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

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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

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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

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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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Incidence and impact of scheduled endoscopic surveillance on recurrence after curative endoscopic resection for early gastric cancer

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Post written by Kyu Yeon Hahn and Jun Chul Park from the Division of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea The focus of our study was to identify the incidence of recurrent lesions after endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) and to determine whether …

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Needle-knife polypectomy in the duodenum

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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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Histologic intestinal metaplasia and endoscopic atrophy are predictors of gastric cancer development after Helicobacter pylori eradication

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Satoki Shichijo and Yoshihiro Hirata from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, describe this Original Article published in GIE. We reported a retrospective, endoscopy-based, long-term cohort study to elucidate the risk factors for gastric cancer development after Helicobacter pylori (H. pylori) eradication.  We assessed histologic and endoscopic findings of gastritis …

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Rendezvous endoscopic access and treatment of esophagopleural fistula

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Post written by Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, New York, USA This case describes a patient with obstructive esophageal cancer dependent on PEG feeding for nutrition who developed an esophagopleural fistula at the level of the malignant stenosis with resultant hydropneumothorax requiring chest tube …

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Tip-in EMR for R0 resection

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Post written by Hsiyuan Chien,¹ MD, and Kenichiro Imai,² MD ¹Division of Gastroenterology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan ²Division of Endoscopy, Shizuoka Cancer Center, Shizuoka Japan In this video case, colonoscopy in a 42-year-old-female showed a lateral spreading tumor granular homogeneous type, 30mm in diameter at the ascending …

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EMR of large and giant lateral spreading lesions of the duodenum

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Post written by Amir Klein, MD, from the Endoscopy Unit, Westmead Hospital, in Westmead, New South Wales, Australia This study investigates the short and long term outcomes of endoscopic mucosal resection (EMR) of large duodenal adenomas. Large sporadic duodenal adenomas are uncommon, but harbor a malignant potential, which requires consideration of definitive treatment. EMR may …

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ERCP development in the largest developing country: a national survey from China in 2013

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Lei Xin, Liang-Hao Hu, and Zhao-Shen Li from Changhai Hospital, The Second Military Medical University, Shanghai, China describe their article published in the October issue of GIE. This study evaluated the ERCP development in the largest developing country, China, between 2006 and 2012, when the ERCP volume in developed countries decreased. In developed countries, the …

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