Endoscopic submucosal dissection in the right lateral position for early gastric cancer in the fornix

Post written by Hiromu Fukuda, MD, from the Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, Suita, Japan. In this video case, we show the usefulness of endoscopic submucosal dissection (ESD) in the right lateral position (RLP) for early gastric cancer (EGC) in the fornix. ESD of EGC in the fornix is challenging …

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Technical feasibility of salvage endoscopic submucosal dissection after chemoradiation for locally advanced rectal adenocarcinoma

Post written by Galen Leung, MD, from the Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. For this study, we wanted to evaluate the technical feasibility of salvage endoscopic submucosal dissection (ESD) after chemoradiation for locally advanced rectal adenocarcinoma in terms of rates of complete resection of residual tumor and safety profile. Emerging evidence …

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Endoscopic submucosal dissection with ductotomy for the resection of a gastric duplication cyst with a communicating duct

Post written by Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology Hepatology and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. A 40-year-old woman with persistent upper abdominal pain was found to have a 3-cm subepithelial lesion in the prepyloric area and was referred to our center. EUS showed an anechoic cyst in the …

Continue reading Endoscopic submucosal dissection with ductotomy for the resection of a gastric duplication cyst with a communicating duct

Efficacy and safety comparison of scissor-type knives with needle-type knives for colorectal endoscopic submucosal dissection: a post-hoc propensity score–matched analysis (with videos)

Post written by Toshio Kuwai, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan. In this study, we primarily focused on the safety of colorectal endoscopic submucosal dissection (ESD) using a scissor-type knife in comparison to a needle-type knife. For more information, please visit our …

Continue reading Efficacy and safety comparison of scissor-type knives with needle-type knives for colorectal endoscopic submucosal dissection: a post-hoc propensity score–matched analysis (with videos)

A specimen collection technique to ensure that the resected specimen is safely retrieved after duodenal endoscopic submucosal dissection

Post written by Marie Kurebayashi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. This video describes the collection method for duodenal specimens resected by endoscopic submucosal dissection (ESD). With this method, we leave a thin bundle of about 1 mm of submucosal fibers for the linkage of the resected specimen …

Continue reading A specimen collection technique to ensure that the resected specimen is safely retrieved after duodenal endoscopic submucosal dissection

Endoscopic submucosal dissection to treat squamous cell carcinoma in situ of the anal canal

Post written by Michael Lajin, MD, from SHARP HealthCare, San Diego, California, USA. The standard treatment for squamous cell anal cancer is chemoradiation treatment. A few case reports from Japan address resecting early squamous cell anal cancer by endoscopic submucosal dissection (ESD). We presented a case series of squamous carcinoma in situ of the anal canal …

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Effectiveness of clip-and-thread traction-assisted duodenal endoscopic submucosal dissection: a propensity score–matched study (with video)

Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. The indications for endoscopic submucosal dissection (ESD) in superficial nonampullary duodenal epithelial tumors (SNADETs) remain controversial because the procedure is technically challenging. The aim of this study was to compare the effectiveness of duodenal traction-assisted …

Continue reading Effectiveness of clip-and-thread traction-assisted duodenal endoscopic submucosal dissection: a propensity score–matched study (with video)

Gauze extension method for specimens resected by endoscopic submucosal dissection

Post written by Satoshi Ono, MD, PhD, from the Department of Gastroenterology, Chiba-Nishi General Hospital, Matsudo, Chiba, Department of Gastroenterology, Tokyo Metropolitan Geriatric Medical Center, and Department of Gastroenterology, The University of Tokyo Hospital, Tokyo, Japan. Nowadays, endoscopic resection has been accepted as a reliable choice for gastrointestinal neoplasms. Many endoscopists perform endoscopic resections, including …

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Endoscopic submucosal dissection using traction by a spring-and-loop with clip for a laterally spreading tumor in the inferior aspect of the cecum: a nonreferral center experience

Post written by Yohei Koyama, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Tokyo, Japan. Endoscopic submucosal dissection (ESD) has been widely accepted as a minimally invasive treatment for early colorectal neoplasms. However, cecal ESD remains a challenging treatment owing to the anatomical features of the cecum, such as the thin …

Continue reading Endoscopic submucosal dissection using traction by a spring-and-loop with clip for a laterally spreading tumor in the inferior aspect of the cecum: a nonreferral center experience

Endoscopic submucosal dissection for a laterally spreading ampullary carcinoma

Post written by Osamu Dohi, MD, PhD, from Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan. We performed endoscopic submucosal dissection (ESD) for a laterally spreading ampullary carcinoma 3 cm in size because it was expected to be difficult to completely resect the lesion by endoscopic papillectomy …

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