Endoscopic Submucosal Dissection in the Colon – a Safe and Effective Method – does the Time also Count?

Abstract Text Female patient, 76 years old. Colonoscopy, at the sigmoid, a sessile polyp (Paris 0-Is) was identified behind a fold, 35 mm, JNET 2A. ESD was proposed. Submucosal injection with an indigo carmine and adrenaline solution. Mucosal incision followed by submucosal dissection. Removal en bloc. Procedure completion in 15 mins. Adenoma with low grade dysplasia, free margins. ESD in the colon is a safe and secure method, the procedure duration aims to be under 90 minutes. Good accessibility to the lesion and endoscopic stability can make for a quick procedure, comparable to piecemeal mucosectomy, in this case even behind a fold, with the benefit of obtaining a single piece and lowering the risk of local recurrence [1].