Videos de endoscopia digestiva
A big cecal lesion (6 x 4 cm) is resected by ESD. The case has been difficult due to poor maneuverability and bleeding during the procedure. At the end of the dissection, it was necessary to change the colonoscope and cap. A standard colonoscope with a distal diameter of 12 mm and a working channel of 3.7 mm has been used. We also had to change to a straight hood to improve visibility. Thanks to Dr. Rosón to help me in this case.
Muy buen artículo del grupo de «Indicadores de calidad en endoscopia» de la SEED. En este caso se analizan los de la colonoscopia, una técnica fundamental hoy día dado el interés creciente relacionado con el cribado del CCR y las técnicas avanzadas de resección mucosa (mucosectomía y disección endoscópica submucosa). Lo podéis descargar del siguiente enlace: Descarga del artículo
Excelente revisión de los dispositivos que se utilizan en la técnica de la DSE. La podéis descargar del siguiente enlace: Descarga gratuita
ESD of a lesion with morphology IIa + IIc (12 mm) in sigmoid colon. It has been used ST-Hood, flushknife BT 1.5 mm, coagrasper and Resolution clip 360º. These lesions, although small, due to their central depression and greater risk of malignancy, must be extruded by submucosal endoscopic dissection.
A 67 years old male. Rectal PEMR two years ago. Post-polypectomy colonoscopy surveillance: LST-G 20 mm recurrence lesion in the rectal posterior wall, 20 mm from dentate line. This was the second case performed in Baza Hospital by Dr. Julio Guilarte, supervised by Dr. Katsumi Yamamoto (JCHO Hospital, Osaka) and suported by Dr. F. Gallego, Dr. PJ. Rosón and Dr. FM. Fernández Cano. Thanks to my friends and colleagues.
A 70 years old male with previous rectal cancer and anastomosis T-T 9 cm from dentate line. A LST-NG lesion 20 mm size, situated in the posterior rectal wall, close to dentate line, was found. This was the first case performed in Baza Hospital by Dr. Julio Guilarte, supervised by Dr. Katsumi Yamamoto (JCHO Hospital, Osaka) and suported by Dr. F. Gallego, Dr. PJ. Rosón and Dr. FM. Fernández Cano. Thanks to my friends and colleagues.
A 45-year-old patient with a family history of CRC (father diagnosed with ascending colon cancer at 64 years of age, dying at 68 years of age). It was found in a family screening colonoscopy of an ascending colon lesion of 18 mm with morphology LST-G / IIa + IIc. The lesion was resected with a hybrid technique due to the poor maneuverability of the colonoscope and severe submucosal fibrosis.
Director de la Unidad de A. Digestivo del Hospital Quirón Málaga. Con dedicación especial desde hace años a la terapéutica endoscópica, con especial interés en la resección mucosa de lesiones neoplásicas precoces del tubo digestivo.
Para visualizar todos los detalles de la imagen (tipo de alteración fundamentalmente), se puede acceder de forma libre al álbum de fotos ubicado en PHOTOBUCKET (margen superior derecha «View album)
Para visualizar todos los detalles de la imagen (tipo de alteración fundamentalmente), se puede acceder de forma libre al álbum de fotos ubicado en PHOTOBUCKET (margen superior derecha «View album)
