Post written by Nao Takeuchi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. Our video presents a case of two-stage endoscopic resection (TSER) for a large gastric tumor located at the fornix. The tumor, over 10 cm in size, had a villous structure, and a biopsy suggested pyloric gland adenoma. Because of …
Continue reading Two-stage endoscopic resection for a huge gastric tumor at the fornix
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. Endoscopic radiofrequency ablation (RFA) has shown good efficacy and safety in eradicating Barrett’s neoplasia as well as flat-type early esophageal squamous cell neoplasia (ESCN). However, a post-RFA stricture is still a major concern, especially …
Post written by Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Endoscopic submucosal dissection (ESD) has become an increasingly endorsed technique for the management of superficial neoplasia in the esophagus. The main limitation with ESD in the esophagus is the high rate of stricture formation. The aim of this multicenter …
Post written by Mako Koseki, MD, from the Gastroenterology, Hepatology, and Nutrition Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA, and the Department of Medicine, Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, New York, and Makoto Nishimura, MD, from the Gastroenterology, Hepatology, and Nutrition Service, Memorial Sloan Kettering …
Post written by Yohei Minato, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. We modified the clip with line pulley suturing (CLiPS) technique using a plastic detachable snare. A clip with a string is placed at the distal margin of the mucosal defect. A second clip is then hooked onto …
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This study features the dead space—eliminating technique (DET) as a novel closure method during antireflux mucoplasty (ARM-P) for proton pump inhibitor refractory—dependent GERD. Other techniques such as antireflux mucosectomy and antireflux mucosal ablation have shown effectiveness in meta-analyses, …
Post written by Deepak Madhu, MD, MRCP, DM, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. A 79-year-old patient underwent endoscopic submucosal dissection (ESD) for resection of a colonic polyp. The resection was complicated by an intraprocedural perforation, which an endoscopic omental patch closed. A surveillance endoscopy performed 1 year later showed …
Continue reading Salvage endoscopic resection for perforation site recurrence of colonic polyp
Post written by Abel Joseph, MD, from the Department of Gastroenterology, Stanford University, Stanford, California, and Kornpong Vantanasiri, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Our study delves into endoscopic submucosal dissection (ESD) for treating T1b esophageal cancer (EC). Specifically, we compared 2 approaches: ESD with traction (Tr-ESD), which uses …
GIE Associate Editor Seiichiro Abe, MD, PhD, FASGE, FJGES, highlights this article from the May issue: “Endoscopic submucosal dissection with versus without traction for pathologically staged T1B esophageal cancer: a multicenter retrospective study” by Abel Joseph, MD, et al. Guidelines recommend staging endoscopic resection for a visible neoplastic lesion in Barrett’s esophagus and noncircumferential esophageal …
Post written by Deepak Madhu, MD, MRCP, DM, from NTT Medical Center Tokyo, Tokyo, Japan. An 83-year-old man with severe comorbidities underwent endoscopic submucosal dissection for early gastric cancer. Histologic analysis of the resected specimen showed that vertical margins were positive, and the tumor had deep submucosal invasion. In light of severe comorbidities, a multidisciplinary decision …
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