Wen ZQ, Wu GY, Yu SP, Lin XD, Li SH, Huang XG, Zhang F, Zeng XY, Huang HY, Li AM. Application of blunt dissection in ESD of a gastric submucosal tumor. World J Gastroenterol 2014; 20(21): 6698-6700 [PMID: 24914398 DOI: 10.3748/wjg.v20.i21.6698]
Corresponding Author of This Article
Shao-Ping Yu, MD, Department of Gastroenterology, Dongguan Kanghua Hospital, 1000 Dongguan Avenue, Dongguan 523080, Guangdong Province, China. yushaopingmd@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Jun 7, 2014; 20(21): 6698-6700 Published online Jun 7, 2014. doi: 10.3748/wjg.v20.i21.6698
Application of blunt dissection in ESD of a gastric submucosal tumor
Zong-Quan Wen, Guang-Yao Wu, Shao-Ping Yu, Xiao-Dong Lin, Song-Hu Li, Xian-Guang Huang, Fu Zhang, Xiao-Yu Zeng, Hai-Yan Huang, Ai-Mei Li
Zong-Quan Wen, Guang-Yao Wu, Shao-Ping Yu, Xiao-Dong Lin, Song-Hu Li, Xian-Guang Huang, Fu Zhang, Department of Gastroenterology, Dongguan Kanghua Hospital, Dongguan 523080, Guangdong Province, China
Xiao-Yu Zeng, Hai-Yan Huang, Ai-Mei Li, Department of Endoscopy Centre, Dongguan Kanghua Hospital, Dongguan 523080, Guangdong Province, China.
Author contributions: Wen ZQ and Wu GY were the main contributors to this work, and are co-first authors; Yu SP, Lin XD and Li SH guided and helped to diagnosis the patient; Wu GY, Huang XG and Zhang F obtained the data; Wu GY analyzed the data; Wen ZQ and Zeng XY performed the surgery; Huang HY and Li AM assisted in the surgery; Wen ZQ and Wu GY wrote the report; Yu SP guided the work; all authors approved the final version.
Correspondence to: Shao-Ping Yu, MD, Department of Gastroenterology, Dongguan Kanghua Hospital, 1000 Dongguan Avenue, Dongguan 523080, Guangdong Province, China. yushaopingmd@163.com
Telephone: +86-769-23095553 Fax: +86-769-23095553
Received: January 1, 2014 Revised: February 14, 2014 Accepted: March 5, 2014 Published online: June 7, 2014
Abstract
We performed endoscopic submucosal dissection of a gastric fundus tumor. It was difficult to strip the tumor completely due to space limitation, and we used blunt dissection to remove the tumor quickly and safely. Firstly, the basal area of the 2.5 cm submucosal tumor located in the gastric fundus was cut open, and the mucosa was dissected. The tumor was difficult to peel, therefore, a snare was used and the tumor was pulled and tightened slightly. Short electronic coagulation was used during the procedure. The tumor was then bluntly dissected. This method ensured rapid and complete removal of the tumor.
Core tip: We performed endoscopic submucosal dissection (ESD) of a gastric fundus tumor. It was difficult to strip the tumor completely due to space limitation, therefore, we used blunt dissection and removed the tumor quickly and safely. This is a new method based on traditional ESD, and ensured quick and safe removal of the tumor in this patient.
