ESD of early-stage rectal cancer using full-time red dichromatic imaging to minimize and avoid significant bleeding

Post written by Aoi Kita, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine, Maebashi, Japan. Red Dichromatic Imaging (RDI), a novel image-enhanced endoscopy technology (IEE), has been reported to improve the visibility of deep vessels and bleeding points compared to white-light imaging. We present …

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Successful duodenal endoscopic submucosal dissection using multiple clip-and-thread traction for a large tumor located in the duodenal bulb

Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 74-year-old man was referred to our institute for the treatment of a large flat-elevated tumor (diameter, 50 mm) in the duodenal bulb. We selected ESD for the en bloc resection of the lesion, and the …

Continue reading Successful duodenal endoscopic submucosal dissection using multiple clip-and-thread traction for a large tumor located in the duodenal bulb

Evaluation of colorectal endoscopic submucosal dissection using a multifunctional snare

Post written by Jun Arimoto, MD, PhD, from the Department of Gastroenterology, Omori Red Cross Hospital, Tokyo, Japan. In this study, we evaluate the safety and efficacy of colorectal ESD using the SOUTEN snare. Although the SOUTEN snare was introduced for hybrid ESD, hybrid ESD involves partial submucosal dissection. So, we thought that “SOUTEN-ESD,” mean …

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Endoscopic submucosal dissection for superficial pharyngeal carcinoma using transnasal endoscope

Post written by Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. During endoscopic procedures, it is a great advantage that the diameter of the endoscope is small. It is possible to enter a narrow space, and it is also possible to approach a lesion that cannot be approached by the …

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Triple-loop clip for the traction-assisted colorectal ESD

Post written by Shuichi Miyamoto, MD, PhD, from the Department of Gastroenterology and Hepatology, Hakodate Municipal Hospital, Hakodate, and the Department of Gastroenterology and Hepatology, Hokkaido University Faculty of Medicine and Graduate School of Medicine, Sapporo, Japan. Recently, the effectiveness of traction-assisted ESD has been reported, and there are various devices for applying countertraction. These …

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Hemostatic forceps used as a scissor-type knife in combination with the transanal-traction method for assisted ESD in the area of the dentate line

Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, HM Hospitales Group, and the Department of Clinical Sciences, School of Medicine, University of CEU San Pablo, Boadilla del Monte, Madrid, Spain. In this video case report, we present a patient who was diagnosed with a subtle Paris 0-IIb …

Continue reading Hemostatic forceps used as a scissor-type knife in combination with the transanal-traction method for assisted ESD in the area of the dentate line

Circumferential ESD for the treatment of ultra-short-segment Barrett’s adenocarcinoma with multifocal dysplasia

Post written by Fabian Emura, MD, PhD, FASGE, from the Division of Gastroenterology, Universidad de La Sabana, Chía, and the Advanced GI Endoscopy, EmuraCenter LatinoAmerica, Bogotá DC, Colombia. The procedure initiated from the esophagus in direct view and continued from the stomach in the retroflexion view using the IT-Knife2. A small perforation occurred when the …

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Salvage circumferential ESD for refractory dysplastic Barrett’s esophagus

Post written by Robert Bechara, MD, from the Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. A 64-year-old woman with a complex Barrett’s history was referred to our esophageal center. Her treatment history included endoscopic mucosal resection (EMR) with M3 intramucosal carcinoma and incomplete response to radiofrequency ablation (RFA) of the remaining Barrett’s, as …

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Water-pocket endoscopic submucosal dissection of an early esophageal adenocarcinoma in a patient with portal hypertension and varices

Post written by Lovekirat Dhaliwal, MBBS, and Prasad G. Iyer, MD MSc, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota. A 65-year-old man with alcohol-related liver disease and COPD was recently diagnosed with esophageal adenocarcinoma on a background of varices. EUS demonstrated a 2-cm hypoechoic mass invading into deep mucosa. PET-CT scan …

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Steroid injection and polyglycolic acid shielding to prevent stricture after esophageal ESD

Post written by Yoshiki Sakaguchi, MD, PhD, and Yosuke Tsuji, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. Postoperative stricture is a severe adverse event, which frequently occurs after resection of over 3/4 the circumference of the esophagus and may require treatment over a long period …

Continue reading Steroid injection and polyglycolic acid shielding to prevent stricture after esophageal ESD