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283
ONE STEP CLOSER TO A FULLY FLEXIBLE PLATFORM: OVERSTITCH SYSTEM AND DILUMEN C1
Date
May 18, 2024
Endoscopic Submucosal Dissection (ESD) excels in removing large-complex colon lesions, yet its technical complexity often stems from insufficient traction-countertraction. Achieving defect closure necessitates full-thickness suturing and airtight sealing, areas where current practices show a marked deficiency. We present a case of a 77-year-old male with a laterally spreading rectal tumor, effectively treated with traction-assisted ESD and endoluminal suturing using an advanced platform. The dynamic platform enhances traction-countertraction, and the endoscopic suturing system efficiently closes muscular defects. Further study is key to evaluating the platform's impact on ESD adoption.
INTRODUCTION: Ileal pouch-anal anastomosis (IPAA) is the procedure of choice in patients requiring total proctocolectomy. The reported leak rates after IPAA surgery range from 1-12% with well described significant impact on postoperative morbidity and recovery…
Endoscopic Submucosal Dissection (ESD) offers several advantages in removing large, complex colon lesions. However, ESD is technically demanding and time-consuming due to insufficient endoluminal ability for traction-countertraction…
Restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is the preferred surgical treatment for IBD or FAP. As these diseases often manifest during adolescence or early adulthood, treatment effects on genitourinary function (GU), sexual function, and fertility are clinically important…