Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Aug 27, 2023; 15(8): 1831-1837
Published online Aug 27, 2023. doi: 10.4240/wjgs.v15.i8.1831
Outpatient hybrid endoscopic submucosal dissection with SOUTEN for early gastric cancer, followed by endoscopic suturing of the mucosal defect: A case report
Renma Ito, Kazuhiro Miwa, Yutaka Matano
Renma Ito, Kazuhiro Miwa, Yutaka Matano, Internal Medicine, Komatsu Municipal Hospital, Komatsu 923-0961, Japan
Author contributions: Ito R, Miwa K, and Matano Y conceived the idea of the treatment in this case; Ito R drafted the original manuscript; all authors reviewed the manuscript draft and revised it critically.
Informed consent statement: Informed consent for inclusion in the study or equivalent was obtained from the patient’s family.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Renma Ito, MD, Chief Doctor, Internal Medicine, Komatsu Municipal Hospital, 60 Mukaimotoorimachi-ho, Komatsu 923-0961, Japan. remma0504@outlook.jp
Received: May 7, 2023
Peer-review started: May 7, 2023
First decision: June 1, 2023
Revised: June 13, 2023
Accepted: June 27, 2023
Article in press: June 27, 2023
Published online: August 27, 2023
Processing time: 109 Days and 14.7 Hours
Core Tip

Core Tip: Hybrid endoscopic submucosal dissection (ESD) using a multifunctional snare (SOUTEN) has been reported to be effective in reducing treatment duration, and endoscopic suturing of post-ESD mucosal defects has been reported to reduce complications. Herein, we report an outpatient hybrid ESD for early gastric cancer using SOUTEN, followed by endoscopic suturing of post-ESD mucosal defects in an 86-year-old male. The procedure time was 62 min and the lesion was completely resected based on histopathological examination, with no reported postoperative complications.