Post written by Kais Zakharia, MD, from the Division of Gastroenterology, University of Massachusetts Chan Medical School–Baystate Medical Center, Springfield, Massachusetts, USA. Barrett’s esophagus (BE) remains the only known precursor to esophageal adenocarcinoma and, although the risk of progression varies with segment length and degree of dysplasia, endoscopic management has increasingly replaced surgery in well-selected patients. In …
Tag: endoscopic submucosal dissection
Endoscopic resection of gastric subepithelial lesions: techniques and tips
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, and Fateh Bazerbachi, MD, from CentraCare, St. Cloud, Minnesota, USA. This article presents the different endoscopic modalities for resecting gastric subepithelial lesions (SELs) including: Submucosal tunneling endoscopic resection Full-thickness resection using the gastric full-thickness resection device Endoscopic submucosal dissection Exposed endoscopic full-thickness resection Laparoscopic endoscopic cooperative surgery …
Continue reading Endoscopic resection of gastric subepithelial lesions: techniques and tips
Usefulness of gel immersion endoscopy for endoscopic resection in stomachs with residue
Post written by Hiroki Hayashi, MD, from the Division of Gastroenterology, Department of Medicine, Jichi Medical University, Shimotsuke, Japan. EMR and endoscopic submucosal dissection are widely used for treating intramucosal gastric neoplasms. However, securing a clear visual field in a stomach with residue is challenging. In this article, we present 2 cases in which tumors …
Minimizing bleeding risks during gastric neuroendocrine tumor endoscopic submucosal dissection by pre-emptive EUS-guided epinephrine injection
Post written by Radhika Chavan, MD, DNB, FISG, FASGE, from Bharati Vidyapeeth, Katraj, India. A 38-year woman presented with upper GI bleeding. During evaluation, it was detected she had a large subepithelial lesion in the midbody of the stomach. Further evaluation with EUS revealed a large hypoechoic lesion confined to the submucosa with a large …
Endoscopic submucosal dissection for drainage of esophageal abscess with fish bone extraction
Post written by Abel Joseph, MD, and Joo Ha Hwang, MD, PhD, from the Division of Gastroenterology and Hepatology, Stanford University, Stanford, California, USA. A 49-year-old woman with systemic lupus erythematosus and pulmonary hypertension presented with severe odynophagia after accidentally ingesting a fish bone. Initial CT imaging revealed linear density in the upper esophagus. Although an initial endoscopy did not identify …
Endoscopic submucosal dissection in the management of bleeding duodenal tumors refractory to conventional therapy
Post written by Daryl Ramai, MD, MPH, MSc, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, USA. A 94-year-old woman presented with melena and a significant drop in hemoglobin. Imaging with computed tomography revealed an intramural gastric antral mass extending into the proximal duodenum, and endoscopy demonstrated a large, bleeding pedunculated …
Endoscopic submucosal dissection of a giant gastric polyp
Post written by Fatih Aslan, MD, from Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. This video demonstrates en bloc endoscopic submucosal dissection (ESD) of a giant gastric polyp extending from the cardia to the antrum in a 36-year-old woman presenting with alarm symptoms including nausea, vomiting, weight loss, and iron deficiency anemia requiring monthly parenteral …
Continue reading Endoscopic submucosal dissection of a giant gastric polyp
Closure of gastric mucosal defects using the reopenable-clip over-the-line method to decrease the risk of bleeding after endoscopic submucosal dissection: a multicenter propensity score–matched case-control study (with video)
Post written by Tatsuma Nomura, MD, from the Department of Gastroenterology, Suzuka General Hospital, Suzuka, and Shinya Sugimoto, MD, from the Department of Gastroenterology, Ise Red Cross Hospital, Ise, Japan. A retrospective study was conducted to analyze endoscopic submucosal dissection (ESD) procedures performed between January 2012 and March 2024. Patients were classified into 2 groups: a nonclosure group, where …
Saline immersion endoscopic submucosal dissection for management of early Barrett’s esophagus adenocarcinoma and large esophageal varices
Post written by Giuliano Francesco Bonura, MD, from the Gastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, Carpi, Italy. A 65-year-old man was referred to our unit with long-segment Barrett’s esophagus (Prague C6, M10) with 2 bulky adjacent sessile lesions (30 mm and 15 mm) positive for adenocarcinoma at biopsies. Magnification endoscopy with narrow-band imaging …
Hybrid endoscopic submucosal dissection and endoscopic full-thickness resection for R0 resection of T1 colonic adenocarcinoma
Post written by Rahul Karna, MD, from the University of Minnesota, Minneapolis, Minnesota, USA, and Mohammad Bilal, MD, from the University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA. In this case, we describe management of a 35-mm malignant colon polyp in a patient at high risk for surgery. Colonoscopic exam revealed a nonpolypoid lesion (Paris classification IIa+IIc) in the …
endoscopedia.com 