Per anal excision of large rectal adenomas using an endoscopic stapler
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Updated: Oct 3, 2026

The Pocket-Creation Procedure of Endoscopic Submucosal Dissection for Large Rectal Laterally Spreading Tumors
Published on: February 13, 2026
S I Allison1, A Adedeji, J S Varma
1Department of Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
Abstract:
Large rectal adenomas can be approached per-anally by open excision or by transanal endoscopic microsurgery (TEMS). We describe the adaptation of an endoscopic linear stapler-cutter for per anal excision of rectal polyps. It can be used for difficult polyps with minimal risk of complications and is easier and more accessible than TEMS.
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