Work

Minimally Invasive Full-Thickness Resection of a Non-Lifting Adenoma in an Ulcerative Colitis Patient Using OVESCO: A Case Report

Year: 2025

Type: article

Abstract: Introduction: Patients with longstanding ulcerative colitis (UC) face an increased risk of colorectal cancer, necessitating regular surveillance. Chronic inflammation frequently leads to submucosal fibrosis, making the resection of non-lifting lesions difficult with standard techniques like endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD). Case Presentation: We present a 76-year-old UC patient with a splenic flexure adenoma that was unresectable via EMR/ESD. Given the high surgical risk, the OVESCO system was used, achieving clear margins and avoiding colectomy. Conclusion: This case highlights full-thickness resection devices as a minimally invasive alternative for challenging polyps in UC, preserving bowel function while avoiding major surgery or stoma formation.

Source: Case Reports in Gastroenterology

DOI: 10.1159/000548329

Authors: Fei Yang Pan, Rupert Leong, Saurabh Gupta, Talia Fuchs, Viraj Kariyawasam

Institutions: Macquarie University, Concord Repatriation General Hospital, Australian National University, Sydney Adventist Hospital, Douglass Hanly Moir Pathology

Language: English

Topic: Colorectal Cancer Screening and Detection

Subfield: Oncology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,030