ASGE Annual Postgraduate Course: Clinical Challenges and Real-Time Decision Making in GI Endoscopy (On-demand) | May 2023-Session 2 Video Case Discussion 2

Session 2 Video Case Discussion 2 - Early Gastric Cancer

Video Transcription

Video Summary

In this video, Ara Sahakian presents a case of early gastric cancer. The patient, a 74-year-old Korean female, underwent an upper endoscopy for surveillance of gastric intestinal metaplasia, which revealed an adenocarcinoma. The patient had additional tests, including a CT scan and endoscopic ultrasound, to stage the cancer. The endoscopic ultrasound showed a small nodule in the stomach with no evidence of invasion into the submucosa or lymphadenopathy. The patient was presented with the options of a local resection or total gastrectomy and ultimately underwent an endoscopic submucosal dissection (ESD) for tumor removal. The pathology report indicated a well-differentiated intramucosal adenocarcinoma and a curative resection with no signs of recurrence during follow-up screenings.

Asset Subtitle

Ara Sahakian

Keywords

early gastric cancer

upper endoscopy

gastric intestinal metaplasia

adenocarcinoma

endoscopic submucosal dissection