Post written by Roberto de Sire, MD, PhD, and Roberta Maselli, MD, PhD, FESGE, FJGES, from the the Endoscopy Unit, Gastroenterology Department, Humanitas Research Hospital IRCCS, Rozzano, Italy. Third-space endoscopy is fundamentally a visual discipline. Whether it is endoscopic submucosal dissection or peroral endoscopic myotomy, every procedural decision depends on the operator’s ability to accurately recognize tissue planes and …
Tag: endoscopic submucosal dissection
Multiple traction band—assisted endoscopic submucosal dissection of a giant colorectal lipoma after unsuccessful unroofing
Post written by Hiroshi Yamazaki, MD, and Ken Ohata, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. This video demonstrates endoscopic en bloc resection of a large colorectal lipoma by endoscopic submucosal dissection (ESD), facilitated by multiple traction bands. Unroofing was initially attempted on a 70-mm lipoma, but due to its size and the …
Pharyngeal endoscopic submucosal dissection: detection, technique, and considerations for Western adoption
Post written by Robert Bechara, MD, FRCPC, from the Division of Gastroenterology, Department of Medicine, Queen's University, Kingston, Ontario, Canada, and Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan. Our review focuses on pharyngeal endoscopic submucosal dissection (ESD) for superficial pharyngeal squamous cell carcinoma. When these cancers are detected early and selected …
Saline-immersion technique for endoscopic submucosal dissection with traction for an ileocecal adenoma involving the ileal outlet
Post written by Georgios Mavrogenis, MD, from the Third Space Endoscopy Unit, Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece. This video demonstrates endoscopic submucosal dissection (ESD) of a 4-cm nongranular adenoma involving the ileocecal valve with extension into the terminal ileum—one of the most technically demanding locations for colorectal ESD. The procedure combined saline-immersion ESD with dynamic …
Multitraction point strategy for endoscopic submucosal dissection in managing difficult colorectal lesions
Post written by Abdulrahman Qatomah, MBBS, from Gastroenterology, Endoscopy and Hepatology, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. We present a multitraction point (MTP) technique designed to facilitate endoscopic submucosal dissection (ESD) for difficult-to-access colorectal lesions. This approach is particularly useful for large lesions with suboptimal submucosal exposure, where perpendicular rather than tangential dissection …
Robotic-assisted traction and closure during colorectal endoscopic submucosal dissection
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 …
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, …
