Full-Circumferential (360°) endoscopic submucosal dissection (ESD) of an early neoplasm involving the gastric fundus and the gastro-esophageal junction

Abstract Text The aim of this presentation is to demonstrate the technical difficulties of performing ESD on lesions that extend throughout the gastric fundus. We present the case of a patient with a high-grade dysplastic lesion at the gastro-esophageal junction, that extends to more than 90% of the lumen periphery in the cardia and fundus. We proceeded to the creation of a longitudinal submucosal channel from the esophageal part of the lesion towards the lesser curvature. The lateral fundic part of the lesion was not accessible with retroflexion of the gastroscope. Therefore, a pediatric PCF-H190TL/i colonoscope was used with a bending range of 210°. This enabled a straightforward submucosal dissection plan and the lesion was successfully detached from the lateral parts of the submucosal channel.

Video http://data.process.y-congress.com/ScientificProcess/Data//106/474/1197/1d4e71dc-2a0f-43b1-925d-88473acdc6e3/Uploads/13821_360_gastric%20ESGE%20days.mp4

 

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Conflicts of interest

Authors do not have any conflict of interest to disclose.

Publication History

Article published online:
15 April 2024