Post written by Kayla M. Hartz, DO, from the Department of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania. These are 2 cases in which hemostatic spray was used as a bail-out method for hemostasis when other standard methods failed. These cases show the value in using a hemostatic spray as …
Tag: ESD
The pocket-creation method facilitates gastric ESD and overcomes challenging situations
Post written by Masafumi Kitamura, MD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan. Gastric ESD using the PCM can be performed with a uniform strategy, regardless of the location of the lesion, and it is more straightforward for the operator than conventional methods. We here present 2 representative cases …
Successful removal of a giant esophageal lipoma with hybrid endoscopic submucosal dissection
Post written by Ameya Deshmukh, DO, from the Department of Internal Medicine, Saint Louis University - SOM, St. Louis, Missouri. In this video, we showcase the removal of a 7-cm esophageal lipoma in a patient who presented with dysphagia (Eckardt score of 6) and weight loss. Endoscopic submucosal dissection (ESD) was used to expose the …
Novel approaches to minimize intraoperative bleeding during ESD of a large rectal lateral spreading tumor extended to the dentate line with internal hemorrhoids
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. This video case describes how we applied surgically vascular control principles to reduce the risk of adverse events during third space endoscopy. As the risk of bleeding …
GI endoscopic submucosal dissection using a calibrated, small-caliber-tip, transparent hood for lesions with fibrosis
Post written by Tatsuma Nomura, MD, from the Department of Gastroenterology, Mie Prefectural Shima Hospital, Shima, and the Department of Gastroenterology, Ise Red Cross Hospital, Ise, Mie, Japan. We describe a novel technique for overcoming severe fibrosis encountered during endoscopic submucosal dissection (ESD) using a calibrated, small-caliber tip, transparent hood (CAST hood) with Pocket-creation method …
Combination of a dynamic rigidizing overtube and a novel injectable needle-type knife to facilitate colorectal endoscopic submucosal dissection
Post written by Martin Coronel, MD, and Phillip S. Ge, MD, from the Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas. A 66-year-old man was referred for endoscopic resection of a 35-mm laterally spreading tumor at the hepatic flexure (Paris IIa+Is). A previous EMR attempt was unsuccessful …
Evolution of re-epithelialization postcircumferential esophageal endoscopic submucosal dissection
Post written by Robert Bechara, MD, from the Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. The introduction of endoscopic submucosal dissection (ESD) has revolutionized the management of superficial gastrointestinal neoplasia. In the esophagus, the stricture rate after a circumstantial ESD (cESD) without any prophylaxis medications is virtually 100%. There have been many reported …
Comparing a conventional and a spring-and-loop with clip traction method of endoscopic submucosal dissection for superficial gastric neoplasms
Post written by Mitsuru Nagata, MD, from the Department of Endoscopy, Shonan Fujisawa Tokushukai Hospital, Fujisawa-shi, Kanagawa, Japan. A spring-and-loop with clip (SLC; S–O clip; Zeon Medical, Tokyo, Japan) has been developed as a traction device for endoscopic submucosal dissection (ESD). Its great advantage is that it can provide traction in any direction. We hypothesized …
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 …
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 …
endoscopedia.com 