Endoscopy Live (virtual) | October 2021-Live Procedure 6: Johns Hopkins

Video Transcription

Video Summary

In this video, Dr. Nam discusses two different cases. The first case involves a rectal follic specimen in which the margins are pinned outside of the margins and sent to pathology. The second case involves a 67-year-old female who has a gastric subepithelial lesion. The lesion is around 1.6 centimeters in size and originates from the muscularis propria layer. The findings suggest a gastrointestinal stromal tumor (GIST) versus a leomyoma. The patient opts for endoscopic resection over surveillance. The plan is to perform an upper endoscopy with endoscopic resection using options such as endoscopic submucosal dissection (ESD), endoscopic full thickness resection, or submucosal tunneling with endoscopic resection. Dr. Khashab initially plans on tunneling, but due to difficulties with retroflexion, he switches to a full thickness resection using the ESD technique. The video ends with Dr. Khashab discussing the challenges of the procedure and the potential use of a full thickness resection device.

Asset Subtitle

Mouen Khashab, MD

Keywords

rectal follic specimen

gastric subepithelial lesion

gastrointestinal stromal tumor

endoscopic resection

ESD technique

full thickness resection