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 …
Tag: endoscopic submucosal dissection
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 …
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 …
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 …
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 …
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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Endoscopic full-thickness resection of colorectal lesions: a systematic review and meta-analysis
Post written by Russell D. Dolan, MD, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. As techniques have advanced to improve endoscopic removal of large lesions within the colon and rectum to serve as alternatives to surgery, endoscopic mucosal resection (EMR) and endoscopic submucosal dissection …
ESD removal of submucosal embedded fish bone in the esophagus
Post written by Hon Chi Yip from the Division of Upper Gastrointestinal and Metabolic Surgery at Prince of Wales Hospital at the Chinese University of Hong Kong. This video demonstrated successful removal of a fish bone that was deeply embedded inside the submucosa of proximal esophagus using the endoscopic submucosal dissection (ESD) technique. This video …
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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 …