%0 Generic
%A Emura, F.
%A Calderon-Zapata, D.
%A Cano, M.
%A Sabbagh, L.
%A Torres-Rincon, R.
%8 2021
%@ 2468-4481
%U http://hdl.handle.net/10818/53973
%X Endoscopic treatment of rectal lateral spreading tumors (LSTs) extending to the dentate line with hemorrhoids is a challenging procedure because of the risk of bleeding and the reduced visual field caused by the dilated venous packages and the narrow anal lumen. Although a few Japanese reports have described the safety and efficacy of endoscopic submucosal dissection (ESD) for these tumors,1,2 technical approaches to reduce intraoperative bleeding are not fully described. We present a successful ESD of a large rectal LST that extended to the dentate line with large internal hemorrhoids and describe novel approaches to minimize intraoperative bleeding.
%I VideoGIE
%T Novel approaches to minimize intraoperative bleeding during
endoscopic submucosal dissection of a large rectal lateral
spreading tumor extended to the dentate line with internal
hemorrhoids
%~ Intellectum