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 …
Tag: endoscopic submucosal dissection
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 …
Continue reading Handmade snare-assisted endoscope tip-bending angulation booster
EUS-guided glue injection for managing torrential bleeding during gastric neuroendocrine tumor endoscopic submucosal dissection: sealing the storm
Post written by Radhika Chavan, MD, DNB, from the Ansh Clinic, Ahmedabad, Gujarat, India. A 24-year man diagnosed with a type II gastric neuroendocrine tumor (NET) (size <20 mm) underwent endoscopic submucosal dissection (ESD) after multidisciplinary discussion. During distal extension of the initial incision, bleeding started and abruptly became profuse. Initial attempts to control the bleeding using …
Comparison of EMR versus endoscopic submucosal dissection for Barrett’s neoplasia and esophageal adenocarcinoma: a systematic review and meta-analysis
Post written by Yusuke Fujiyoshi, MD, from the Department of Medicine, Division of Gastroenterology, University of Ottawa, Ottawa, Ontario, Canada. EMR and endoscopic submucosal dissection (ESD) are both accepted resection strategies for Barrett’s esophagus—related neoplasia and esophageal adenocarcinoma (EAC). This study aimed to systematically review and synthesize the evidence comparing EMR versus ESD in treating …
Introducing antireflux mucoplasty with valve: a novel endoscopic treatment for GERD
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This video case introduces the effectiveness of antireflux mucoplasty (ARM-P) with valve (ARM-P/V) for proton pump inhibitor—refractory GERD. Antireflux mucosectomy (ARMS) and antireflux mucosal ablation (ARMA) are effective treatments for proton pump inhibitor—refractory or dependent GERD, as supported …
Continue reading Introducing antireflux mucoplasty with valve: a novel endoscopic treatment for GERD
Star-Loop: a novel, low-cost method of multipoint traction for colonic endoscopic submucosal dissection
Post written by Ciaran Judge, MD, MB, BCh, BAO, and Niroshan Muwanwella, MD, from the Royal Perth Hospital, Perth, Western Australia, Australia. Endoscopic submucosal dissection (ESD) is an important tool for resection of colorectal lesions with features suggestive of superficial submucosal invasion. However, resection of proximal lesions can be challenging for several reasons. We present the case of a 68-year-old man …
Immersion endoscopic submucosal dissection with saline pressure method for duodenal sessile serrated lesion with severe surgical scar fibrosis
Post written by Chen-Shuan Chung, MD, MSc, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan. In this case, we described a modified endoscopic submucosal dissection (ESD) method for management of a fibrotic duodenal neoplasm. A 77-year-old woman presented with a 2.5-cm 0-IIa lesion on a surgical …
endoscopedia.com 