Post written by Wen-Lun Wang, MD, PhD, and Ching-Tai Lee, MD, from the Department of Gastroenterology and Hepatology, E-Da Hospital, Kaohsiung, Taiwan. Metachronous recurrence frequently develops in patients with superficial esophageal squamous cell carcinomas (ESCCs) after curative endoscopic submucosal dissection (ESD), especially in those with multiple (>10) small Lugol-voiding lesions (LVLs) over the esophageal background mucosa (ie, speckled pattern). …
Tag: endoscopic submucosal dissection
Editor’s Choice: Endoscopic background mucosal resurfacing to prevent metachronous recurrence of superficial esophageal squamous cell cancer after curative endoscopic submucosal dissection: randomized pilot study with 5-year follow-up (with video)
GIE Associate Editor Seiichiro Abe, MD, highlights this article from the June issue: “Endoscopic background mucosal resurfacing to prevent metachronous recurrence of superficial esophageal squamous cell cancer after curative endoscopic submucosal dissection: randomized pilot study with 5-year follow-up (with video)” by Wen-Lun Wang, MD, PhD, et al. Endoscopic submucosal dissection (ESD) has become the standard curative treatment option for …
Potential indications for peranal endoscopic myectomy in lower rectal cancer
Post written by Katsuro Ichimasa, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. We present a groundbreaking advancement in the management of early lower rectal cancer through peranal endoscopic myectomy (PAEM), also known as endoscopic intermuscular dissection, in our recent publication in GIE. Traditional endoscopic methods such as endoscopic submucosal dissection …
Continue reading Potential indications for peranal endoscopic myectomy in lower rectal cancer
Transcecal endoscopic appendectomy and endoscopic submucosal dissection with hand-suturing–assisted traction and closure technique
Post written by Fatih Aslan, MD, from Koc University Hospital, Istanbul, Turkey. In this case, we performed an endoscopic treatment for a laterally spreading lesion involving the lumen of the appendix with poorly defined borders. The procedure included endoscopic submucosal dissection combined with transcecal endoscopic appendectomy. Hand suturing was used for traction and separate closure of the …
Different endoscopic submucosal dissection techniques: a tailored approach
Post written by Shaimaa Elkholy, MD, Mohamed El Sherbiny, MD, and Karim Essam, MD, from the Gastroenterology Division, Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt. Endoscopic submucosal dissection (ESD) is a minimally invasive technique used for resection of GI lesions. Our recently published video article in VideoGIE presents a comparative and practical overview of ESD techniques. These include classic, …
Continue reading Different endoscopic submucosal dissection techniques: a tailored approach
Endoscopic subserosal dissection for early gastric cancer with severe fibrosis attributable to gastric ulcer scar
Post written by Shunya Takayanagi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan, and Department of Medicine and Bergen Research Group for Advanced Gastrointestinal Endoscopy (BRAGE), Haukeland University Hospital, Bergen, Norway. In this case, we attempted endoscopic submucosal dissection (ESD) for an intramucosal carcinoma on the lesser curvature of the gastric angle …
Management of delayed colonic perforation after endoscopic submucosal dissection: the over-the-scope clip way
Post written by Yohei Minato, MD, from NTT Medical Center Tokyo, Tokyo, Japan. The video case presents management of a delayed colonic perforation that occurred after endoscopic submucosal dissection (ESD) of a 40-mm superficial neoplastic lesion in the ascending colon. Although the ESD was uneventful, the patient developed abdominal pain the next day, and emergency colonoscopy revealed …
The submucosal pinch technique: a novel traction method for large colorectal endoscopic submucosal dissection
Post written by Tomoya Kimura, MD, from NTT Medical Center Tokyo, Tokyo, Japan. We introduce the pinch technique, a novel and effective traction method for endoscopic submucosal dissection in large colorectal lesions. This technique uses the “SureClip Traction Band” (Micro-Tech, Nanjing, China) to grasp lesion edges together, representing a completely new approach. It is particularly beneficial for …
Hand-suturing–assisted traction technique and closure in colon endoscopic submucosal dissection
Post written by Fatih Aslan, MD, from the Department of Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. In this case, we describe a hand-suturing—assisted traction technique and closure applied during endoscopic submucosal dissection (ESD) for a 3-cm laterally spreading tumor in the cecum of a 47-year-old man. The technique used a barbed suture to facilitate …
Novel robotic gripper for traction and closure in colorectal endoscopic submucosal dissection
Post written by Sang Hyun Kim, MD, PhD, and Hyuk Soon Choi, MD, PhD, from the Division of Gastroenterology and Hepatology, Korea University College of Medicine, Seoul, South Korea. We describe application of a novel dual-function robotic gripper (ROBOPERA-TraCloser [Dual Gripper]; ENDOROBOTICS, Seoul, South Korea) in colorectal endoscopic submucosal dissection (ESD). This device integrates traction and closure functionalities, enhancing …
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