Endoscopy 2020; 52(S 01): S248
DOI: 10.1055/s-0040-1704776
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00 – 17:00 Clinical endoscopic practice ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD) IN THE WESTERN SETTING – IS TUNNELING TECHNIQUE THE WAY FORWARD ?

E Hossain
Queen Alexandra Hospital, Portsmouth, United Kingdom
,
P Bhandari
Queen Alexandra Hospital, Portsmouth, United Kingdom
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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    Since the advent of Peroral Endoscopic Myotomy (POEMS), tunneling technique has become a popular way of performing ESD.

    After initial distal dissection, proximal end of the lesion is approached,creating a submucosal tunnel. The tunnel wall is then collapsed to remove the lesion. Data from a tertiary referral centre is depicted in [Table 1], demonstrating tunneling technique is a safe, effective and efficient way to perform ESD, specially in Western settings.

    Tab. 1

    Average size (cm square)

    Mean duration (min)

    En- bloc resection

    Complications

    Oesophageal (N = 15)

    17

    99

    100%

    Bleeding- 0

    Perforation- 0

    Colorectal (N = 9)

    36

    221

    100%

    Bleeding- 0

    Perforation- 0

    #