Usefulness of gel immersion endoscopy for endoscopic resection in stomachs with residue.

ABSTRACT: EMR and endoscopic submucosal dissection are widely used for treating intramucosal gastric neoplasms. However, securing a clear visual field in a stomach with residue is challenging. In this article, we present 2 cases in which tumors were endoscopically resected by securing the visual field using the gel immersion method in remnant stomachs after proximal gastrectomy with residue. The gel immersion method is a technique in which a transparent, viscous gel is injected into the lumen to secure the visual field. The viscous gel displaces blood and residue, allowing for a clear view. Therefore, we could perform efficient endoscopic procedures calmly. We also used the dedicated valve to add the gel while we inserted devices through its accessory channel. In both cases, the gel immersion method

SUBMITTER: Hayashi H 

PROVIDER: S-EPMC12366423 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature