Mucosectomy
Surgeries/Endoscopic/Mucosectomy

Mucosectomy

Endoscopic resection of extensive superficial lesions of the digestive lining, a minimally invasive alternative to surgery.

What is it?

Mucosectomy is an advanced endoscopic technique for removing superficial lesions of the digestive wall that are too extensive or too flat for a simple polypectomy. The lesion is first lifted by a submucosal injection, then resected with a snare, in one or several fragments. This technique offers a minimally invasive alternative to surgery for many precancerous or superficial lesions of the esophagus, stomach, duodenum, colon or rectum. All the resected fragments are sent for histopathological analysis, which confirms the completeness of the resection and guides surveillance. At Clinique Pasteur Tunis, mucosectomy is performed by endoscopists trained in resection techniques, in an endoscopy suite equipped with high-definition equipment. The procedure takes place under sedation or anesthesia, most often as a day case or with a short hospital stay.
Mucosectomy

When is it indicated?

Flat or extensive polyps of the colon and rectum

Some polyps that are too flat or too wide for simple removal are first lifted and then removed using this dedicated technique.

Superficial lesions of the esophagus or stomach

Abnormalities limited to the surface of the digestive wall can be removed through the natural orifices, without surgery.

Precancerous lesions of the digestive lining accessible by endoscopy

Removing a lesion before it transforms very often avoids a more invasive operation later on.

Selected superficial duodenal lesions

Certain well-demarcated lesions of the first part of the intestine can be resected endoscopically after specialist assessment.

Alternative to surgery for well-demarcated lesions, after specialist advice

When the lesion remains superficial, this technique avoids a surgical operation while providing complete treatment.

Preparation

1Prior diagnostic endoscopy with precise characterization of the lesion
2Blood work-up including coagulation studies
3Anesthesia consultation
4Fasting for 6 hours before the procedure and bowel preparation if necessary
5Stopping or adjusting anticoagulants according to medical advice

Procedure

1

Sedation or general anesthesia depending on the location

2

Precise identification of the lesion and delineation of its margins

3

Submucosal injection to lift the lesion

4

Snare resection, in one or several fragments

5

Careful inspection of the resection site and preventive coagulation

6

Post-procedure monitoring in the recovery room, then a short hospital stay if necessary

Duration

30 minutes to 1 hour 30 depending on the size of the lesion

Aftercare & Recovery

Mucosectomy most often achieves complete resection of the lesion without surgery. Histopathological analysis of the fragments confirms the quality of the resection and determines the schedule of follow-up endoscopies. Eating is resumed gradually the same day or the next day.

Risks and side effects

Bleeding at the resection site, most often controlled endoscopically
Perforation, rare, managed immediately
Scar-related narrowing after extensive resections of the esophagus, treatable by dilation

These risks remain rare. Your surgeon will inform you in detail before the procedure.

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Contact us to schedule a consultation or receive a personalized quote.

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At a glance

Duration: 30 minutes to 1 hour 30 depending on the size of the lesion
Preparation: Required
Dedicated specialist team