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 …
Tag: endoscopic submucosal dissection
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 …
Overcoming challenges in the endoscopic resection of a giant esophageal fibrovascular polyp
Post written by Ahmad Madkour, MD, and Amr Elfouly, MD, from the Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, and Hassan Atalla, MD, from the Hepatology and Gastroenterology Unit, Department of Internal Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt. Esophageal fibrovascular polyps are rare benign tumors. Huge polyps usually necessitate an aggressive type of surgery. Endoscopic removal of …
Segmental layered incision and circumferential endoscopic dissection technique of endoscopic stricturotomy for safe, staged endoscopic dissection of complex luminal stricture
Post written by Partha Pal, MD, DNB, MRCP (UK), FASGE, from the Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India. This video demonstrates a staged endoscopic stricturotomy using the segmental layered incision and circumferential endoscopic dissection (SLICE) technique in a patient with a long, tight fibrotic colonic stricture at the splenic flexure. The stricture was …
Thulium laser–assisted colorectal endoscopic submucosal dissection
Post written by Robert Bechara, MD, from Queen's University, Kingston Health Sciences Center, Kingston, Ontario, Canada. This video demonstrates the use of a thulium laser system for colorectal endoscopic submucosal dissection (ESD) in a 68-year-old man with a 3.5-cm rectal lesion detected following a positive fecal immunochemical test result. The lesion was classified as Paris Is and …
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Safety and feasibility of intensive endoscopic interventions for delayed perforation after colorectal endoscopic submucosal dissection (with video)
Post written by Satoki Shichijo, MD, PhD, from Osaka International Cancer Institute, Osaka, Japan. Endoscopic submucosal dissection (ESD) was performed for 1763 patients with 1845 lesions (right-sided colon, 1018; left-sided colon, 827) between February 2011 and April 2023. Thirty-two delayed perforations (26 between 2011 and 2020; 6 between 2021 and 2023) occurred. Muscle injury occurred during ESD …
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