Post written by Carlos E. Bertran-Rodriguez, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth Orlando, Orlando, Florida, USA. Our video demonstrates use of a novel robotic—assisted traction device (TraCloser; EndoRobotics, Seoul, South Korea) during colorectal endoscopic submucosal dissection (ESD) of a rectal 60-mm laterally spreading granular tumor. The robotic gripper arm allowed real-time adjustments for dynamic …
Tag: endoscopic submucosal dissection
Editor’s Choice: Economic impact and utilization trends of peroral endoscopic myotomy and endoscopic submucosal dissection
GIE Associate Editor Edward C. Villa, MD, FASGE, FACG, AGAF, highlights this article from the June issue: “Economic impact and utilization trends of peroral endoscopic myotomy and endoscopic submucosal dissection” by Julietta Gervase, BA, et al. For anyone looking into expanding into “the realm of the third space,” system challenges and waning administrative support and implementation because of cost considerations …
Top tips for the endoscopic management of incompletely resected polyps (with videos)
Post written by Jeffrey D. Mosko, MD, MSc, FASGE, FRCPC, from the Division of Gastroenterology, St Michael's Hospital, Toronto, Ontario, Canada. This article presents a practical, algorithmic approach to managing incompletely resected colorectal polyps. It covers 8 tips spanning prevention, optimization of standard EMR with margin ablation, adjunctive techniques for fibrotic tissue (hot avulsion, cold avulsion followed …
Editor’s Choice: Effectiveness of self-assembling peptide in reducing bleeding after colorectal endoscopic submucosal dissection
GIE Associate Editor Seiichiro Abe, MD, PhD, FASGE, FJGES, highlights this article from the April issue: “Effectiveness of self-assembling peptide in reducing bleeding after colorectal endoscopic submucosal dissection” by Takeshi Yamamura, MD, PhD, et al. Delayed bleeding is an important adverse event after colorectal endoscopic submucosal dissection (ESD). It increases the burden of post-ESD monitoring and management. Yamamura et …
Underwater versus traction-assisted endoscopic submucosal dissection for colorectal lesions: a network meta-analysis of randomized controlled trials
Post written by Roberto de Sire, MD, PhD, from the Endoscopy Unit, Gastroenterology Department, Humanitas Research Hospital IRCCS, Rozzano, and the IBD Unit, Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy. Our study explored a timely and practical question in therapeutic endoscopy: among the newer endoscopic submucosal dissection (ESD) strategies developed for colorectal lesions, …
Set-up and use of the “Asclepius tube”: a slim drainage tube to facilitate saline-immersion endoscopic submucosal dissection
Post written by Edward J. Despott, MD, FRCP, FEBGH, FASGE, 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. Our video showcases the practical implementation of the “Asclepius tube,” an innovative, simple drainage system designed for …
Clinical characteristics analysis of anorectal function changes after endoscopic submucosal dissection for rectal lesions
Post written by Pin Wang, MM, from The First Affiliated Hospital of Nanjing Medical University and Nanjing Mei Shan Hospital and Bixing Ye, MD, Guoxin Zhang, MD, Lin Lin, MD, and Liuqin Jiang, MD, from The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. This study systematically evaluates anorectal function changes following endoscopic submucosal dissection (ESD) for rectal lesions. We assessed incidence, characteristics, and temporal patterns of postoperative …
Clinical outcomes of endoscopic submucosal dissection for residual neoplasia after incomplete resection of large nonpedunculated colorectal polyps: a large multicenter propensity match study (with video)
Post written by Ernesto Robalino Gonzaga, MD, from Gastroenterology and Hepatology, AdventHealth Medical Group, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Our study evaluated the clinical outcomes of endoscopic submucosal dissection (ESD) for residual neoplasia after incomplete endoscopic resection of large nonpedunculated colorectal polyps. Specifically, we compared outcomes of ESD performed as salvage …
The saline-immersion/irrigation technique for endoscopic submucosal dissection of a challenging colonic lesion using double-balloon endoscopy and a novel type of advanced imaging
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 …
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 …
