Endoscopic closure assisted by a novel traction device after duodenal ESD

Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 58-year-old man was found to have a flat-elevated lesion of 20 mm in size in the second portion of the duodenum. We selected endoscopic submucosal dissection (ESD) for en bloc resection because endoscopic mucosal resection …

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Endoscopic submucosal tunneling dissection: use of a novel bipolar radiofrequency and microwave-powered device for colorectal ESD

Post written by Thomas R. McCarty, MD, and Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. In this video presentation, we describe a case of successful en bloc resection of a 60-mm laterally spreading tumor granular type (LST-G) rectal lesion using …

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Feasibility of a new ligation using the double-loop clips technique without an adhesive agent for ulceration after ESD of the colon

Post written by Satoshi Abiko, MD, PhD, from the Department of Gastroenterology, Kushiro Rosai Hospital, Kushiro, Japan. Several ligation techniques for ulceration after endoscopic submucosal dissection (ESD) have been reported, but none have been established for clinical use because of technical complexity and the need for expensive equipment. Therefore, the technical feasibility of a new …

Continue reading Feasibility of a new ligation using the double-loop clips technique without an adhesive agent for ulceration after ESD of the colon

Usefulness of a thin-endoscope ESD using the traction device for early gastric cancer in a patient with esophageal stricture

Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. The video describes the usefulness of a thin-endoscope endoscopic submucosal dissection (ESD) using the traction device for early gastric cancer in a patient with an esophageal stricture. A 72-year-old man was referred to our hospital for …

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Endoscopic submucosal dissection using a new super-soft hood and the multipoint traction technique

Post written by Yusuke Fujiyoshi, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This video shows an endoscopic submucosal dissection of a 25-mm 0-IIa+Is lesion in the gastric cardia. A newly developed super-soft hood (Space Adjuster, TOP Corp, Tokyo, Japan) was used as a distal attachment of the endoscope. A …

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ESD of a large duodenal neuroendocrine tumor adjacent to the pyloric ring

Post written by Sonmoon Mohapatra, MD, from the Division of Gastroenterology and Hepatology, Saint Peter’s University Hospital/Rutgers—RWJ Medical School, New Brunswick, New Jersey, USA. A 62-year-old morbidly obese (BMI 62) man with multiple comorbid conditions was found to have a 1.5-cm subepithelial duodenal lesion in the anterior wall of the duodenal bulb, located within 1 …

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The suture pulley countertraction method for challenging rectal ESD

Post written by Phillip S. Ge, MD, from the Department of Gastroenterology, Hepatology, and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. The video describes a 54-year-old woman who underwent a screening colonoscopy at which time a rectal neuroendocrine tumor was removed in piecemeal fashion, with positive lateral and deep margins. …

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ESD for Barrett’s-associated adenocarcinoma in a patient with decompensated cirrhosis and esophageal varices

Post written by Sonmoon Mohapatra, MD, from the Division of Gastroenterology and Hepatology, Saint Peter’s University Hospital/Rutgers—RWJ Medical School, New Brunswick, New Jersey, USA. A 65-year-old woman with a history of Barrett’s esophagus, decompensated alcoholic cirrhosis (MELD 8, Child Pugh class B) complicated by ascites, esophageal varices, gastric antral vascular ectasia, hepatic encephalopathy, and severe …

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ESD for a laterally spreading tumor involving the colon diverticulum using a knife with water supply function

Post written by Akira Yoshida, MD, PhD, from the Division of Medicine and Clinical Science, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University, Yonago, Japan. A 50-mm diameter laterally spreading tumor (Paris 0-IIa) that involved the diverticulum on the oral side of the tumor was pointed out at the ascending colon. Colon tumor …

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A novel clip-band traction device to facilitate colorectal ESD and defect closure

Post written by Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. Adequate visualization of the submucosal dissection plane is critically important for both safety and efficacy in endoscopic submucosal dissection (ESD). Recently, a novel clip-band traction device was introduced to the U.S. market (Elastic …

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