Post written by Hiroyuki Aihara, MD, PhD from the Division of Gastroenterology, Hepatology, and Endoscopy at Brigham and Women’s Hospital, Harvard Medical School, in Boston, Massachusetts, USA Two technically challenging endoscopic submucosal dissection (ESD) cases are described in this video. The first gastric ESD was complicated by prior tattooing and incomplete resection, which caused significant …
Tag: endoscopic submucosal dissection
Submucosal tunneling technique using insulated-tip knife in complete circumferential endoscopic submucosal dissection
Kenichiro Imai from the Division of Endoscopy, Shizuoka Cancer Center presents this video case. We demonstrated complete circumferential colorectal endoscopic submucosal dissection (ESD) using an insulated-tip knife. Colonoscopy in a 70-year-old woman showed a 15-cm circumferential laterally spreading tumor (LST) in the upper rectum. Through the use of magnified endoscopy, we diagnosed non-invasive cancer, so we …
ESD multi-tunnel dissection
Jun-Chao Wu, MD, from the Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, in Sichuan, China discusses this New Methods article, "Endoscopic submucosal multi-tunnel dissection for circumferential superficial esophageal neoplastic lesions (with videos)." There are some technical challenges endoscopic submucosal tunnel dissection (ESTD) in treating circumferential esophageal neoplastic lesions. Based on the development …
Large muscle-layer defect closed using endoloop-clips technique
Motohiko Kato, MD, PhD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization, Tokyo Medical Center, in Tokyo, Japan share this video case "A large muscle-layer defect of the stomach caused by endoscopic submucosal dissection is closed by using the endoloop-clips technique." Endoscopic submucosal dissection (ESD) can remove endoscopically even for …
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A novel peptide solution after ESD
Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, in Tokyo, Japan discusses this New Methods article, "A novel fully synthetic and self-assembled peptide solution for endoscopic submucosal dissection-induced ulcer in the stomach." Application of a novel fully-synthetic and self-assembled peptide solution, which functions as an extracellular matrix scaffold …
Propofol sedation during complex upper endoscopy in elderly
Keisuke Hori, MD, PhD, from the Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, in Okayama, Japan discusses this Original Article, "Propofol sedation with a target-controlled infusion pump and bispectral index monitoring system in elderly patients during a complex upper endoscopy procedure." The focus of our study was …
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Simple traction method for gastric ESD
Takuji Gotoda, MD, PhD, FASGE, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, in Tokyo, Japan discusses this Original Article "Usefulness of a traction method using dental floss and a hemoclip for gastric endoscopic submucosal dissection: a propensity score matching analysis (with videos)." Endoscopic submucosal dissection (ESD) represents a significant advancement in therapeutic …
ESD treatment of early cecal cancer
Kinichi Hotta, MD, from the Division of Endoscopy, Shizuoka Cancer Center, in Shizuoka, Japan describes this VideoGIE case "Early cecal cancer adjacent to the appendiceal orifice successfully treated by endoscopic submucosal dissection." The cecal tumor adjacent to the appendiceal orifice (CTAO) is considered one of the most difficult lesions to be treated by endoscopic resection. …
Curative ESD of neoplasms in ulcerative colitis
Federico Iacopini, MD, from the Gastroenterology and Endoscopy Unit, Ospedale S. Giuseppe—ASL Roma H, Albano L, in Rome, Italy discusses this New Methods article "Curative endoscopic submucosal dissection of large nonpolypoid superficial neoplasms in ulcerative colitis (with videos)." This is the first study evaluating the feasibility and clinical impact of endoscopic submucosal dissection (ESD) for …
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Endoscopic incision and cutting procedure for colorectal anastomotic stricture
Fabio Shiguehissa Kawaguti, MD, from the Cancer Institute, São Paulo University Medical School, in São Paulo, Brazil share this VideoGIE case, "Endoscopic radial incision and cutting procedure for a colorectal anastomotic stricture." We present a patient with rectal cancer that was treated by surgical resection and temporary ileostomy and presented colorectal anastomotic stricture at the …
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