Large gastric superficial lesion in the fundic dome resected by endoscopic submucosal disection combining 'pocket creation method' and traction techniques

Abstract Text An 80-year-old female presented with a large superficial lesion located in the fundic dome. First biopsies showed high-grade dysplasia (HGD). Endoscopic submucosal dissection was proposed to achieve en bloc resection. It was performed under general anaesthesia and various endoscopes with distal caps and endo-knives were used. The lesion was firstly approached in an antegrade fashion creating a 'pocket' from the cardia to the fundus, followed by retroflexion working assisted by 3 clip-line tractions. Coagulation was made with bipolar forceps. There were 5 milimetrical perforations, all succesfully clipped. En bloc resection was achieved and the pathological report confirmed a 90x60 mm HGD-lesion with free margins. Patient resumed oral intake 3 days after. Endoscopic follow-up 11 months later revealed no residual lesion.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/93ba7d8b-cccb-4c8a-8348-4bc7dce089f1/Uploads/13821_DSE_fund%20ESGE%20Days%20ok.mp4

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Artikel online veröffentlicht:
15. April 2024