Optimizing histopathologic evaluation of EMR specimens of Barrett’s esophagus–related neoplasia

Post written by Anouk Overwater, MD, from the Department of Gastroenterology and Hepatology, St Antonius Hospital, Nieuwegein, and the Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands. The main question of this study is which specimen handling method results in an optimal histopathological evaluation of endoscopic resection specimens of …

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Usefulness and safety of colorectal precutting EMR and hybrid ESD for sessile serrated polyps

Post written by Yuzuru Tamaru, MD, PhD, from the Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Kure, Japan. In this report, we present 2 cases of precutting endoscopic mucosal resection (EMR)/hybrid endoscopic submucosal dissection (ESD) with a circumferential incision and partial dissection followed by snare resection via SOUTEN. We also …

Continue reading Usefulness and safety of colorectal precutting EMR and hybrid ESD for sessile serrated polyps

Outcome of EMR in Barrett’s esophagus determined by systematic quantification of epithelial glands using VLE

Post written by Amrit K. Kamboj, MD, and Cadman L. Leggett, MD, from the Department of Internal Medicine and Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Volumetric laser endomicroscopy (VLE) is an advanced imaging modality that uses optical coherence tomography to capture real-time, high-resolution, cross-sectional images of the esophagus. Epithelial glands are …

Continue reading Outcome of EMR in Barrett’s esophagus determined by systematic quantification of epithelial glands using VLE

Precutting EMR with full or partial circumferential incision with a snare tip

Post written by Naohisa Yoshida, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan. We herein introduce 2 cases in which precutting EMR with a snare was performed. The first case was a IIa+IIc lesion 10 mm in size on the sigmoid …

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False sense of security: a case of retroperitoneal perforation after colonic EMR

Post written by Leonardo Zorron Cheng Tao Pu, MD, MSc, FBCS, FASGE, from the Department of Gastroenterology, Lyell McEwin Hospital, Adelaide, Australia. In our video a 61-year-old woman was submitted to piecemeal EMR for a large lateral spreading tumor at the recto-sigmoid junction. After the second piece was resected, we noted a suspicious area of …

Continue reading False sense of security: a case of retroperitoneal perforation after colonic EMR

EMR is superior to rectal suction biopsy for analysis of enteric ganglia in constipation and dysmotility

Post written by Kenneth Barshop, MD, from the Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. This study demonstrated a potential new application of an existing technique, endoscopic mucosal resection (EMR), to aid in the diagnosis of Hirschsprung’s Disease. While EMR has been established as a therapeutic and diagnostic procedure …

Continue reading EMR is superior to rectal suction biopsy for analysis of enteric ganglia in constipation and dysmotility

EMR with an over-the-scope clip for superficial nonampullary duodenal epithelial tumor with fibrosis

Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 52-year-old man was found to have a flat-elevated tumor measuring approximately 10 mm in diameter in the second part of the duodenum. First, the border of the target lesion was marked using the tip of …

Continue reading EMR with an over-the-scope clip for superficial nonampullary duodenal epithelial tumor with fibrosis