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: endoscopic submucosal dissection
Set-up and use of the “Asclepius tube”: a slim drainage tube to facilitate saline-immersion endoscopic submucosal dissection
Post written by Edward J. Despott, MD, FRCP, FEBGH, FASGE, MD (Res), Elisabet Maristany Bosch, MD, and Georgios Kalopitas, MD, PhD, from the Royal Free Unit for Endoscopy, The Royal Free Hospital and University College London Institute for Liver and Digestive Health, London, United Kingdom. Our video showcases the practical implementation of the “Asclepius tube,” an innovative, simple drainage system designed for …
Clinical characteristics analysis of anorectal function changes after endoscopic submucosal dissection for rectal lesions
Post written by Pin Wang, MM, from The First Affiliated Hospital of Nanjing Medical University and Nanjing Mei Shan Hospital and Bixing Ye, MD, Guoxin Zhang, MD, Lin Lin, MD, and Liuqin Jiang, MD, from The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. This study systematically evaluates anorectal function changes following endoscopic submucosal dissection (ESD) for rectal lesions. We assessed incidence, characteristics, and temporal patterns of postoperative …
Clinical outcomes of endoscopic submucosal dissection for residual neoplasia after incomplete resection of large nonpedunculated colorectal polyps: a large multicenter propensity match study (with video)
Post written by Ernesto Robalino Gonzaga, MD, from Gastroenterology and Hepatology, AdventHealth Medical Group, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Our study evaluated the clinical outcomes of endoscopic submucosal dissection (ESD) for residual neoplasia after incomplete endoscopic resection of large nonpedunculated colorectal polyps. Specifically, we compared outcomes of ESD performed as salvage …
The saline-immersion/irrigation technique for endoscopic submucosal dissection of a challenging colonic lesion using double-balloon endoscopy and a novel type of advanced imaging
Post written by Edward John Despott, MD, FRCP, FEBGH, FASGE, FJGES, FESGE, MD (Res), Elisabet Maristany Bosch, MD, and Georgios Kalopitas, MD, PhD, from the Royal Free Unit for Endoscopy, The Royal Free Hospital and University College London Institute for Liver and Digestive Health, London, United Kingdom. We present a case of endoscopic submucosal dissection (ESD) of an 80-mm sessile lesion of …
A >30-cm circumferential rectal laterally spreading tumor treated with multitunnel endoscopic submucosal dissection and suturing
Post written by Fatih Aslan, MD, from Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. This video presents a case of multitunnel endoscopic submucosal dissection (ESD) followed by endoscopic suturing in a patient with an approximately >30-cm-long circumferential laterally spreading tumor located in the rectum. A 51-year-old woman presenting with diarrhea underwent colonoscopic evaluation, which revealed a large circumferential laterally …
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 …
Anchor-pronged clip–assisted countertraction in submucosal tunneling endoscopic resection and endoscopic submucosal dissection: a novel technique for submucosal tumors
Post written by Georgios Mavrogenis, MD, from the Third Space Endoscopy Unit, Mediterraneo Hospital, Athens, Greece. Resection of submucosal tumors by means of endoscopic submucosal dissection (ESD) or submucosal tunneling endoscopic resection (STER) is associated with several technical challenges. In particular, access to the tumor base is often limited because of firm attachment to the muscularis propria. …
Short-term outcomes of endoscopic submucosal dissection for suspected T1 colorectal cancers: a European experience
Post written by Rixta A.H. van Eijck van Heslinga, MD, and Leon M.G. Moons, MD, PhD, from the Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht, The Netherlands. The management of colorectal polyps with suspected deep submucosal invasive carcinoma (d-SMIC) remains a subject of ongoing debate. Optical assessment often overestimates the risk of d-SMIC, resulting in unnecessary surgeries for …
Bleeding rectal pseudoaneurysm following endoscopic submucosal dissection managed with endoscopic ultrasound—guided absorbable gelatin sponge injection
Post written by Agnieszka Maniak, MD, and Irving Waxman, MD, from Rush University Medical Center, Center for Interventional Endoscopy, Chicago, Illinois, USA. Our case features a 74-year-old woman who presented with recurrent hematochezia despite conventional endoscopic hemostasis following endoscopic submucosal dissection (ESD) of a 50-mm rectal polyp. During her second presentation for hematochezia, the patient underwent a CT angiography that …
endoscopedia.com 