Post written by Roberto de Sire, MD, PhD, from the Endoscopy Unit, Gastroenterology Department, Humanitas Research Hospital IRCCS, Rozzano, and the IBD Unit, Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy. Our study explored a timely and practical question in therapeutic endoscopy: among the newer endoscopic submucosal dissection (ESD) strategies developed for colorectal lesions, …
Tag: colorectal lesions
Saline-tunneling endoscopic submucosal dissection for residual rectal lesion at anastomotic staple line
Post written by Taranika Sarkar Das, MD, from The Brooklyn Hospital, Brooklyn, New York, and Matheus Franco, MD, PhD, from the Division of Gastroenterology and Human Nutrition at the University of Texas Health San Antonio and UT Health San Antonio’s Multispecialty and Research Hospital, San Antonio, Texas, USA. We present a case of a 67-year-old man with prior T3N1M0 rectal …
The submucosal pinch technique: a novel traction method for large colorectal endoscopic submucosal dissection
Post written by Tomoya Kimura, MD, from NTT Medical Center Tokyo, Tokyo, Japan. We introduce the pinch technique, a novel and effective traction method for endoscopic submucosal dissection in large colorectal lesions. This technique uses the “SureClip Traction Band” (Micro-Tech, Nanjing, China) to grasp lesion edges together, representing a completely new approach. It is particularly beneficial for …
Interobserver agreement of the modified Paris classification and histology prediction of colorectal lesions in patients with inflammatory bowel disease
Post written by Nayantara Coelho-Prabhu, MD, Associate Professor of Medicine from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. This study was performed to assess the interobserver variability in application of the recommended Paris classification to describe the morphology of visible dysplasia in inflammatory bowel disease (IBD) colonoscopies. There is a lack of …
Underwater versus conventional EMR for nonpedunculated colorectal lesions: a randomized clinical trial
Post written by Luciano Lenz, PhD, from the Instituto do Cancer do Estado de São Paulo, and Fleury Medicina e Saude, São Paulo, São Paulo, Brazil. The focus of our study was to compare recurrence after underwater endoscopic mucosal resection (UEMR) and after conventional endoscopic mucosal resection (CEMR) for naïve nonpedunculated lesions. This study is important …
Technical difficulty in colorectal ESD
Kenichiro Imai, MD from the Division of Endoscopy, Shizuoka Cancer Center in Shizuoka, Japan discusses "Preoperative indicators of failure of en bloc resection or perforation in colorectal endoscopic submucosal dissection: implications for lesion stratification by technical difficulties during stepwise training." This study assessed predictors for failure of en bloc resection and perforation in colorectal endoscopic …
Endocytoscopic vascular pattern for colorectal lesions
Shin-ei Kudo, MD, PhD, from the Digestive Disease Center, Showa University, Northern Yokohama Hospital, in Yokohama, Japan presents this Original Article "Endocytoscopic microvasculature evaluation is a reliable new diagnostic method for colorectal lesions (with video)." We clarified the efficacy of endocytoscopic vascular pattern (EC-V) for colorectal lesions. The diagnostic accuracy of EC-V was comparable to …
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