Circumferential ESD for the treatment of ultra-short-segment Barrett’s adenocarcinoma with multifocal dysplasia

Post written by Fabian Emura, MD, PhD, FASGE, from the Division of Gastroenterology, Universidad de La Sabana, Chía, and the Advanced GI Endoscopy, EmuraCenter LatinoAmerica, Bogotá DC, Colombia.


The procedure initiated from the esophagus in direct view and continued from the stomach in the retroflexion view using the IT-Knife2. A small perforation occurred when the dissection was halfway completed but was left unclosed until the tumor was removed.

This video demonstrated that circumferential ESD enables both tumor removal and complete eradication of the remaining metaplasia, thereby avoiding the need for subsequent ablative therapies.

When facing a difficult diagnosis, BLI with magnification enables identification of suspicious cancer lesions, circumferential ESD prevents subsequent ablation therapies, and short-segment BE can harbor adenocarcinoma. Stenosis post circumferential ESD can be successfully prevented with the use of steroids.

Read the full article online.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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