Post written by Hao Dang, BSc, and Jurjen J. Boonstra, MD, PhD, from the Department of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, The Netherlands. Endoscopic submucosal dissection has allowed the endoscopist to perform en bloc resection of various types of GI neoplasms, including subepithelial tumors (SETs). However, submucosal dissection is not feasible for SETs …
Continue reading Endoscopic adventitial dissection of a rectal GI stromal cell tumor
Post written by Louis-Jean Masgnaux, MR, from the Gastroenterology and Endoscopy Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France. We describe the use of an adjustable endoscopic traction system, the A-TRACT-2, a handmade device that can be tightened during the procedure to increase the traction tension and greatly assist the operator in difficult cases …
Post written by Varun Angajala, MD, MS, and Ara Sahakian, MD, from the Department of Internal Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA. We are excited to share our hybrid resection technique for a gastric subepithelial lesion (SEL). We performed submucosal dissection to unroof and expose the surface of the …
Post written by Mike Tzuhen Wei, MD, from Stanford University, Stanford, California, and Veterans Affairs Palo Alto, Palo Alto, California, USA. In our presentation, we demonstrate the use of a dual-action clip and clips with atraumatic teeth in facilitating the closure of endoscopic submucosal dissection defects. We found that the dual-action clip (Micro-Tech Endoscopy USA, Ann …
Continue reading Use of a novel dual-action clip for closure of complex endoscopic resection defects
Post written by Kazunori Takada, MD, and Kinichi Hotta, MD, from the Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan. Compared with conventional EMR, endoscopic submucosal dissection (ESD) provides a higher en-bloc resection rate and a lower local recurrence rate for large lesions. However, ESD is technically demanding and associated with a higher risk of adverse …
Post written by Yoriaki Komeda, MD, PhD, from the Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka, Japan. We performed endoscopic submucosal dissection (ESD) with reinforcement using a laparoscopic approach (duodenal-laparoscopic and endoscopic coordinated surgery [D-LECS] with ESD) for a duodenal cavernous hemangioma. Cavernous hemangiomas including duodenum are derived from the submucosa. Even …
Post written by Mako Koseki, MD, and Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. In this video, we present a case of a refractory esophageal stricture caused by anastomosis of gastric tube reconstruction for advanced esophageal carcinoma. We treated the stricture with radial incision and cutting (RIC) using ultrathin endoscopy. …
Post written by Hiromu Fukuda, MD, from the Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, Suita, Japan. In this video case, we show the usefulness of endoscopic submucosal dissection (ESD) in the right lateral position (RLP) for early gastric cancer (EGC) in the fornix. ESD of EGC in the fornix is challenging …
Post written by Galen Leung, MD, from the Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. For this study, we wanted to evaluate the technical feasibility of salvage endoscopic submucosal dissection (ESD) after chemoradiation for locally advanced rectal adenocarcinoma in terms of rates of complete resection of residual tumor and safety profile. Emerging evidence …
Post written by Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology Hepatology and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. A 40-year-old woman with persistent upper abdominal pain was found to have a 3-cm subepithelial lesion in the prepyloric area and was referred to our center. EUS showed an anechoic cyst in the …
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