Comparison of prognosis between gastric ESD and surgery

Post written by Shusei Fukunaga, MD, PhD and  Yasuaki Nagami, MD, PhD from the Department of Gastroenterology at Osaka City University Graduate School of Medicine in Osaka. Our study focused on the long-term outcomes, risk factors for mortality, and adverse events for patients with expanded-indication lesions of differentiated-type early gastric cancer (EGC) who underwent endoscopic …

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ESD removal of large superficial tumor

Post written by Maiko Takita, MD, from the Department of Gastroenterology, NTT Medical Center Tokyo, in Tokyo, Japan Endoscopic resection for cecal tumors extending to the appendiceal orifice is difficult because the margin cannot be often tracked entirely, in addition to the higher risk of perforation. Here we report a case of a colonic tumor …

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Countertraction in ESD

Post written by Hiroyuki Aihara, MD, PhD from the Division of Gastroenterology, Hepatology, and Endoscopy at Brigham and Women’s Hospital, Harvard Medical School, in Boston, Massachusetts, USA Two technically challenging endoscopic submucosal dissection (ESD) cases are described in this video. The first gastric ESD was complicated by prior tattooing and incomplete resection, which caused significant …

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Perforation closure using polyglycolic acid sheets and fibrin glue

Yoshiki Sakaguchi, MD, PhD, Yosuke Tsuji, MD, PhD, Kazuhiko Koike, MD, PhD, Mitsuhiro Fujishiro, MD, PhD, and Kazuhiko Koike, MD, PhD from the University of Tokyo in Tokyo, Japan discuss their video case "Successful closure of a large perforation during colorectal ESD by application of polyglycolic acid sheets and fibrin glue." The shielding method with polyglycolic …

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ESD multi-tunnel dissection

Jun-Chao Wu, MD,  from the Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, in Sichuan, China discusses this New Methods article, "Endoscopic submucosal multi-tunnel dissection for circumferential superficial esophageal neoplastic lesions (with videos)." There are some technical challenges endoscopic submucosal tunnel dissection (ESTD) in treating circumferential esophageal neoplastic lesions. Based on the development …

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Large muscle-layer defect closed using endoloop-clips technique

Motohiko Kato, MD, PhD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization, Tokyo Medical Center, in Tokyo, Japan share this video case "A large muscle-layer defect of the stomach caused by endoscopic submucosal dissection is closed by using the endoloop-clips technique." Endoscopic submucosal dissection (ESD) can remove endoscopically even for …

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A novel peptide solution after ESD

Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, in Tokyo, Japan discusses this New Methods article, "A novel fully synthetic and self-assembled peptide solution for endoscopic submucosal dissection-induced ulcer in the stomach." Application of a novel fully-synthetic and self-assembled peptide solution, which functions as an extracellular matrix scaffold …

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Propofol sedation during complex upper endoscopy in elderly

Keisuke Hori, MD, PhD, from the Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, in Okayama, Japan discusses this Original Article, "Propofol sedation with a target-controlled infusion pump and bispectral index monitoring system in elderly patients during a complex upper endoscopy procedure." The focus of our study was …

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ESD treatment of early cecal cancer

Kinichi Hotta, MD, from the Division of Endoscopy, Shizuoka Cancer Center, in Shizuoka, Japan describes this VideoGIE case "Early cecal cancer adjacent to the appendiceal orifice successfully treated by endoscopic submucosal dissection." The cecal tumor adjacent to the appendiceal orifice (CTAO) is considered one of the most difficult lesions to be treated by endoscopic resection. …

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Curative ESD of neoplasms in ulcerative colitis

Federico Iacopini, MD, from the Gastroenterology and Endoscopy Unit, Ospedale S. Giuseppe—ASL Roma H, Albano L, in Rome, Italy discusses this New Methods article "Curative endoscopic submucosal dissection of large nonpolypoid superficial neoplasms in ulcerative colitis (with videos)." This is the first study evaluating the feasibility and clinical impact of endoscopic submucosal dissection (ESD) for …

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