Advanced Endoscopy Specialist
Clinical Cases in Advanced Endoscopy
Dr. Pedro de María Pallarés
INMEQ | Hospital La Paz, Madrid
Gastroenterology Department
Advanced Endoscopy Unit
Featured Clinical Cases
A comprehensive collection of advanced endoscopic procedures including Endoscopic Submucosal Dissection (ESD) and Peroral Endoscopic Myotomy (POEM), demonstrating cutting-edge techniques in therapeutic endoscopy.
Case 1: Rectal ESD for Adenocarcinoma
ESD
Patient:
Adult male with 8cm rectal lesion
Procedure Duration:
2 hours 15 minutes
Technique:
Endoscopic Submucosal Dissection (ESD)
Histopathology:
Rectal adenocarcinoma
Recovery:
12-hour observation, discharged asymptomatic
Curative Resection Achieved
Endoscopic View
Video Case
Case 2: POEM for Type II Achalasia
POEM
Condition:
Type II Esophageal Achalasia
Procedure Duration:
45 minutes
Technique:
Saline immersion myotomy, selective approach
Recovery:
12-hour observation, controlled minor discomfort
Follow-up:
Normal intake resumed at 2 weeks, no difficulties
Eckardt Score: 0 (Complete Resolution)
Case 3: Rectal LST-G ESD
ESD-SITE
Lesion:
Homogeneous granular LST-G, 6×6cm
Procedure Duration:
1 hour 30 minutes
Technique:
SITE (Saline Immersion Technique for ESD)
Histopathology:
Tubular adenoma with focal high-grade dysplasia
Recovery:
12-hour observation, no complications
Curative Resection Achieved
SITE Technique
ESD Expertise
Advanced endoscopic submucosal dissection for large and complex lesions
POEM Technique
Minimally invasive treatment for achalasia with excellent outcomes
Curative Results
High success rates with minimal complications and rapid recovery