Conscious transnasal hybrid ESD enables safe and painless en bloc resection

Post written by Yohei Minato, MD, from the NTT Medical Center, Tokyo, Japan. With the transnasal endoscopy, we successfully performed hybrid endoscopic submucosal dissection (ESD) of an early gastric cancer without sedation. Endoscopic Submucosal Dissection (ESD) is a technically demanding and time-consuming procedure, which is usually performed under sedation. Recently, hybrid ESD was developed as …

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Endoclip-assisted giant colon lipoma resection

Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. We reported a case of a symptomatic giant sigmoid colon lipoma (7 cm × 6 cm) that was successfully removed with endoclip assisted dissection. Considering its size, thick stalk, and the possibility …

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Bouveret syndrome: a tough nut to crack

Post written by Ijlal Akbar Ali, MD, from the Department of Digestive Diseases and Nutrition, Oklahoma University Health Sciences Center, Oklahoma City, Oklahoma, USA. We describe a case of a morbidly obese woman who presented to the emergency room with a 3-day history of right upper-quadrant abdominal pain. CT scan obtained demonstrated a 3-cm gallstone …

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Endoscopic full-thickness resection of a gastric GI stromal tumor

Post written by Vincent Huberty, MD, from the Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. This is a video case report of a 76-year-old woman diagnosed with a 23-mm gastric GIST located in the fundus, on the greater curvature. Workup (including fine-needle aspiration, bite-to-bite biopsies, and EUS) …

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Successful ex-vivo probe-based confocal laser endomicroscopy of a superficial nonampullary duodenal epithelial tumor

Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 65-year-old woman was found to have a flat-elevated tumor measuring approximately 55 mm in diameter in the second part of the duodenum by endoscopy. The preoperative histological diagnosis by biopsy sampling was high-grade intraepithelial neoplasia. …

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A small adenocarcinoma in the cervical esophagus

Post written by Kyosuke Tanaka, MD, PhD, from the Department of Endoscopy, Mie University Hospital, Tsu, Japan. This article presents a rare case of cervical esophageal adenocarcinoma. In this case, image-enhanced magnifying endoscopy showed clear diagnosis of adenocarcinoma, and the endoscopic resection was successful. Careful observation of the cervical esophagus could lead to the detection …

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Bite-on-bite technique for removal of a gastric subepithelial lipoma

Post written by Dean Ehrlich, MD, from the Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California, USA. This video showcases the bite-on-bite technique as an approach for the diagnosis and removal of gastric subepithelial lesions. A patient was referred for evaluation of a gastric subepithelial lesion. Using the bite-on-bite technique …

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