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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Combination of immersion in saline solution, pocket-creation method, water-jet hydrodissection, and hybrid knife “probe mode”

Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, Boadilla del Monte, and the 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 giant rectal polyp with granular nodular …

Continue reading Combination of immersion in saline solution, pocket-creation method, water-jet hydrodissection, and hybrid knife “probe mode”

Duodenal ESD for a large protruded lesion located just behind the pyloric ring

Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 72-year-old man was found to have a large protruded tumor measuring approximately 60 mm in diameter in the duodenal bulb. He underwent ESD under general anesthesia in the operating room. After local injection of sodium hyaluronate …

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Endoscopic suturing for closure of ESD defects

Post written by Samuel Han, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. In this Tools and Techniques video, we describe a formalized technique to close defects created by ESD using endoscopic suturing. Essentially, we suggest proceeding from the site most distal to the scope insertion …

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Usefulness and safety of colorectal precutting EMR and hybrid ESD for sessile serrated polyps

Post written by Yuzuru Tamaru, MD, PhD, from the Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Kure, Japan. In this report, we present 2 cases of precutting endoscopic mucosal resection (EMR)/hybrid endoscopic submucosal dissection (ESD) with a circumferential incision and partial dissection followed by snare resection via SOUTEN. We also …

Continue reading Usefulness and safety of colorectal precutting EMR and hybrid ESD for sessile serrated polyps