Cap-assisted endoscopic mucosal resection of large polyps involving the ileocecal valve.

Journal Article (Journal Article)

Standard endoscopic mucosal resection (EMR) is limited with regard to lesions below or involving the ileocecal valve. We describe the treatment and outcomes when using cap-assisted EMR (EMR-C) to remove large laterally spreading tumors (LSTs) with ileal infiltration in seven patients (median age 74 years). Each LST (median size 40 mm) was successfully resected in one session (median procedure time 50 minutes). Intraprocedural and early bleeding occurred in two patients, and delayed hemorrhage in one. Circumferential resection of the ileum caused asymptomatic strictures in six patients, with regression during follow-up for five. We conclude that the novel EMR-C method is a potentially effective treatment for cecal LST involving the distal ileum. Serious complications such as perforation or symptomatic strictures of the ileocecal valve were not observed and any procedure-related bleeding was easily controlled.

Full Text

Duke Authors

Cited Authors

  • Conio, M; Blanchi, S; Filiberti, R; Ruggeri, C; Fisher, DA

Published Date

  • August 2010

Published In

Volume / Issue

  • 42 / 8

Start / End Page

  • 677 - 680

PubMed ID

  • 20593344

Pubmed Central ID

  • 20593344

Electronic International Standard Serial Number (EISSN)

  • 1438-8812

Digital Object Identifier (DOI)

  • 10.1055/s-0030-1255565


  • eng

Conference Location

  • Germany