title: Intraluminal approach for resection of a gastric ulcer: a case report.
abstract: Laparoscopy, both diagnostic and therapeutic, has been used in the management of gastric pathology because of all the benefits of a minimally invasive procedure, such as faster recovery, shorter hospital stay, fewer wound complications, and other benefits. We report a case involving the resection of a gastric ulcer in a 71-year-old patient. Endoscopy revealed a nonhealing antral ulcer that was not acutely bleeding. With a combined endoscopic and laparoscopic approach, we successfully performed a wide resection by using 2-mm instruments. Laparoscopy was needed to orient the lesion so that a transgastric intraluminal resection could be performed with 2-mm instruments. This case illustrates the feasibility of using a combined endoscopic and laparoscopic technique to treat a lesion that would otherwise require a formal resection.
authors.affiliation: Texas Endosurgery Institute, San Antonio, Texas 78222, USA.
authors.forename: Morris E
authors.initials: ME
authors.lastname: Franklin
authors.forename: Andrés
authors.initials: A
authors.lastname: Megchun
authors.forename: Saúl A
authors.initials: SA
authors.lastname: Madrigal
authors.forename: Jorge M
authors.initials: JM
authors.lastname: Treviño
authors.forename: Paul P
authors.initials: PP
authors.lastname: Arellano
mesh_terms: D000368:Aged; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D013276:Stomach Ulcer / Q000601:surgery*