Julietta H Chang, MD, David Berger, MD, Ozanan Meirelez, MD. Massachusetts General Hospital
Submucosal tunneling endoscopic resection (STER) is modeled on the same principals as per-oral endoscopic myotomy. It uses the principles of creating a submucosal tunnel to reach a muscular target in order to maintain integrity of the esophageal lumen and prevent mediastinitis. STER has been successfully used for the resection of esophageal leiomyomas. Our patient is a 50 year old female with a 3cm leiomyoma and a full-thickness mid-esophageal leiomyoma who underwent an endoscopic resection of her tumor. We describe a novel technique of using a snare along-side the endoscope to maintain axial tension to help facilitate successful dissection. We demonstrate that endoscopic resection of muscular lesions in the esophagus is safe and feasible by maintaining overlying mucosal integrity.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88251
Program Number: V140
Presentation Session: Flexible Endoscopy Videos Session
Presentation Type: Video