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Sarah Meade*, Desmond H. Birkett, Thomas Schnelldorfer
General Surgery, Lahey Hospital & Medical Center, Burlington, MA

In this video, we present a novel approach to the management of a large gastric polyp at the GE junction. This 66 year old, morbidly obese, female had been followed for nearly ten years at an outside institution with serial endoscopies for a polypoid mass at the GE junction. A recent biopsy was concerning for dysplastic changes and the gastroenterologist deemed the lesion unresectable by endoscopic means due to the size and proximity to the GE junction. We elected to pursue a laparoscopic transgastric polypectomy. This video shows the techniques used in this procedure and highlights the use of a ultrasonic scalpel to facilitate dissection and manage large feeding vessels to the mass.

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