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.
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