Endoscopic submucosal dissection of a gastric adenocarcinoma of fundic-gland type

Post written by Lady Katherine Mejia Perez, MD, and Kyungran Justina Cho, MD, PhD, from the Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic, Erica Savage, MD, from the Department of Pathology and Laboratory Medicine, Cleveland Clinic, and Amit Bhatt, MD, from the Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic, Cleveland, Ohio, USA. We describe a unique case of a large well-differentiated gastric …

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Bridge the GAPPS (gastric adenocarcinoma and proximal polyposis syndrome)

Post written by Suchapa Arayakarnkul, MD, from the Department of Medicine, University of Minnesota, Minneapolis, and Daniela Guerrero Vinsard, MD, from the Division of Gastroenterology and Hepatology, Minneapolis VA Medical Center, Minneapolis, and Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA. We present a case of gastric adenocarcinoma and proximal polyposis syndrome (GAPPS) and review its …

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Two-stage endoscopic resection for a huge gastric tumor at the fornix

Post written by Nao Takeuchi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. Our video presents a case of two-stage endoscopic resection (TSER) for a large gastric tumor located at the fornix. The tumor, over 10 cm in size, had a villous structure, and a biopsy suggested pyloric gland adenoma. Because of …

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Technical feasibility of salvage endoscopic submucosal dissection after chemoradiation for locally advanced rectal adenocarcinoma

Post written by Galen Leung, MD, from the Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. For this study, we wanted to evaluate the technical feasibility of salvage endoscopic submucosal dissection (ESD) after chemoradiation for locally advanced rectal adenocarcinoma in terms of rates of complete resection of residual tumor and safety profile. Emerging evidence …

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ESD for Barrett’s-associated adenocarcinoma in a patient with decompensated cirrhosis and esophageal varices

Post written by Sonmoon Mohapatra, MD, from the Division of Gastroenterology and Hepatology, Saint Peter’s University Hospital/Rutgers—RWJ Medical School, New Brunswick, New Jersey, USA. A 65-year-old woman with a history of Barrett’s esophagus, decompensated alcoholic cirrhosis (MELD 8, Child Pugh class B) complicated by ascites, esophageal varices, gastric antral vascular ectasia, hepatic encephalopathy, and severe …

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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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Editor’s Choice: Risk factors for gastric adenocarcinoma

Associate Editor, Dr. Sharmila Anandasabapathy, highlights this article from the April issue “Association of gastric intestinal metaplasia and East Asian ethnicity with the risk of gastric adenocarcinoma in a U.S. population” by Alyssa Y. Choi, MD, et al.  In the United States, gastric adenocarcinoma is the forgotten stepchild, often believed to be a disease of …

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