Ipek Sapci, MD, Emre Gorgun, MD, Cigdem Benlice, MD. Cleveland Clinic
Introduction: Endoscopic Mucosal Resection (EMR) and Endoscopic Submucosal Dissection (ESD) are advanced endoscopic resection techniques gaining popularity in the United States, preventing unnecessary oncological resections for large colorectal neoplastic lesions. Raising the lesion by submucosal endoscopic injection prior to resection is critical in these procedures. Technique of resection depends highly on tissue elevation and the type and durability of the injected solution. Our objective is to describe our initial experience with a new injectable solution: EleviewTM
Methods: Patients undergoing EMR or ESD in outpatient clinic or operating rooms were included in our study. Data was collected prospectively in standardized forms. Patient demographics, lesion and procedure characteristics and postoperative complications were recorded.
Results: A total of 29 patients underwent EMR or ESD for 37 lesions using Eleview solution. 15/29 of patients were male with a mean age of 68 ± 9.8 and a mean BMI of 29.4 ± 6. 13 patients underwent EMR and 24 patients underwent ESD procedure. Average size of resected lesions were 32.7 ± 10.9. Most common lesion site was cecum (14/37) with 4 of these lesions located on ileocecal valve. Mean volume of injected EleviewTM solution was 22.1±12.7 ml. Duration of tissue elevation ranged between 2-30 minutes. There were no complications related to the injected solution. 8 patients had post-procedural complications and 2 patients underwent subsequent surgery. First patient had invasive cancer(T1) and underwent curative resection and the second patient had uncontrollable bleeding.
Conclusion: EleviewTM solution is safe and effective for Endoscopic Mucosal Resection and Endoscopic Submucosal Dissection. This new injectable solution provides stable and long lasting elevation for improved tissue resection for colorectal lesions.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 91188
Program Number: ETP842
Presentation Session: Emerging Technology iPoster Session (Non CME)
Presentation Type: Poster