ESD removal of large superficial tumor

Post written by Maiko Takita, MD, from the Department of Gastroenterology, NTT Medical Center Tokyo, in Tokyo, Japan Endoscopic resection for cecal tumors extending to the appendiceal orifice is difficult because the margin cannot be often tracked entirely, in addition to the higher risk of perforation. Here we report a case of a colonic tumor …

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Through one tunnel, POEM, STER, and STED simultaneously operated

Enqiang Linghu from the Department of Gastroenterology, Hepatology and Endoscopy at Chinese PLA General Hospital, Beijing, China presents this video case. The video demonstrated 3 kinds of submucosal tunneling techniques that were simultaneously performed through 1 tunnel in a 53-year-old female patient, namely submucosal tunneling endoscopic resection (STER), submucosal tunneling endoscopic diverticulotomy (STED), and per-oral …

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Countertraction in ESD

Post written by Hiroyuki Aihara, MD, PhD from the Division of Gastroenterology, Hepatology, and Endoscopy at Brigham and Women’s Hospital, Harvard Medical School, in Boston, Massachusetts, USA Two technically challenging endoscopic submucosal dissection (ESD) cases are described in this video. The first gastric ESD was complicated by prior tattooing and incomplete resection, which caused significant …

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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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