Curative ESD of a dysplastic depressed gastric lesion

Abstract Text An 80 -year-old male was found to have a depressed gastric lesion in the antrum measuring 2cm. The lesion was marked, and a submucosal injection was followed by a proximal mucosal incision. Submucosal tunneling was performed creating a pocket. The lateral mucosal incisions were performed using an SB knife. Traction was applied utilizing two clips connected by an 8-shaped string. The distal mucosal incision was completed and the specimen was retrieved.

The defect was closed using a suturing device. The pathology was high-grade dysplasia with free margins. Endoscopy 5 months later showed no residual dysplasia.

Conflicts of interest

Authors do not have any conflict of interest to disclose.

Publication History

Article published online:
14 April 2023