Retrieving large colonic endoscopic submucosal dissection specimens: the advantage of a protector hood

Abstract Text A 83-year-old male was referred for endoscopic resection of a 60 mm granular nodular-mixed type laterally spreading tumour, Paris 0-Is, JNET 2B, in the cecum. Endoscopic submucosal dissection (ESD) was initiated distally followed by the creation of a pocket, with stepwise proximal progression until complete en bloc resection. The lesion was removed per rectum without fragmentation with the aid of a protector hood assembled at the tip of the endoscope. Retrieval of large colorectal lesions can be cumbersome with risk of fragmentation and incomplete recovery. The use of protector hood allows its complete en bloc recovery, while passing through the anal sphincter.