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Case Reports
. 2019 Sep 23;32(4):629-630.
doi: 10.1080/08998280.2019.1656006. eCollection 2019 Oct.

Endoscopic submucosal dissection of a gastric mass

Ahmed Ebrahim  1 , Steven G Leeds  1   2   3 , Jessica S Clothier  1 , Marc A Ward  1   2   3
Affiliations
Case Reports

Endoscopic submucosal dissection of a gastric mass

Ahmed Ebrahim et al. Proc (Bayl Univ Med Cent). .

Abstract

This case report describes the first endoscopic submucosal dissection performed at Baylor University Medical Center for high-grade dysplasia of the stomach. The patient, a 76-year-old man with multiple medical comorbidities, presented with 4 months of abdominal pain. Endoscopy found a mass on the lesser curvature, and endoscopic ultrasound confirmed that it did not invade the submucosa. A complete endoscopic resection was performed, alleviating the need for surgical intervention. Endoscopic submucosal dissection offers a minimally invasive treatment for premalignant lesions and early stage cancers of the stomach. Endoscopic resection is as effective as gastrectomy, with less morbidity in select patients with early stage lesions.

Keywords: Endoscopic submucosal dissection; gastric cancer; high-grade dysplasia; upper endoscopy.

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Figures

Figure 1.
Figure 1.
(a) Outlining the lesion with cautery. (b) Mucosotomy. (c) Submucosal tunneling.
Figure 2.
Figure 2.
(a) Complete resection of the lesion. (b) Removal via Roth net. (c) Closure.
See this image and copyright information in PMC

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