Submucosal tunneling technique using insulated-tip knife in complete circumferential endoscopic submucosal dissection

Kenichiro Imai from the Division of Endoscopy, Shizuoka Cancer Center presents this video case. We demonstrated complete circumferential colorectal endoscopic submucosal dissection (ESD) using an insulated-tip knife. Colonoscopy in a 70-year-old woman showed a 15-cm circumferential laterally spreading tumor (LST) in the upper rectum. Through the use of magnified endoscopy, we diagnosed non-invasive cancer, so we …

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Needle-knife polypectomy in the duodenum

Post written by David Prichard, MB., BCh., PhD, from the Division of Gastroenterology, Mayo Clinic Health System La Crosse, La Crosse, Wisconsin, USA This video discussed the evaluation and management options for a large pedunculated duodenal polyp. It demonstrates, in a stepwise fashion, the process we utilized to perform the polypectomy. Polypectomy in the duodenum is …

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A case of ampullary follicular lymphoma

  Victoria Gomez, MD and Lady Katherine Mejia Perez, MD from the Department of Gastroenterology and Hepatology at the Mayo Clinic, Jacksonville, Florida present this video case. We describe the case of a 65-year-old man who was diagnosed with follicular lymphoma of the ampulla of Vater. He underwent an EGD for evaluation of long-standing symptoms …

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pCLE and solitary rectal ulcer syndrome

Post written by Yunlu Feng, MD,  and Aiming Yang, MD, from the Department of Gastroenterology, Peking Union Medical College Hospital, in Beijing, China Our article reported a 34-year-old male Chinese patient who presented with feeling of incomplete defecation and abdominal pain for more than 10 years. Colonoscopy showed a single rectal ulcer. Magnetic resonance imagine showed localized rectal …

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Endoscopic management of malignant ileovesicular fistula

Toufic Kachaamy, MD, from the Western Regional Medical Center at Cancer Treatment Center of America, Goodyear, Arizona, USA, presents this video case "Successful endoscopic management of a malignant ileovesicular fistula." A 56-year-old man with history of metastatic colon cancer and prior treatment with subtotal colectomy, ileostomy, and multiple lines of chemotherapy presented with a few …

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Successful removal of esophageal submucosal tumor

Successful removal of an esophageal submucosal tumor by submucosal tunneling endoscopic resection technique Hiroyuki Aihara, MD, PhD The Division of Gastroenterology, Hepatology and Endoscopy Brigham and Women’s Hospital Boston, Massachusetts, USA In this video, we describe a case of submucosal esophageal tumor successfully removed by a submucosal tunneling endoscopic resection (STER) technique. This is a …

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Endoscopic management of a gastrocolonic fistula

Toufic Kachaamy, MD, from the Western Regional Medical Center at Cancer Treatment Center of America, Goodyear, Arizona, USA, present this video case "Endoscopic management of a gastrocolonic fistula." A 55-year-old man presented with dysphagia secondary to esophageal adenocarcinoma. He underwent an esophageal stent placement with significant improvement in his dysphagia. His esophageal stent migrated a month …

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Perforation closure using polyglycolic acid sheets and fibrin glue

Yoshiki Sakaguchi, MD, PhD, Yosuke Tsuji, MD, PhD, Kazuhiko Koike, MD, PhD, Mitsuhiro Fujishiro, MD, PhD, and Kazuhiko Koike, MD, PhD from the University of Tokyo in Tokyo, Japan discuss their video case "Successful closure of a large perforation during colorectal ESD by application of polyglycolic acid sheets and fibrin glue." The shielding method with polyglycolic …

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OTSC-assisted endoscopic resection of gastric submucosal nodule

Shashideep Singhal, MD, from the University of Texas Health Science Center in Houston, Texas describes this video case "Over-the-scope clip-assisted endoscopic resection of gastric submucosal nodule." A 61-year-old woman with refractory dyspepsia underwent upper endoscopy, which showed an incidental gastric submucosal nodule. EUS showed a 1.4-cm nodule arising from the muscularis propria. FNA results were …

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pCLE for differential diagnosis of gastric tubular adenoma and IM

Elisa Ryoka Baba, MD, from the Institute of Cancer of the Department of Gastroenterology, University of São Paulo Medical School, in São Paulo, Brazil writes about this video case "Probe-based confocal laser endomicroscopy for the differential diagnosis of gastric tubular adenoma and intestinal metaplasia in a patient with severe atrophic pangastritis." We reported a 65-year-old …

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