Endoscopic clipping closure for preventing coagulation syndrome after colorectal ESD

Post written by Takaya Shimura, MD, PhD, from the Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan. The aim of this RCT (CliPEC study) is to assess the usefulness of endoscopic clipping closure to prevent Post-ESD coagulation syndrome (PECS) and delayed perforation. In …

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Evaluation of a robotic arm-assisted endoscope to facilitate ESD

          Post written by Minho Hwang, PhD, and Seung Woo Lee, MD, PhD, from the Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, and the Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. This study …

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Novel approach to ESD of a cecal lesion with nonlifting sign by submucosal fatty tissue with use of selective-regulation high-pressure water-jet method and immersion in saline solution

Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, HM Hospitales Group, Department of Clinical Sciences, School of Medicine, University of CEU San Pablo, Madrid, Spain. In this video case report, we describe an endoscopic submucosal dissection (ESD) of a large laterally spreading lesion in the cecum, which …

Continue reading Novel approach to ESD of a cecal lesion with nonlifting sign by submucosal fatty tissue with use of selective-regulation high-pressure water-jet method and immersion in saline solution

Double-tunneling butterfly method for endoscopic submucosal dissection of extensive rectal neoplasms

Post written by Noriko Suzuki, MD, PhD, from The Wolfson Unit for Endoscopy, St Mark’s Hospital, London, United Kingdom. We demonstrated the application of the double-tunneling (DoT) butterfly method for ESD on 4 cases with extensive rectal neoplasms. The key feature of the DoT butterfly method is the creation of 2 tunnels that are transformed …

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Usefulness of a multibending endoscope in gastric endoscopic submucosal dissection

Post written by Koichi Hamada, MD, from the Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, Fukushima and the Department of Gastroenterology, Southern-Tohoku General Hospital, Koriyama. This case study presents a series of patients with early gastric cancer undergoing endoscopic submucosal dissection (ESD) using a multibending endoscope (GIF-2TQ260M; Olympus Medical Corp, Tokyo, …

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A challenging case of gastric endoscopic submucosal dissection

Post written by Seiichiro Abe, MD, PhD, from the Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. A 62-year-old woman underwent screening esophagogastroduodenoscopy, and a suspicious 80-mm elevated, laterally spreading lesion was found involving the greater curvature of the upper gastric body. Biopsy showed well-differentiated tubular adenocarcinoma. The patient opted for endoscopic submucosal dissection (ESD). …

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Nonampullary duodenal subepithelial neuroendocrine tumor removed R0 by ESD

Post written by Borathchakra Oung, MD, from the Department of Endoscopy and Gastroenterology, Edouard Herriot Hospital, Lyon, France. Managing lesions endoscopically in the duodenum can be challenging due to its thin wall and anatomically narrow lumen that limit endoscope maneuver. We reported a case of a subepithelial neuroendocrine tumor located in duodenal bulb just behind …

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