Endoscopy 2020; 52(S 01): S117
DOI: 10.1055/s-0040-1704360
ESGE Days 2020 oral presentations
Saturday, April 25, 2020 08:30 – 10:30 Esophageal High-tech: Newtreatment modalities for the esophagus Liffey Meeting Room 2
© Georg Thieme Verlag KG Stuttgart · New York

CIRCUMFERENTIAL ESD FOR SQUAMOUS OESOPHAGEAL NEOPLASIA USING THE DOUBLE TUNNEL AND DOUBLE TRACTION METHOD APPLIED ON BOTH PILLARS: AN ORGAN PRESERVING PROCEDURE

M Fraile-López
1   Hospital Universitario Central de Asturias, Oviedo, Spain
2   Nottingham University Hospitals, NHS Trust, Nottingham, UK
,
AP Blanco
2   Nottingham University Hospitals, NHS Trust, Nottingham, UK
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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Esophageal endoscopic submucosal dissection (ESD) is technically challenging, even more if the lesion is broad and a circumferential resection is needed to perform a complete resection. In this case, we report a succcessful circumferential oesophageal ESD using the double tunnel and double clip-band line traction method, applying the traction on both pillars. With this strategy, the submucosa tissue is greatly exposed facilitating dissection. ESD was successfully completed using dual knife and SB knife achieving “en bloc” resection. The specimen showed a SCC with invasion of the lamina propria (T1,R0). A stenosis ocurred and was endoscopically treated.