on "43259 & 43251 or 43217 & 43232"

Endosonographic Finding
Findings:
A round, hypoechoic mass was found in the gastroesophageal junction. The endosonographic borders were well-defined.
The mass measured up to 5 mm in thickness. There was sonographic evidence suggesting invasion into the deep mucosa
(Layer 2). There appeared to be an intact submucosal layer beneath the entire lesion suggesting a lack of invasion.
No lymphadenopathy seen.
Endoscopic Finding
One 8 mm polyp (Paris Is) was found 40 cm from the incisors during inspection with both HD-WLE and I-scan (electronic
chromoendoscopy. No additional lesions were seen and no columnar lined epithelium was seen proximal to the GEJ.
Preparations were made for mucosal resection. Band ligator and snare mucosal resection with cap retrieval was
performed. The lesion was resected en bloc. Resection and retrieval were complete. After resection, there was some
active bleeding from a single vessel within the resection site. Hemostasis was achieved with injection of 6ml of
epinephrine and the vessel was obliterated with a Coagrasper at Soft Coag at 80 Watts.
The exam of the esophagus was otherwise normal.
A 3 cm hiatus hernia was present.