58-year-old female patient presented for screening colonoscopy noted to have a 4.5cm sessile rectal polyp and was referred for ESD of the polyp.
En-bloc Resection with Pathology noted.
The patient woke up with minimal rectal discomfort which is rare after a 3-hour dissection of the rectum. While she was observed overnight, she complained of no discomfort post procedure and was discharged in the morning to outpatient follow up.
Dr Steven Shamah
Director of Endoscopy - Lenox Hill Hospital
Figure 1: Lobulated Polyp
Figure 3: Resection down to the muscle layer
Figure 4: Pinned specimen