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 Section of Gastroenterology, Department of Medicine, Makati Medical Center, Makati City, Philippines. In this video, we present a case of en …
Tag: endoscopic submucosal dissection
Long-term outcome of cervical lymph node metastasis in superficial pharyngeal squamous cell carcinoma after endoscopic submucosal dissection
Post written by Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. We evaluated the risk factors of cervical lymph node metastasis (LNM) in 331 patients with superficial pharyngeal squamous cell carcinoma (PSCC) without a history of chemoradiotherapy for PSCC who underwent endoscopic submucosal dissection (ESD) at Toranomon Hospital in Tokyo, Japan. …
Predictors of stricture after non-circumferential endoscopic submucosal dissection of the esophagus and single-dose triamcinolone injection immediately after the procedure
Post written by Muneaki Miyake, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. The focus of our study was to identify predictors of stricture after endoscopic submucosal dissection (ESD) of the esophagus with local triamcinolone (TA) injection. Local TA injection is widely used to prevent stricture formation after ESD of the …
Circumferential endoscopic submucosal dissection of distal rectal polyp in a patient with portal hypertension complicated by bowel obstruction
Post written by Siddharth B. Javia, MD, from Confluence Health, Wenatchee, Washington, USA. Our video demonstrates a technique for circumferential endoscopic submucosal dissection (ESD) without using any traction accessories. This was performed in a patient who had significant scarring from Crohn’s colitis and portal hypertension with large blood vessels in the submucosa, which made ESD challenging. …
Exposed versus nonexposed endoscopic full-thickness resection for duodenal subepithelial lesions: a tertiary care center experience (with videos)
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this study, the feasibility and safety of exposed versus nonexposed endoscopic full-thickness resection (EFTR) in patients with large (≥10 mm) duodenal subepithelial lesions were evaluated. Exposed EFTR was performed using a conventional electrosurgical knife, and the ensuing full-thickness defect was …
Modified double-layered suturing for a mucosal defect after colorectal endoscopic submucosal dissection (Origami method) (with video)
Post written by Teppei Masunaga, MD, and Motohiko Kato, MD, PhD, from the Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. Endoscopic defect closure techniques have been applied to reduce the incidence of adverse events after colorectal endoscopic submucosal dissection (ESD). This retrospective observational study aimed …
Usefulness of the ultrathin endoscope with a newly developed knife for complex esophageal endoscopic submucosal dissection
Post written by Satoki Shichijo, MD, PhD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. A 62-year-old woman underwent subtotal esophagectomy for esophageal cancer, local resection of pharyngeal cancer with postoperative radiotherapy, and bilateral cervical lymph node dissection because of pharyngeal cancer metastasis. Follow-up endoscopy revealed a 10-mm brownish area in the …
Closure of large mucosal defects for prevention of strictures after duodenal endoscopic submucosal dissection (with video)
Post written by Yoko Kubosawa, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, and the Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. We analyzed the incidence of post–endoscopic submucosal dissection (ESD) strictures after wide-field duodenal ESD. Although it is known that …
Endoscopic submucosal dissection of a gigantic gastric polyp aided by a novel retraction device and complicated by upper esophageal sphincter laceration during retrieval
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. An 87-year-old woman with multiple comorbidities was found to have a gigantic gastric polyp (11 × 8 cm) with a broad short stalk containing an area of irregular vascular patterns worrisome for high-grade dysplasia. Attempting polypectomy using an endoloop was challenging because of the …
Emergent endoscopic submucosal dissection for a polypoid fibroadipose tumor accidentally disgorged from the mouth: an organ-preserving minimally invasive treatment
Post written by Yuki Morita, MD, and Toshiyuki Yoshio, MD, PhD, from the Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan. An unusual, long polyp was detected extending from the hypopharynx to the lower thoracic esophagus of a patient. Polypoid fibroadipose tumors should be resected because they are occasionally malignant and …
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