Tissue retractor system–assisted ESD of a large rectal tumor with significant fibrosis

Post written by Salmaan Jawaid, MD, from the Division of Gastroenterology, Hepatology and Nutrition, University of Florida Health, Gainesville, Florida, USA. With the assistance of a novel tissue retractor system, we successfully performed endoscopic submucosal dissection (ESD) of a large rectal lesion that had developed significant fibrosis from direct tattoo material. Typically, performing ESD of …

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Endoscopic closure of the defect after ESD with metal clips and surgical sutures

Post written by Zhendong Jin, MD, from the Department of Gastroenterology, Changhai Hospital Affiliated to the Second Military Medical University, Shanghai, China. A patient accepted ESD for a SMT originated from the muscularis propria layer, which was located at the anterior wall of the gastric body. In consideration of muscular injury, the large defect was …

Continue reading Endoscopic closure of the defect after ESD with metal clips and surgical sutures

ESD of a large rectal lesion by use of a novel tissue retractor system

Post written by Salmaan Jawaid, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida, USA. We presented a case of successful endoscopic submucosal dissection of a large rectal lesion using a novel tissue retractor system. This unique platform allowed us to generate constant tissue tension and permitted frequent manipulation of the …

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Suture pulley countertraction method reduces procedure time and technical demand of ESD

Post written by Hiroyuki Aihara, MD, PhD, from the Developmental Endoscopy Lab, Harvard Medical School, and Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. The lack of reliable countertraction in endoscopic submucosal dissection (ESD) contributes to its technical demand and increased procedure time. In our previous ex vivo study, we …

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Underwater ESD in saline solution using a bent-type knife for duodenal tumor

Post written by Mitsuru Nagata, MD, from the Department of Endoscopy, Shonan Fujisawa Tokushukai Hospital, Kanagawa, Japan. We present a case of a duodenal tumor that was treated by underwater ESD using a bent-type knife (Hook Knife J) and discuss potential advantages of underwater ESD. Most studies on underwater ESD involved the use of only …

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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 …

Continue reading Technical feasibility of ESD for local failure after chemoradiotherapy or radiotherapy