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Top flight ESD: a novel strategy for the gastric fundus tumours
Top flight ESD: a novel strategy for the gastric fundus tumours - 2.º Classificado (Vídeo)
João Pedro Pereira, Rui Silva, Francisco Baldaque-Silva
Hospital Pedro Hispano, Unidade Local de Saúde de Matosinhos
An 81-year-old male patient with history of a MALT lymphoma. On a follow-up esophagogastroduodenoscopy a 5cm flat lesion was identified in the gastric fundus and greater curvature of the proximal body. Histopathology revealed a mixed type, moderately differentiated adenocarcinoma. Due to the technically difficult area for traditional ESD a novel endoscopic access strategy was made.
We developed a new “Top flight ESD” using a transesophageal tunneling technique, in which a tunnel is created from the esophagus through the cardia in order to reach the submucosal space in the gastric fundus. Then the epithelial tumor was resected using conventional ESD technique.