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 …
Tag: endoscopic submucosal dissection
Feasibility of esophageal endoscopic submucosal dissection after radiofrequency ablation treatment in patients with Barrett’s esophagus
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 …
A modified approach for closing endoscopic submucosal dissection defects using clip with line pulley securing technique and endoloop
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 …
Closure in antireflux mucoplasty using anchor prong clips: dead space–eliminating technique
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, …
Salvage endoscopic resection for perforation site recurrence of colonic polyp
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
Endoscopic submucosal dissection with versus without traction for pathologically staged T1B esophageal cancer: a multicenter retrospective study
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 …
Editor’s Choice: Endoscopic submucosal dissection with versus without traction for pathologically staged T1B esophageal cancer: a multicenter retrospective study
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 …
Laparoscopy-assisted nonexposed endoscopic full-thickness resection for local resection after endoscopic submucosal dissection
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 …
A strategy combining endoscopic hand-suturing with clips for closure of rectal defects after endoscopic submucosal dissection with or without myectomy (with video)
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 …
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 …
