Endoscopic submucosal dissection of early gastric cancer via inverted overtube in a patient with situs inversus totalis: a case report

Author:

Miyaoka Youichi1,Suemitsu Shinsuke2,Fujiwara Aya2,Kotani Satoshi1,Tsukano Kosuke2,Yamanouchi Satoshi2,Kusunoki Ryusaku2,Miyake Tatsuya3,Fujishiro Hirofumi2,Kohge Naruaki2,Yamamoto Tomohiko4,Amano Yuji5

Affiliation:

1. Division of Endoscopy, Shimane Prefectural Central Hospital, Shimane, Japan

2. Division of Gastroenterology, Shimane Prefectural Central Hospital, Shimane, Japan

3. Division of Liver, Shimane Prefectural Central Hospital, Shimane, Japan

4. Division of Pathology, Shimane Prefectural Central Hospital, Shimane, Japan

5. Division of Endoscopy, Kaken Hospital, International University of Health and Welfare, Chiba, Japan

Abstract

Abstract Background and study aims A 72-year-old man with complete situs inversus presented with early gastric cancer on the lesser curvature wall of the antrum of the stomach. Endoscopic submucosal dissection (ESD) was selected as a treatment. When the patient was positioned in the left decubitus position, the lesion was hidden by blood and gastric fluid because it was located on the gravitational side. Therefore, we decided to perform ESD with the patient in the right lateral decubitus position and use an inverted overtube, which provided a good endoscopic view without the need to rearrange the endoscopist, assistants, or endoscopic system. ESD was safe and feasible using the inverted overtube.

Publisher

Georg Thieme Verlag KG

Subject

Gastroenterology,Medicine (miscellaneous)

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