EMR LESIÓN POSTANAL (3 CM) 0-IIa + 0-Is (J. Martín)

febrero 12, 2017

CASE:

82 year-old female patient with history of arterial hypertension, Diabetes Mellitus, Hypothyroidism, ACV, AF in treatment with pradaxa. She consulted for rectal bleeding and a colonoscopy showed a 3 cm 0-IIa + 0 – Is lession at rectoanal junction. NBI shows a NICE type II lession and allows too delimitate better it. We have used hyaluronic acid 0.8% and methylene blue starting at the anal margin and then in retroflxexion at the distal margin.We have worked with a 185 Olympus gastroscope in retroversion. For the mucosectomy we used a 25 mm Olympus loop and a 15 mm Boston Scientific loop. Finally in the scar we put Purastat to decrease the risk of bleeding. Patient should continue taking anticoagulants.

Un comentario

Deja un comentario

Tu dirección de correo electrónico no será publicada. Los campos obligatorios están marcados con *