A new endoscopic tecnique for the treatment of carpet-like adenomas of therectum

Background- Transanal microsurgery, endoscopic laser photocoagulation and s nare resection have all been used to treat large sessile :adenomas of the r ectum alternatively to surgical approach. However, these modalities are oft en defective due to the carpet-like shape and the frequently large extensio n of the lesions, Methods: twenty-two patients with carpet-like adenoma (C-LA) have been subm itted to transanal endoscopic resection (TER) by uro:logical resectoscope. Results: Complete eradication was obtained in 16 patients (follow-up 12-24 mts) and 6 patients are still treated (follow-up 3-6). The mean number of t reatment sessions was 3 (range 1-6), The mean time tween the first treatmen t and the complete eradication was 6 months (range 1-18). In three patients intraoperative bleeding have been stopped by local injection of epinephrin e 1:20.000 and patients have had four early postoperative bleeding (within 72 hrs). No early or late mortality related to the procedure was reported. Conclusions: This preliminary experience shows the efficacy of transanal en doscopic resection by means of urological resectoscope in the treatment of carpet-like adenomas of the rectum.