Prof. Pradeep Bhandari
Solent Centre for Digestive Diseases, Queen Alexandra Hospital Portsmouth, UK
Patient information / Indication
An 80-year old man was referred for endoscopic mucosal resection of a 10 cm rectal adenoma. His main symptom was debilitating mucous discharge and diarrhoea. He had multiple cardiac co-morbidities that prevented curative surgical resection. The endoscopic assessment was performed to exclude foci of cancer.
Methods & Results
By using the Fujifilm 700 series gastroscope (EG-760R) the extensive adenoma was visualised encompassing 100 % of the luminal circumference.
Figure 1 is the white light image. BLI did not reveal any evidence of invasive vascular pattern (Figure 2). LCI highlighted the villous nature of the polyp (Figure 3, 4).
Giant polyps have a high risk of cancer and are usually not suitable for endoscopic resection. BLI assessment allowed us to confidently exclude malignancy in this case and consider endoscopic resection.