Modified submucosal tunneling endoscopic resection for postcricoid esophageal subepithelial tumor

Department

Internal Medicine

Document Type

Article

Publication Title

VideoGIE

Abstract

Introduction:

Submucosal tunneling endoscopic resection (STER) has been described as a technique for endoscopic resection of GI subepithelial tumors (SETs) arising from the muscularis propria layer1 and is an accepted treatment modality for these SETs.2 The standard STER technique involves submucosal elevation 3 to 5 cm proximal to the SET along its longitudinal axis, mucosotomy, submucosal tunneling, dissection of the SET within the tunnel, enucleation from the deep muscle layer, and specimen delivery followed by mucosal closure.2 STER is usually recommended for SETs 3.5 cm) or for lesions in challenging locations is technically difficult; thus, surgical resection is usually recommended.2, 3, 4 STER has demonstrated excellent outcomes in a recent large meta-analysis.5 Postcricoid (PC) SETs can present exceptional technical challenges for STER because of their proximal location and constrained space in this region for tunneling and endoscope maneuverability. We report a video case of successful PC STER using certain technical modifications.

First Page

91

Last Page

94

DOI

10.1016/j.vgie.2021.12.008

Volume

7

Issue

3

Publication Date

2-3-2022

Comments

Video Case Report

PubMed ID

35287364

Link to Full Text

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