Pulley traction-assisted colonic ESD affords good visibility of submucosal layer

Post written by Satoki Shichijo, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. We performed endoscopic submucosal dissection (ESD) for a laterally spreading tumor involving a diverticulum in the posterior wall of ascending colon. We performed traction-assisted colonic ESD using a clip-and-line, which usually makes ESD safe and efficient by …

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Technical feasibility of ESD for local failure after chemoradiotherapy or radiotherapy

Post written by Keiichiro Nakajo, MD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. In this retrospective, single-center study, enrolling almost 600 consecutive patients treated with endoscopic submucosal resection (ESD) for superficial esophageal squamous cell carcinoma, the patient cohort was stratified into 3 groups as follows: group A, salvage …

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ESD of a large cecal polyp using a scissor-type knife

Post written by Hiroyuki Aihara, MD, PhD, from the Developmental Endoscopy Laboratory, Harvard Medical School, Brigham and Women’s Hospital, and the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. In this video, we present a case of a large flat lesion in the cecum that was removed by ESD using …

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Transplantation of autologous esophageal mucosa

Post written by JianYing Bai, PhD, from the Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China. We focused on the effectiveness and safety of endoscopic transplantation of autologous esophageal mucosa in preventing stricture formation after circumferential ESD. Esophageal stricture is a very common adverse event after ESD, especially with resection of nearly …

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Successful removal of duodenal submucosal tumors with ESD

Post written by Hiroyuki Aihara, MD, PhD, FASGE, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts, USA. Endoscopic submucosal dissection (ESD) allows for en bloc resection of gastrointestinal lesions, which theoretically results in lower recurrence rates. However, ESD in the duodenal bulb is technically challenging …

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Water-pocket ESD for superficial gastric neoplasms

Post written by Hideaki Harada, MD, from the Department of Gastroenterology, New Tokyo Hospital, Chiba, Japan. This study prospectively evaluated the feasibility and safety of water-pocket ESD (WP-ESD), a new ESD method for superficial gastric neoplasms. The ESD with gas insufflation method tends to distend the gut lumen and create fumes generated from diathermy, which …

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Colorectal ESD for a lesion on the dentate line area resected with a scissor-type knife

Post written by Naohisa Yoshida, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan. A lesion on the dental line area is challenging for ESD because it has lots of vessels, and the anal duct is narrow for approach. We described how …

Continue reading Colorectal ESD for a lesion on the dentate line area resected with a scissor-type knife