Endoscopic submucosal dissection of a gastric mass. Issue 4 (2nd October 2019)

• Record Type: Journal Article
• Authors: Ebrahim, Ahmed; Leeds, Steven G.; Clothier, Jessica S.; Ward, Marc A.
• Is Part Of: Proceedings. Volume 32:Issue 4(2019)
• Page Start: 629
• Page End: 630
• Publication Date: 2019-10-02
• Subjects: Endoscopic submucosal dissection -- gastric cancer -- high-grade dysplasia -- upper endoscopy; Medicine -- Periodicals; Medicine; Medicine -- Periodicals; Periodicals; Electronic journals; 616.005
• DOI: 10.1080/08998280.2019.1656006
• Languages: English
• ISSNs: 0899-8280

Abstract

Abstract: This case report describes the first endoscopic submucosal dissection performed at Baylor University Medical Center for high-grade dysplasia of the stomach. The patient, a 76-year-old man with multiple medical comorbidities, presented with 4 months of abdominal pain. Endoscopy found a mass on the lesser curvature, and endoscopic ultrasound confirmed that it did not invade the submucosa. A complete endoscopic resection was performed, alleviating the need for surgical intervention. Endoscopic submucosal dissection offers a minimally invasive treatment for premalignant lesions and early stage cancers of the stomach. Endoscopic resection is as effective as gastrectomy, with less morbidity in select patients with early stage lesions.