AI Article Synopsis

  • A 53-year-old woman had a 15-mm submucosal stomach tumor identified through endoscopic ultrasonography, indicating it was deep in the stomach wall.
  • The surgical team utilized a new hybrid endoscopic full-thickness resection (EFTR) method, which involved marking the tumor, making a mucosal incision, and then carefully isolating and excising the tumor with the use of a snare and forceps.
  • The procedure was completed in under 20 minutes with no complications, and the patient was able to go home shortly after surgery.

Article Abstract

A 53-year-old woman was diagnosed with a 15-mm submucosal tumor located in the fundus of the stomach. Endoscopic ultrasonography suggested that the tumor originated from the muscularis propria layer. Therefore, we decided to use a novel hybrid EFTR to remove the lesion. First the tumor was marked and the mucosal was incised, followed by primary tumor dissection. Then the endoscope was withdrawn. A snare was fixed to the transparent cap at the front end of the endoscope without passing through the working channel. The endoscope and snare were inserted together near the lesion. A foreign body forceps was inserted through the endoscopic working channel to grasp the top of the tumor and lift it up. After adequately exposing the tumor, the snare was released to enclose the base of the tumor, and completely excised was performed under direct view. Finally, the wound was closed with clips and endoloop. The entire operation time was less than 20 minutes. The patient was discharged soon after the operation without any adverse events.

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Source
http://dx.doi.org/10.17235/reed.2024.10779/2024DOI Listing

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