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CURATIVE ENDOSCOPIC FULL-THICKNESS RESECTION OF A 17-MM GASTRIC CARCINOID INVADING THE SUBMUCOSA USING THE GFTR DEVICE

M. Lajin

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Abstract

A 41-year-old male was referred for a gastric sub-epithelial lesion. EGD/EUS showed a sub-epithelial lesion in the gastric body extending to the submucosa measuring 17 mm. He opted for Endoscopic full-thickness resection. After marking the borders, the passage of the device was facilitated by a jaw thrust. The lesion was pulled inside the cap using an anchor. Following that, the lesion was resected and retrieved. There was minor bleeding treated with thermal coagulation. The pathology was well-differentiated carcinoid invading to the submucosa, the margins were free. Follow up 4 months later showed a scar with no residual tumor. Publication History Article published online: 14 April 2022 © 2022. European Society of Gastrointestinal Endoscopy. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

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What this paper is about

A 41-year-old male was referred for a gastric sub-epithelial lesion. EGD/EUS showed a sub-epithelial lesion in the gastric body extending to the submucosa measuring 17 mm. He opted for Endoscopic full-thickness resection. After marking the borders, the passage of the device was facilitated by a jaw thrust. The lesion was pulled inside the cap using an anchor. Following that, the lesion was resected and retrieved. There was minor bleeding treated with thermal coagulation. The pathology was well-differentiated carcinoid invading to the submucosa, the margins were free. Follow up 4 months later showed a scar with no residual tumor. Publication History Article published online: 14 April 2022 © 2022. European Society of Gastrointestinal Endoscopy. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

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Available abstract

A 41-year-old male was referred for a gastric sub-epithelial lesion. EGD/EUS showed a sub-epithelial lesion in the gastric body extending to the submucosa measuring 17 mm. He opted for Endoscopic full-thickness resection. After marking the borders, the passage of the device was facilitated by a jaw thrust. The lesion was pulled inside the cap using an anchor. Following that, the lesion was resected and retrieved. There was minor bleeding treated with thermal coagulation. The pathology was well-differentiated carcinoid invading to the submucosa, the margins were free. Follow up 4 months later showed a scar with no residual tumor. Publication History Article published online: 14 April 2022 © 2022. European Society of Gastrointestinal Endoscopy. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

Key concepts: Submucosa, Medicine, Lesion, Endoscopic mucosal resection, Endoscopy, Resection, Stomach, Surgery

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CURATIVE ENDOSCOPIC FULL-THICKNESS RESECTION OF A 17-MM GASTRIC CARCINOID INVADING THE SUBMUCOSA USING THE GFTR DEVICE — Research Paper | ScholarLens