Recalcitrant Gastric Actinomycosis Treated With Over-the-Scope Clip

Area of Science:

• Gastroenterology
• Infectious Diseases
• Surgical Innovation

Background:

• Actinomycosis is a bacterial infection caused by Actinomyces species.
• Gastric actinomycosis is a rare manifestation, often presenting as erythema or ulceration during endoscopy.
• Standard treatments include prolonged antibiotics, with surgery often required for refractory cases.

Observation:

• A case of recalcitrant gastric actinomycosis presented as a subepithelial lesion.
• This presentation is atypical for gastric actinomycosis.

Findings:

• The study demonstrates the first successful treatment of gastric actinomycosis using endoscopic resection.
• An over-the-scope clip was utilized for the endoscopic resection of the subepithelial lesion.
• This approach offers a minimally invasive alternative to surgical resection.

Implications:

• Endoscopic resection with over-the-scope clips may be a viable treatment option for recalcitrant gastric actinomycosis.
• This technique expands the endoscopic management of rare gastrointestinal infections.
• Further research is warranted to evaluate the long-term efficacy and applicability of this endoscopic approach.