Colorectal endoscopic submucosal dissection using a novel device

Abstract Text A 62-year-old woman presented with a mixed granular lateral spreading lesion in the rectum (70x40 mm, NICE 2/JNET 2A). We performed an endoscopic submucosal dissection using Flexlifter for traction. Flexlifter consists of a transparent plastic cap with a forceps that is placed on the tip of the endoscope. The forceps has two movements: open/close and forward/backward, so that it can be pushed beyond the tip of the endoscope to grasp the mucosa and pull it. It lifts the mucosal flap and keeps the submucosal space exposed, which makes it easier to identify the dissection plane and the vessels and, ultimately, allows for more comfortable and safe dissection. We obtained a 12x10 cm specimen (tubular adenoma with foci of adenocarcinoma), with a total procedure time of 2h30min. In our case Flexlifter proved to be effective and safe, but more clinical studies will be necessary to confirm this result.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/3c6f415a-5b9a-4deb-bae8-4e7632afeeb7/Uploads/13821_ESD_Flexlifter.mp4

Publication History

Article published online:
15 April 2024