Difficulty. We analysed charts from consecutive individuals who underwent CRESD in between Might and July . Efficacy and safety endpoints had been complete enbloc resection rates,endoscopic and histological remission and postprocedural complications.Get in touch with E-mail NHS-Biotin Address: deijikei.ac.jp Introduction: The gastroscope is frequently used even for colorectal ESD on a priority basis since operational overall performance is suitable PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/26663416 to procedure in our facility. Even so,anatomic variability in the colon may well hinder any endoscopic intervention. In situations which access towards the lesion with a gastroscope was hard,we employed a balloon overtube as an endoscopic channel for colorectal ESD. Additionally,to enable a additional secure and efficient procedure,we combined balloon overtube assisted ESD with a rubber band tissue traction device (RTD),created to become fixed on freed edges of a mucosal overlay with clips to deflect the diseased mucosa away from the dissection plane. Aims Approaches: We aimed to evaluate the utility of balloon overtube assisted colorectal ESD using a RTD as required. At the Jikei University Hospital from April to December ,we performed ESD in colorectal lesion for individuals. Within the preoperative evaluation of accessibility having a gastroscope,thirty 1 patients had been identified as challenging,and have been enrolled within the balloon overtube assisted ESD and retrospectively examined. Conclusion: There have been tiny sensible differences among the normal ESD process applying a gastroscope without the overtube as well as the balloonassisted ESD method in term of outcome for therapy. This outcome suggested that use on the balloon overtube is definitely an effective for colorectal ESD,when lesions are located at difficult positions inside the appropriate side colon. In addition,because the circumstance demands,making use of the RTD for colorectal ESD was also suggested to successful process. Disclosure of Interest: None declaredAbstract number: P M or SM slightly Protoruded Ratio from the cancerSM deeply Flat elevated CecumRight Imply size use of RTD cancer Other individuals colonLeft colonRectum of specimen Common . (n: Overtube . (n: Mean time of process Ratio of curative Ratio of complication resection PerforationBleeding . . . .mm .min .mm .min. .A P CECAL INTUBATION Price (CIR) CORRELATES WITH ADENOMA DETECTION Rate (ADR) BUT HAS NO Effect ON Sophisticated ADENOMA DETECTION Rate (AADR) D. Sallinger,,E. Waldmann,,P. Jeschek,,I. Gessl,,M. BrittoArias,,B. Majcher,,A. Dokladanska,,M. Gschwantler,M. Trauner,,M. Ferlitsch,Div. of Gastroenterology and Hepatology,Dept. of Internal Medicine III,Health-related University of Vienna,Excellent Assurance Operating Group,Austrian Society of Gastroenterology and Hepatology (OEGGH),Vienna,Austria Speak to E mail Address: daniela.sallingermeduniwien.ac.at Introduction: Incomplete screening colonoscopy can lead to missing precancerous lesions,for example adenomas. By a study of Kaminski et al cecal intubation rate (CIR) as a major excellent indicator,showed to be not related with greater risk of interval cancer. Adenoma detection price (ADR) is regarded as a principal high-quality measure in screening colonoscopy and really should be at the least . Sophisticated adenomas (AA) carry higher threat for progression to cancer than nonadvanced adenomas and ought to be detected early. Due to the fact of lack association between CIR and also the risk of interval cancer,our main aim was to investigate regardless of whether there’s a correlation between CIR and ADR. Further we wanted to assess if CIR correlates with AADR and if findings differ in between higher (! and low CIRgroup Ai.