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Related Concept Videos

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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Related Experiment Video

Updated: Sep 14, 2025

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

637

Successful Endoscopic Submucosal Dissection for Giant Inflammatory Fibroid Polyp in Terminal Ileum.

Sayuri Watanabe1, Yuki Nakajima1, Masato Aizawa1

  • 1Department of Gastroenterology Aizu Medical Center Fukushima Medical University Fukushima Japan.

DEN Open
|July 25, 2025
PubMed
Summary

This study details the successful endoscopic removal of the largest inflammatory fibroid polyp (IFP) of the small intestine. Novel techniques ensured safe resection of this giant, mobile ileocecal lesion.

Keywords:
colonoscopy | endoscopic submucosal dissection | giant polyp | inflammatory fibroid polyp | terminal ileum

Related Experiment Videos

Last Updated: Sep 14, 2025

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

637

Area of Science:

  • Gastroenterology
  • Endoscopic Surgery
  • Surgical Oncology

Background:

  • Inflammatory fibroid polyps (IFPs) are rare, benign mesenchymal tumors of the gastrointestinal tract.
  • Large or mobile IFPs in the small intestine can pose significant challenges for endoscopic resection.
  • Giant IFPs may present with symptoms like abdominal pain and diarrhea due to obstruction or intussusception.

Purpose of the Study:

  • To describe a novel endoscopic technique for the successful resection of a giant inflammatory fibroid polyp in the terminal ileum.
  • To report the management and outcomes of a large, mobile IFP requiring advanced endoscopic techniques.
  • To highlight the efficacy of combining underwater endoscopic submucosal dissection with lesion anchoring for challenging polypoid lesions.

Main Methods:

  • A 55-year-old woman with a large ileocecal tumor underwent endoscopic submucosal dissection (ESD) using the underwater pocket-creation method.
  • The mobile polyp was stabilized with a traction device anchored to its apex and the ileocecal valve.
  • En bloc resection was achieved despite submucosal fibrosis, with specimen retrieval via natural elimination.

Main Results:

  • Successful en bloc endoscopic submucosal dissection of a 62 × 40 × 22 mm inflammatory fibroid polyp.
  • The combined underwater ESD and traction technique facilitated safe resection without perforation.
  • The patient experienced an uneventful recovery, with no recurrence at 6-month follow-up colonoscopy.

Conclusions:

  • The combination of underwater ESD, pocket creation, and lesion anchoring is an effective strategy for resecting giant, mobile small intestinal polyps.
  • This case represents the largest IFP of the small intestine successfully resected endoscopically.
  • Advanced endoscopic techniques offer a minimally invasive option for managing complex gastrointestinal lesions.