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 …
Tag: ESD
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 …
Different risk factors between early and late cancer recurrences after noncurative ESD
Post written by Waku Hatta, MD, PhD, from the Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan. Our study focused on evaluating the risk factors of early and late cancer recurrences in patients who were followed up without additional radical surgery after endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) categorized …
ESD and submucosal tunneling endoscopic resection for obstructive lipomas
Post written by Georgios Mavrogenis, MD, from the Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece. This video describes the resection of an obstructive duodenal lipoma by means of submucosal tunneling endoscopic resection (STER) and the resection of obstructive colonic lipoma by means of endoscopic submucosal dissection (ESD) Big lipomas are always challenging to remove. The …
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Modified attachment method using an S-O clip for gastric ESD
Post written by Mitsuru Nagata, MD, from the Department of Endoscopy, Shonan Fujisawa Tokushukai Hospital, Kanagawa, Japan. In this report, we present 2 cases of gastric neoplasm treated using S-O clip-assisted endoscopic submucosal dissection (ESD) and discuss the use of the S-O clip for gastric ESD. The S-O clip (Zeon Medical, Tokyo, Japan) is a …
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Conscious transnasal hybrid ESD enables safe and painless en bloc resection
Post written by Yohei Minato, MD, from the NTT Medical Center, Tokyo, Japan. With the transnasal endoscopy, we successfully performed hybrid endoscopic submucosal dissection (ESD) of an early gastric cancer without sedation. Endoscopic Submucosal Dissection (ESD) is a technically demanding and time-consuming procedure, which is usually performed under sedation. Recently, hybrid ESD was developed as …
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Tissue retractor system–assisted ESD of a large rectal tumor with significant fibrosis
Post written by Salmaan Jawaid, MD, from the Division of Gastroenterology, Hepatology and Nutrition, University of Florida Health, Gainesville, Florida, USA. With the assistance of a novel tissue retractor system, we successfully performed endoscopic submucosal dissection (ESD) of a large rectal lesion that had developed significant fibrosis from direct tattoo material. Typically, performing ESD of …
Endoscopic closure of the defect after ESD with metal clips and surgical sutures
Post written by Zhendong Jin, MD, from the Department of Gastroenterology, Changhai Hospital Affiliated to the Second Military Medical University, Shanghai, China. A patient accepted ESD for a SMT originated from the muscularis propria layer, which was located at the anterior wall of the gastric body. In consideration of muscular injury, the large defect was …
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