Curative Endoscopic Submucosal Dissection of a (T1A) Gastric Cancer Using Pocket Technique Followed by Suturing Closure of the Mucosal Defect

A 78-year-old female presented with abdominal pain. An EGD revealed a 1.8 cm depressed lesion in the gastric antrum. Biopsies identified high-grade dysplasia.

Submucosal injection followed by mucosal incision was performed proximal to the lesion. The tunnel was entered. Submucosal dissection was carried out creating a pocket underneath the lesion. The mucosal incision was then completed. The lesion was retrieved.

The ESD defect was closed using endoscopic suturing.

The pathology was well-differentiated adenocarcinoma, invading into but not through the muscularis mucosa with free margins and no lymphovascular invasion (T1a).

Her last endoscopy 18 months later shows no malignancy or dysplasia.

Citation: Lajin M. eP82V CURATIVE ENDOSCOPIC SUBMUCOSAL DISSECTION OF A (T1A) GASTRIC CANCER USING POCKET TECHNIQUE FOLLOWED BY SUTURING CLOSURE OF THE MUCOSAL DEFECT. Endoscopy 2021; 53: S123.

Publication History

Article published online:
19 March 2021