Long-term outcomes after noncurative endoscopic resection of early gastric cancer

Post written by Jun Chul Park, MD, from the Division of Gastroenterology, Department of Internal Medicine, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea. Although ESD is performed with curative intent, curative resection of ESD is not always possible. The standard management after noncurative resection (NCR) is additional gastrectomy with lymph node (LN) …

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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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Editor’s Choice: EMR of lateral spreading lesions of the duodenum

Associate Editor Amit Rastogi, MD, FASGE, highlights this article from the October issue "Endoscopic mucosal resection of large and giant lateral spreading lesions of the duodenum: success, adverse events, and long-term outcomes" by Amir Klein, MD, Dhruv Nayyar, MD, Farzan F. Bahin, MBBS (Hons), FRACP, MPhi, et al.  This study describes the short and long …

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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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OTSC-assisted endoscopic resection of gastric submucosal nodule

Shashideep Singhal, MD, from the University of Texas Health Science Center in Houston, Texas describes this video case "Over-the-scope clip-assisted endoscopic resection of gastric submucosal nodule." A 61-year-old woman with refractory dyspepsia underwent upper endoscopy, which showed an incidental gastric submucosal nodule. EUS showed a 1.4-cm nodule arising from the muscularis propria. FNA results were …

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Surgery for benign colon polyps

Rajesh N. Keswani, MD, MS, Associate Professor of Medicine at Northwestern University Feinberg School of Medicine, in Chicago, Illinois, USA describes his article "Adverse events after surgery for nonmalignant colon polyps are common and associated with increased length of stay and costs." Most colon polyps are endoscopically resected with ease. Some polyps require additional expertise …

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Stepwise endoscopic resection

 Alejandro L. Suarez, MD, from the Division of Gastroenterology & Hepatology at the Medical University of South Carolina in Charleston, South Carolina, USA writes about this video case "Stepwise endoscopic resection of a large gastric lipoma causing gastric outlet obstruction and GI bleeding." Lipomas of the gastrointestinal tract are slow growing tumors commonly found incidentally. …

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Removal of large GI stromal tumor at esophagogastric junction

Payal Saxena, MD, from Johns Hopkins Hospital in Baltimore, Maryland, USA and the Royal Prince Alfred Hospital in Sydney, Australia describes this video case "Submucosal tunneling and en bloc endoscopic resection facilitates laparoscopic transgastric removal of a large GI stromal tumor at the esophagogastric junction." Endoscopic resection of gastrointestinal stromal tumor (GIST) of the esophagogastric …

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Cost analysis for complex colon polyps

Ryan Law, DO¹ and Sachin Wani, MD² discuss their article "Endoscopic resection is cost-effective compared with laparoscopic resection in the management of complex colon polyps: an economic analysis." We performed a cost-effectiveness analysis comparing laparoscopic and endoscopic resection strategies in patients with complex colon polyps and sought to identify predictors that determine cost-effectiveness. Mounting evidence …

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Retroflexed endoscopic full-thickness resection

Xuefeng Lu, MD, from Qilu Hospital, Shandong University School of Medicine, in Jinan, China discusses this New Methods article "Facilitating retroflexed endoscopic full-thickness resection through loop-mediated or rope-mediated countertraction (with videos)." Our study focused on providing simple and effective methods to provide counter-traction during endoscopic resection of gastric submucosal tumors. Compared to laparoscopic surgery, endoscopic …

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