Sleeve Esophageal Endoscopic Mucosectomy “SEEM”

Ahmed Sharata, MD, Christy M Dunst, MD, Radu Pescarus, MD, Eran Shlomovitz, MD, Ashwin Kurian, MD, Kevin M Reavis, MD, Lee L Swanstrom, MD. Providence Portland Medical Center, The Oregon Clinic.

The incidence of esophageal adenocarcinoma is increasing rapidly in the western world. The treatment of the early esophageal cancer (high grade dysplasia & intra mucosal carcinoma) are esophagectomy or esophageal preserving techniques. We present a modified endoscopic technique (circumferential mucosectomy) previously descriped by Job BA & Inoue H. 

The video also demonstrates a novel technique of utilizing an Over-the-Scope stent covered with biologic matrix along with systemic steroids in order to reduce stricture formation after sleeve mucosectomy.

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