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CC BY 4.0 · Endoscopy 2024; 56(S 01): E749-E750
DOI: 10.1055/a-2361-1253
E-Videos

A “clip-and-snare” assisted endoscopic mucosal resection for an esophageal submucosal tumor

Yiting Liu‡
1   Department of Gastroenterology, First Affiliated Hospital of Dalian Medical University, Dalian, China (Ringgold ID: RIN74710)
,
Menghuan Zhu‡
1   Department of Gastroenterology, First Affiliated Hospital of Dalian Medical University, Dalian, China (Ringgold ID: RIN74710)
,
Jian Gong
1   Department of Gastroenterology, First Affiliated Hospital of Dalian Medical University, Dalian, China (Ringgold ID: RIN74710)
,
Jiajun Lu
1   Department of Gastroenterology, First Affiliated Hospital of Dalian Medical University, Dalian, China (Ringgold ID: RIN74710)
,
Yagang Li
1   Department of Gastroenterology, First Affiliated Hospital of Dalian Medical University, Dalian, China (Ringgold ID: RIN74710)
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The clip-and-snare assisted endoscopic mucosal resection (CS-EMR) technique is a new and simple treatment option [1]. Here, we present a case of esophageal submucosal tumor resected with CS-EMR, which can easily remove the submucosal tumors completely ([Video 1]).


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A clip-and-snare assisted endoscopic mucosal resection (CS-EMR) technique for an esophageal submucosal tumor.Video 1

A 68-year-old man was referred for the endoscopic treatment of an esophageal submucosal tumor (6 mm). Gastroscopy showed a yellowish lesion. We used the transparent cap to cover the distal end of the endoscope, set a snare on the transparent cap, and inserted a clip into the channel in advance. The clip grasped the mucosa around the tumor, transforming the lesion into a “pedunculated polyp.” The snare was released and trapped the root of the lesion. The tumor was resected completely. The wound was closed by clips ([Fig. 1]). Histological examination of the resected specimen revealed a submucosal spindle cell tumor. Pathological evaluation revealed a 0.7 × 0.6 × 0.6-cm mass; R0 resection was achieved.

Zoom Image
Fig. 1 Endoscopic treatment of an esophageal submucosal tumor using the clip-and-snare assisted endoscopic mucosal resection (CS-EMR) technique. a Gastroscopy showed a yellowish lesion. b The snare was released and trapped the root of the lesion. c The tumor was resected completely. d The wound was closed by clips.

For esophageal submucosal tumors invading the submucosa, CS-EMR can be used to resect them efficiently and safely. We can choose different clip sizes depending on the size of the tumor. Therefore, CS-EMR can be one of the options for endoscopic resection of submucosal tumors of the esophagus.

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Conflict of Interest

The authors declare that they have no conflict of interest.

  • Reference

  • 1 Liu S, Liu W-H, Gong Y. et al. Cut the weeds and dig up the roots: clip-and-snare assisted endoscopic mucosal resection of a rectal neuroendocrine tumor. Endoscopy 2020; 53: E13-E14
    Thieme ConnectPubMedSearch in Google Scholar

Correspondence

Jian Gong, MD
Department of Gastroenterology, The First Affiliated Hospital, Dalian Medical University
222 Zhongshan Road
Dalian, Liaoning 116011
P. R. China   

Publication History

Article published online:
04 September 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

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  • Reference

  • 1 Liu S, Liu W-H, Gong Y. et al. Cut the weeds and dig up the roots: clip-and-snare assisted endoscopic mucosal resection of a rectal neuroendocrine tumor. Endoscopy 2020; 53: E13-E14
    Thieme ConnectPubMedSearch in Google Scholar

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Zoom Image
Fig. 1 Endoscopic treatment of an esophageal submucosal tumor using the clip-and-snare assisted endoscopic mucosal resection (CS-EMR) technique. a Gastroscopy showed a yellowish lesion. b The snare was released and trapped the root of the lesion. c The tumor was resected completely. d The wound was closed by clips.