ESD of a large duodenal neuroendocrine tumor adjacent to the pyloric ring

Post written by Sonmoon Mohapatra, MD, from the Division of Gastroenterology and Hepatology, Saint Peter’s University Hospital/Rutgers—RWJ Medical School, New Brunswick, New Jersey, USA. A 62-year-old morbidly obese (BMI 62) man with multiple comorbid conditions was found to have a 1.5-cm subepithelial duodenal lesion in the anterior wall of the duodenal bulb, located within 1 …

Continue reading ESD of a large duodenal neuroendocrine tumor adjacent to the pyloric ring

The suture pulley countertraction method for challenging rectal ESD

Post written by Phillip S. Ge, MD, from the Department of Gastroenterology, Hepatology, and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. The video describes a 54-year-old woman who underwent a screening colonoscopy at which time a rectal neuroendocrine tumor was removed in piecemeal fashion, with positive lateral and deep margins. …

Continue reading The suture pulley countertraction method for challenging rectal ESD

Digital single-operator peroral cholangioscopy-guided biopsy sampling versus ERCP-guided brushing for indeterminate biliary strictures

Post written by Mohan Ramchandani, MD, from the Asian Institute of Gastroenterology Hospitals, Hyderabad, India. The aim of this study was to assess the diagnostic accuracy of digital single-operator cholangioscopy (DSOC) compared with ERCP-based assessment using traditional sampling technology in patients with indeterminate biliary strictures (IBS). Indeterminate biliary stricture was defined as a suspected intrinsic …

Continue reading Digital single-operator peroral cholangioscopy-guided biopsy sampling versus ERCP-guided brushing for indeterminate biliary strictures

Salvage endoscopic submucosal tunneling dissection using IT knife nano for an elderly patient with circumferential residual esophageal squamous cell carcinoma after radiotherapy

Post written by Mai Ego, MD, and Seiichiro Abe, MD, PhD , from Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. A 96-year-old man underwent definitive radiotherapy for extensive early esophageal squamous cell carcinoma (SCC) involving the middle esophagus. Three months after radiotherapy, a residual tumor was detected during esophagogastroduodenoscopy. A 50-mm circumferential flat lesion …

Continue reading Salvage endoscopic submucosal tunneling dissection using IT knife nano for an elderly patient with circumferential residual esophageal squamous cell carcinoma after radiotherapy

Impact of en bloc resection on long-term outcomes after EMR

Post written by Mayenaaz Sidhu, MBBS, from the Department of Gastroenterology and Hepatology, Westmead Hospital, and Westmead Clinical School, The University of Sydney, Sydney, New South Wales, Australia. The focus of this study was to assess long-term outcomes of sized-matched laterally spreading colorectal lesions (LSL) resected en bloc (e-EMR) as compared to piece-meal resection (p-EMR). …

Continue reading Impact of en bloc resection on long-term outcomes after EMR

ESD for Barrett’s-associated adenocarcinoma in a patient with decompensated cirrhosis and esophageal varices

Post written by Sonmoon Mohapatra, MD, from the Division of Gastroenterology and Hepatology, Saint Peter’s University Hospital/Rutgers—RWJ Medical School, New Brunswick, New Jersey, USA. A 65-year-old woman with a history of Barrett’s esophagus, decompensated alcoholic cirrhosis (MELD 8, Child Pugh class B) complicated by ascites, esophageal varices, gastric antral vascular ectasia, hepatic encephalopathy, and severe …

Continue reading ESD for Barrett’s-associated adenocarcinoma in a patient with decompensated cirrhosis and esophageal varices

ESD for a laterally spreading tumor involving the colon diverticulum using a knife with water supply function

Post written by Akira Yoshida, MD, PhD, from the Division of Medicine and Clinical Science, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University, Yonago, Japan. A 50-mm diameter laterally spreading tumor (Paris 0-IIa) that involved the diverticulum on the oral side of the tumor was pointed out at the ascending colon. Colon tumor …

Continue reading ESD for a laterally spreading tumor involving the colon diverticulum using a knife with water supply function