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) …
Tag: endoscopic submucosal dissection
The “Asclepius tube”: a slim drainage tube wrapped around the distal part of the endoscope for cecal endoscopic submucosal dissection
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 …
Endoscopic incisional therapy for giant bridged pseudopolyposis of the esophagus in a patient with upper GI Crohn’s disease
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 …
Novel hemostatic adhesive powder to prevent delayed bleeding after endoscopic submucosal dissection in the GI tract: first U.S. multicenter experience
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 …
Unique closure of large colonic endoscopic submucosal dissection defect using zigzag clip with line pulley securing technique
Post written by Kohei Ono, MD, from NTT Medical Center Tokyo, Tokyo, Japan. In this video, we present a simple, easy, and robust method for closing mucosal defects after colorectal endoscopic submucosal dissection using reopenable clips, nylon thread, and an endoloop in a short period. Various methods for suturing mucosal defects after endoscopic treatment have been reported, …
Percutaneous needle decompression for tension pneumoperitoneum during GI endoscopy: a step-by-step guide
Post written by Natalie Wilson, MD, from the Department of Internal Medicine, University of Minnesota, Minneapolis, Minneapolis, USA, and Mohammad Bilal, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. Our video Review Article illustrates the use of percutaneous needle decompression to manage pneumoperitoneum during advanced endoscopic procedures. This video features …
Lost ampullary opening post endoscopic submucosal dissection: EUS-guided rendezvous shows the path
Post written by Darshan Parekh, MS, from Mumbai Institute of Gastroenterology, Mumbai, India, and Ken Ohata, MD, PhD, from NTT Medical Center Tokyo, Tokyo, Japan. An 80-year-old man underwent resection of an approximately 30-mm ampullary tumor by endoscopic submucosal dissection (ESD). Post-ESD biliary and pancreatic diversion was attempted, but the ampullary opening could not be visualized in the post-ESD ulcer. Hence, …
Risk of stricture after endoscopic submucosal dissection in the cervical esophagus and efficacy of local steroid injection for stricture prevention (with video)
Post written by Yoshiaki Ando, MD, Minoru Kato, MD, and Ryu Ishihara, MD, PhD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Several studies have reported a high incidence of stricture after endoscopic submucosal dissection (ESD) in the cervical esophagus. However, the detailed clinical features have not been elucidated. We therefore analyzed 100 patients who underwent ESD for …
The best of colonoscopy in 2024
Post written by David L. Diehl, MD, FASGE, from the Departments of Medicine and Pathology, Geisinger Commonwealth School of Medicine, and the Department of Gastroenterology and Hepatology, Geisinger Medical Center, Danville, Pennsylvania, USA. It was a fun but challenging task to pick the top articles on colonoscopy published in 2024. The fun part was seeing how the very …
Handmade snare-assisted endoscope tip-bending angulation booster
Post written by Marc Julius H. Navarro, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan, the Institute of Digestive and Liver Diseases, St. Luke’s Medical Center, Quezon City, and the Department of Medicine, Section of Gastroenterology, Makati Medical Center, Makati, Philippines. Endoscopic interventions require precise control of the endoscope tip. Inadequate …
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