Tag: endoscopic submucosal dissection

Different endoscopic submucosal dissection techniques: a tailored approach

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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, …

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Endoscopic subserosal dissection for early gastric cancer with severe fibrosis attributable to gastric ulcer scar

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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 …

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Management of delayed colonic perforation after endoscopic submucosal dissection: the over-the-scope clip way

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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 …

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The submucosal pinch technique: a novel traction method for large colorectal endoscopic submucosal dissection

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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 …

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Hand-suturing–assisted traction technique and closure in colon endoscopic submucosal dissection

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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 …

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Novel robotic gripper for traction and closure in colorectal endoscopic submucosal dissection

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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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An unexpected finding after endoscopic management for dysplastic Barrett’s esophagus

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Post written by Rajit Aziz Gilhotra, MBBS (Hons), FRACP, from the Department of Gastroenterology, Royal Brisbane and Women’s Hospital, Brisbane, Australia, and Neal Shahidi, MD, FRCPC, PhD, from the Department of Medicine, University of British Columbia, and the Digestive Health Centre, St Paul’s Hospital, Vancouver, Canada. This case report shares the unusual, rare finding of esophageal squamous papillomatosis (ESP) …

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The “Asclepius tube”: a slim drainage tube wrapped around the distal part of the endoscope for cecal endoscopic submucosal dissection

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Post written by Yoshikazu Hayashi, MD, PhD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan. Our article describes a 62-year-old patient with a laterally spreading tumor in the cecum. We developed “the Asclepius tube”—a modified, fenestrated 14F nasogastric tube (SF-GX1420, Terumo, Tokyo, Japan) wrapped around the distal end of the endoscope, allowing …

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Endoscopic incisional therapy for giant bridged pseudopolyposis of the esophagus in a patient with upper GI Crohn’s disease

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Post written by Sarang Gupta, MD, and Jeffrey Mosko, MD, from St. Michael’s Hospital and the University of Toronto, Toronto, Canada. A 38-year-old man with stricturing esophageal Crohn’s disease (eCD) was referred for evaluation of progressive solid-food dysphagia despite medical therapy and prior dilation attempts. After balloon dilation of a proximal esophageal stricture, examination of the distal esophagus revealed a …

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Novel hemostatic adhesive powder to prevent delayed bleeding after endoscopic submucosal dissection in the GI tract: first U.S. multicenter experience

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Post written by Maham Hayat, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. This study aimed to evaluate the use of UI-EWD (Nexpowder; Medtronic, Minneapolis, Minn, USA), a novel hemostatic powder, for prophylaxis of delayed bleeding (DB) after endoscopic submucosal dissection (ESD) in the upper and lower GI tract. DB remains a …

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