Endoscopic submucosal dissection of small gastric and rectal laterally spreading dysplastic adenomas – initial experiences

Introduction: Endoscopic submucosal dissection (ESD) has been developed for en-block, complete resection of laterally spreading, sessile adenomas and intramucosal cancers in the esophagus, stomach and colon. Newly developed mucosectomy knifes made by the Olympus are now available on the market. Our endoscopic lab had the privilege to invent these techniques, and the aim was to report our initial experiences. Patients and methods: ESD has been performed in two consecutive elderly patients (pts) until now. The first pt had a small (1cm), sessile adenoma with high grade dysplasia in the pylorus. The second pt had a…