ENDOSCOPIC FULL THICKNESS RESECTION OF A GASTRIC GIST & CLOSING THE DEFECT WITH PURSE STRING SUTURE
Shaimaa Elkholy*, Karim Essam, Hany Haggag, Abeer A. Abdellatef, Kerolis Yousef, Dalia Abd El-Kareem, Mohamed El-Sherbiny
Cairo University Kasr Alainy Faculty of Medicine, Cairo, Egypt
The classic resection techniques including EMR/ESD had always been targeting the mucosa & submucosal layers. But if the muscle layer is involved this is named FTR. Free handed FTR; resecting the lesion first leaving a hole that should be closed.Sometimes closure devices like suturing devices are expensive & not available. we present a simple way that can effectively close a perforation. Purse string suture; in which the endoloop is applied to the edges of the defect with hemoclips & then followed by endoloop closure closing the whole defect perfectly. We demonstrate FRT of a gastric GIST about 2.1x 2.9 cm from the fundus of the stomach &closing the defect with purse string suture.
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