Topflight Endoscopic Submucosal Dissection: a novel technique for the resection of gastric fundus tumors

Abstract Text Recently, we described a new ESD technique, the “topflight ESD”, that enables the resection of large lesions in the fundus, without the need for special instruments or devices. With this technique a tunnel is created from the distal esophagus and all the fundus submucosa is dissected through the tunnel. Herein, we describe 2 cases of fundus tumors resected with this technique. A patient had a 6 cm lesion in the fundus(Paris 0-IIa+b). The specimen was 75x50mm in size. The pathology revealed a mixed type, moderately differentiated adenocarcinoma SM2L0V0R0, pT1b. The other case had a 4 cm lesion in the gastric fundus(Paris 0-IIa+b). The specimen was 70x58mm in size. The pathology revealed a tubular type, poorly differentiated adenocarcinoma SM3L0V0R0, pT1b. Both patients were discharged asymptomatic on the following day. This technique might be considered as a option in such cases in the future. [1]

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Publication History

Article published online:
15 April 2024

• References

• 1 Baldaque-Silva F. et al. "Topflight endoscopic submucosal dissection: a novel strategy for the resection of gastric fundus tumors.". VideoGIE 2023