Post written by Tatsuma Nomura, MD, from the Department of Gastroenterology, Suzuka General Hospital, Suzuka, and Shinya Sugimoto, MD, from the Department of Gastroenterology, Ise Red Cross Hospital, Ise, Japan. A retrospective study was conducted to analyze endoscopic submucosal dissection (ESD) procedures performed between January 2012 and March 2024. Patients were classified into 2 groups: a nonclosure group, where …
Tag: endoscopic submucosal dissection
Saline immersion endoscopic submucosal dissection for management of early Barrett’s esophagus adenocarcinoma and large esophageal varices
Post written by Giuliano Francesco Bonura, MD, from the Gastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, Carpi, Italy. A 65-year-old man was referred to our unit with long-segment Barrett’s esophagus (Prague C6, M10) with 2 bulky adjacent sessile lesions (30 mm and 15 mm) positive for adenocarcinoma at biopsies. Magnification endoscopy with narrow-band imaging …
Hybrid endoscopic submucosal dissection and endoscopic full-thickness resection for R0 resection of T1 colonic adenocarcinoma
Post written by Rahul Karna, MD, from the University of Minnesota, Minneapolis, Minnesota, USA, and Mohammad Bilal, MD, from the University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA. In this case, we describe management of a 35-mm malignant colon polyp in a patient at high risk for surgery. Colonoscopic exam revealed a nonpolypoid lesion (Paris classification IIa+IIc) in the …
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)
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). …
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 …
