Endoscopy 2020; 52(S 01): S181
DOI: 10.1055/s-0040-1704563
ESGE Days 2020 ePoster Podium presentations
Friday, April 24, 2020 14:30 – 15:00 Upper GI: Resection techniques 4 ePoster Podium 1
© Georg Thieme Verlag KG Stuttgart · New York

ENDOSCOPIC DISSECTION WITH DUAL KNIFE AND REMOVAL OF OVESCO EMBEDDED IN OESOPHAGEAL STRICTURE

S Rajkumar
1   University Hospital of North Midlands, Gastroenterology, Stoke on Trent, United Kingdom
,
G Bouras
1   University Hospital of North Midlands, Upper GI Surgery, Stoke on Trent, United Kingdom
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

Also available at
 

51 year old man had mid oesophageal perforation following 5cm long circumferential Endoscopic Mucosal Resection (EMR) of squamous cell carcinoma in situ using Duette Multiband Mucosectomy device (Cook). Perforation was closed using OVESCO with twin grasper resulting in significant luminal narrowing. Tight refractory oesophageal stricture developed with OVESCO embedded in sub- epithelial scar tissue.

The buried arms of OVESCO were exposed by dissection using Dual Knife (Olympus). OVESCO was cut with reMOVE DC cutter (OVESCO) and removed.

Residual stricture was managed with fully covered removable metal stent (Boston).

Key message Exercise caution using OVESCO in narrow lumen (oesophagus).