Post written by Guiqi Wang, MD, from the Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. This study retrospectively reviewed data from patients who underwent closure of rectal defects using endoscopic hand-suturing (EHS) with clips (EHS-Clips) at the Cancer Hospital …
Tag: endoscopic submucosal dissection
Successful management of bile duct injury with duodenal perforation using endoscopic naso-pancreatic drainage and fully covered self-expandable metallic stent deployment
Post written by Haruka Okada, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan. We reported a case in which simultaneous bile duct injury with massive bile leakage and duodenal retroperitoneal perforation during endoscopic submucosal dissection (ESD) for a large periampullary adenoma were successfully managed by …
Implementation of endoscopic submucosal dissection in Europe: survey after 10 ESD Expert Training Workshops, 2009 to 2018
Post written by Frieder Berr, MD, PhD, from the Department of Medicine I and Institute of Pathophysiology, Paracelsus Medical University, Salzburg, Austria. Annual hands-on endoscopic submucosal dissection (ESD) courses (3.3 days; Paracelsus Medical University, Salzburg, Austria, 2009-2018) were conducted by leading Japanese experts to prime a senior endoscopist from 135 tertiary referral centers across Europe (plus …
Endoscopic Mucosal Incisional, Closure, ResectiON (E-MICRON): a novel technique for safe and efficient en bloc foregut resection
Post written by Talia F. Malik, MD, from Chicago Medical School at Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA. In this study, we introduce a novel technique, “Endoscopic Mucosal Incisional, Closure, ResectiON (E-MICRON),” for safe and efficient en bloc resection of large gastric intramucosal lesions. Endoscopic submucosal dissection is recommended for en …
Treatment of Bouveret syndrome with stone fragmentation using an endoscopic submucosal dissection knife
Post written by Fiona Milne, MD, from Queen's University, Kingston Health Sciences Centre, Kingston, Ontario, Canada. Our case describes a 61-year-old man with a 3-decade history of recurrent cholecystitis who presented with Bouveret syndrome. A CT scan showed a 5-cm obstructing gallstone in the proximal duodenum. Surgery was considered to be high risk, given medical comorbidities. …
Novel miniature transendoscopic telerobotic system for endoscopic submucosal dissection (with videos)
Post written by Xiuli Zuo, MD, PhD, from Qilu Hospital of Shandong University, Jinan, China. The focus of my study includes medical mechatronics, balloon enteroscopy, inflammatory bowel diseases, and early GI cancer diagnosis and endoscopic treatment. It is known that using a conventional endoscope to perform endoscopic submucosal dissection (ESD) is difficult because of the 1-handed …
Saline-immersion endoscopic submucosal dissection using pocket-creation method
Post written by Siddharth B. Javia, MD, from Confluence Health, Wenatchee Valley Medical Group, Wenatchee, Washington, USA. This video is about removing a large cecal polyp using an endoscopic submucosal dissection (ESD) technique. We facilitate this ESD in the cecum by using a combination of pocket-creation method and saline-immersion technique. ESD is a challenging technique to …
Continue reading Saline-immersion endoscopic submucosal dissection using pocket-creation method
Gastrogastric intussusception and acute pancreatitis caused by a large pyloric gland adenoma treated with endoscopic submucosal dissection
Post written by Robert Bechara, MD, from Queen's University, Kingston Health Sciences Center, Kingston, Ontario, Canada. This is a case of a 75-year-old woman with gastrogastric intussusception and acute pancreatitis caused by a 6-cm dysplastic pyloric gland adenoma, which we treated using endoscopic submucosal dissection (ESD). The decision to showcase this video was driven by …
The cliff descending method to facilitate parallel view during endoscopic submucosal dissection in the gastric fornix
Post written by Douglas Motomura, MD, from the Department of Gastroenterology, University of British Columbia, Vancouver, British Colombia, Canada, and Toshitatsu Takao, MD, PhD, from the Department of Gastroenterology, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan. This is a case of early gastric cancer in the fundus of the stomach. Treatment was provided with …
Prophylactic stenting to decrease the incidence of esophageal strictures after extensive endoscopic submucosal dissection: the first U.S. experience
Post written by Antonio Mendoza Ladd, MD, FACG, FASGE, from the University of California, Davis, Davis, California, USA. This case series focused on the effect of prophylactic placement of fully covered self-expandable metal stents after esophageal endoscopic submucosal dissection (ESD). ESD of esophageal lesions has increased significantly over the last 10 years in the United States. …
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