Endoscopy 2020; 52(S 01): S189
DOI: 10.1055/s-0040-1704587
ESGE Days 2020 ePoster Podium presentations
Friday, April 24, 2020 15:00 – 15:30 Upper GI: Resection techniques 5 ePoster Podium 1
© Georg Thieme Verlag KG Stuttgart · New York

PEDUNCULATED GIANT GASTRIC POLYP RESECTED BY ENDOSCOPIC SUBMUCOSAL DISSECTION

A Aguilar
1   Hospital Universitari Germans Trias I Pujol, Badalona, Spain
,
I Iborra
1   Hospital Universitari Germans Trias I Pujol, Badalona, Spain
,
N Caballero
1   Hospital Universitari Germans Trias I Pujol, Badalona, Spain
,
JC Hernández
1   Hospital Universitari Germans Trias I Pujol, Badalona, Spain
,
Í Marín
1   Hospital Universitari Germans Trias I Pujol, Badalona, Spain
,
VM de Vega
1   Hospital Universitari Germans Trias I Pujol, Badalona, Spain
,
D Luna
1   Hospital Universitari Germans Trias I Pujol, Badalona, Spain
,
F Cañete
1   Hospital Universitari Germans Trias I Pujol, Badalona, Spain
,
E Domènech
1   Hospital Universitari Germans Trias I Pujol, Badalona, Spain
,
H Uchima
1   Hospital Universitari Germans Trias I Pujol, Badalona, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

Also available at
 
 

    Clinical case Elderly patient, ASA III, anticoagulated, presented with melena. Endoscopy revealed an ulcerated antral polyp with a 4 cm twisted pedicle that prolapsed through pylorus. Endoscopic resection was planned.

    Endoscopic findings The lesion was protruding into duodenum and the big head of the polyp made impossible to snaring, so ESD using SB Knife was started allowing en bloc resection of the lesion. Histology confirmed low grade dysplasia intestinal type adenoma.

    Conclusions ESD can be useful in pedunculated gastric polyps that cannot be snare resected because of wide pedicle or duodenal protrusion.


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