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 …
Tag: endoscopic submucosal dissection
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. …
Endoscopic submucosal dissection for a duodenal polyp at the upper aspect of the duodenal bulb using a newly developed endoscope
Post written by Satoki Shichijo, MD, PhD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. A polyp at the upper aspect of the duodenal bulb was identified by follow-up endoscopy after Helicobacter pylori eradication. The oral side of the tumor was adjacent to the pylorus, but the anal margin could not be …
Endoscopic submucosal dissection of recurrent, circumferential, distal rectal tumor with severe submucosal fibrosis using multiple clip-line tractions
Post written by Darshan Parekh, MBBS, MS, from the Department of Endoscopy, Thane Institute of Gastroenterology, Thane, Maharashtra, India, and Ken Ohata, MD, PhD, from the NTT Medical Center Tokyo, Tokyo, Japan. A 69-year-old woman underwent endoscopic submucosal dissection (ESD) for a recurrent, circumferential, rectal tumor starting just above the anal verge and extending 5 cm …
