Outpatient hybrid endoscopic submucosal dissection with SOUTEN for early gastric cancer,followed by endoscopic suturing of the mucosal defect:A case report

作     者：Renma Ito Kazuhiro Miwa Yutaka Matano 

作者机构：Internal MedicineKomatsu Municipal HospitalKomatsu 923-0961Japan 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2023年第15卷第8期

页      面：1831-1837页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Outpatient treatment Hybrid endoscopic submucosal dissection Multifunctional snare Early gastric cancer Endoscopic suturing Case report 

摘      要：BACKGROUND Although endoscopic submucosal dissection(ESD)is becoming more common for early gastric cancer,it requires more advanced techniques and a longer treatment duration than endoscopic mucosal *** ESD using a multifunctional snare(SOUTEN)has been reported to be effective for colorectal lesions,as it can reduce treatment *** suturing of post-ESD mucosal defects has been reported to reduce the incidence of ESD-related *** SUMMARY This study reports outpatient hybrid ESD for early gastric cancer using SOUTEN,followed by endoscopic suturing of post-ESD mucosal defects in an 86-year-old *** referral for ESD,a 10-mm flat,depressed lesion was found on the posterior wall of the gastric antrum,the depth of which was expected to be *** his history of delirium,we performed outpatient endoscopic *** procedure used was hybrid ESD using SOUTEN to reduce the duration of treatment and endoscopic suturing of post-ESD mucosal ESD defects to reduce *** procedure time was 62 min and the lesion was completely resected based on histopathological examination,with no reported postoperative *** This safe and useful procedure may be especially important for outpatient endoscopic treatment.