissection is a challenging technique that enables en-bloc resection for large colorectal tumors, as laterally spreading tumors, particularly difficult, if the ileocecal valve and terminal ileum is involved. Herein, we report on one of 4 cases. The procedures, using a bipolar needle knife (B-Knife) to reduce the perforation risk and carbon dioxide instead of conventional air insufflation for patient comfort, achieved curative resections without any complications.