Endoscopic R0 resection via ESD procedures is an evolving approach in the treatment of early GI cancer. Advanced Bipolar resection devices, such as the Speedboat™, are designed to create a deeper resection margin at the muscle layer, reduce charring, and enhance safety due to the device‘s protective hull.
In this clinical case, we present a resection specimen of a T1 sm1 Barrett’s cancer with clear R0 resection margins, allowing for improved histological evaluation.
A 52-year-old male patient presented with reflux disease and a suspected C0M1 Barrett’s oesophagus with high-grade dysplasia in random biopsies. Further evaluation revealed a localized 1×1 cm area at the 8:00 position, suspected for dysplasia (Fig.1 & 2).
Dr Carsten Triller
Head Physician, Gastroenterology
Städtisches Krankenhaus Heinsberg GmbH
Figure 1: Suspected dysplasia
Figure 3: Marking
Figure 4: Advanced bipolar dissection