Case Study

4.5 cm Sessile Rectal Polyp ESD with Speedboat Notch Short & Multimodal Energy

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.

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Dr Steven Shamah

Dr Steven Shamah
Director of Endoscopy - Lenox Hill Hospital

Lobulated Polyp

Figure 1: Lobulated Polyp

Resection down to the muscle layer

Figure 3: Resection down to the muscle layer

Pinned specimen

Figure 4: Pinned specimen

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