Colon Endoscopic Submucosal Dissection (ESD)

 Naohisa Yahagi, MD, performs a colon endoscopic submucosal dissection (ESD). The patient is a 83 year old woman with a history of CAD s/p MI, HTN, emphysema and T4N1b colonic adenocarcinoma s/p extended left hemi-colectomy (10/2016) with subsequent chemotherapy who was noted on one year surveillance colonoscopy to have a 2.5 cm Paris lla lesion in ascending colon with aborted EMR due to non-lifting sign.