Limitless! Treatment of Giant Gastric Lesion with Endoscopic Submucosal Dissection

Video Transcription

Video Summary

This video tip discusses the endoscopic submucosal dissection (ESD) of a giant gastric polyp in a 36-year-old female patient. The patient presented with dyspeptic symptoms and was diagnosed with a hyperplastic polyp with indefinite dysplasia. The multidisciplinary tumor board decided on surgical resection due to suspicion of dysplasia. The ESD procedure was performed under general anesthesia, with the lesion starting from the cardia and extending through the lesser curvature. The tunnel method was used for dissection, providing safe isolation of vascular structures. The procedure was successful, with clear surgical margins and complete resolution of symptoms. ESD is recommended for minimal invasive treatment of symptomatic benign polyps at risk of malignant transformation. The use of tunneling methods and endoscopic suturing techniques contribute to a quicker recovery and reduced risk of complications.

Keywords

endoscopic submucosal dissection

giant gastric polyp

hyperplastic polyp

dysplasia

tunnel method