Endoscopy 2022; 54(S 01): S202
DOI: 10.1055/s-0042-1745121
Abstracts | ESGE Days 2022
ESGE Days 2022 Digital poster exhibition

CIRCUMFERENTIAL ENDOSCOPIC SUBMUCOSAL DISSECTION FOR LONG-SEGMENT BARRETT'S ADENOCARCINOMA: THE DOUBLE-TUNNEL AND SINGLE CLIP-AND-LOOP TRACTION METHOD

S. Sferrazza
1   Gastroenterology and Endoscopy Unit, Santa Chiara Hospital, APSS, Trento, Italy
,
F. Crispino
2   Gastroenterology & Hepatology Section, PROMISE, University of Palermo, Italy
,
F. Vieceli
1   Gastroenterology and Endoscopy Unit, Santa Chiara Hospital, APSS, Trento, Italy
,
A. Fiorentino
3   Gastroenterology, Department of Clinical Medicine and Surgery, University of Naples, Italy
,
A. Michielan
1   Gastroenterology and Endoscopy Unit, Santa Chiara Hospital, APSS, Trento, Italy
,
G. de Pretis
1   Gastroenterology and Endoscopy Unit, Santa Chiara Hospital, APSS, Trento, Italy
› Author Affiliations
› Further Information
Also available at
 

We report a successful endoscopic submucosal dissection of a long-segment Barrett’s esophagus (C10M12) adenocarcinoma, using a double-tunnel and single clip-and-loop traction method.After placing markings and submucosal injections, a distal mucosal incision was performed to set up the tunnel distal limit. A submucosal tunnel was created on the anterior wall, where good access is allowed by gravity, and it was extended in the cranial-caudal direction. Subsequently, a posterior tunnel was created with a loop-clip applied on the inferior pillar, to facilitate the anti-gravity access and expedite the submucosal exposure. A 12 cm en-bloc specimen (T1,R0) was extracted in 300 minutes.



Publication History

Article published online:
14 April 2022

© 2022. European Society of Gastrointestinal Endoscopy. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany