Post written by Shunsuke Yamamoto, MD, PhD, and Morteza Shafazand, MD, from the Department of Gastroenterology, Sahlgrenska University Hospital, Östra, Sweden. This is a case of a pedunculated polyp in the sigmoid colon whose stalk is short and thick, and we resected it using a scissor-type endoscopic knife. We wanted to demonstrate how to maneuver …
Continue reading ESD with scissor-type knife for pedunculated polyp with short and thick stalk
Post written by Justin J. Forde, MD, from the Department of Medicine, University of Florida, Gainesville, Florida, USA. The role of endoscopic submucosal dissection (ESD) in Barrett's esophagus (BE) is not well established. This meta-analysis aimed to evaluate the safety and efficacy of ESD for the management of early BE neoplasia. ESD is an advanced technique that …
Continue reading Endoscopic submucosal dissection for early Barrett’s neoplasia
Post written by Ji Yong Ahn, MD, and Young Kwon Choi, MD, from the Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. We compared the clinical outcomes of ESD for gastric neoplasms between cirrhosis and noncirrhosis patients. In addition, we analyzed the Child–Pugh classification status before and after ESD …
Continue reading Efficacy and safety of ESD between cirrhosis and noncirrhosis patients
Post written by Tatsuma Nomura, MD, and Shinya Sugimoto, MD, from the Department of Gastroenterology, Kinan Hospital, Minamimuro, and the Department of Gastroenterology, Ise Red Cross Hospital, Ise, Japan. We conducted endoscopy training for endoscopic angle manipulation using the transparent sheet and the EGD Simulator. The video and figure show the animation and the actual …
Continue reading Endoscopic angle manipulation training for endoscopic submucosal dissection
Post written by Satoshi Kinoshita, MD, Toshio Uraoka, MD, PhD, and Toshihiro Nishizawa, MD, PhD, from the Department of Gastroenterology, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan, and the Department of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine, Maebashi, Japan. Patients with ulcerative colitis have an increased risk of colorectal dysplasia. Endoscopic …
Continue reading The role of colorectal ESD in patients with ulcerative colitis
Post written by Qiang Zhang, MD, from the Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China. Our team explored a modified method of assisting in ESD in the upper GI tract, with the application of a snare and endoclips (SC-ESD). We reported 3 cases: Case 1 was …
Continue reading A modified method of endoclip-and-snare to assist in ESD with mucosal traction
Post written by Kazuki Boda, MD, from the Department of Gastroenterology and Metabolism, Hiroshima University Hospital, Hiroshima, Japan. The focus of our study was to investigate the clinical outcomes of colorectal endoscopic submucosal dissection (ESD) at a regional level. Because the morbidity associated with colon carcinomas is rising in Japan, the number of ESDs for …
Continue reading Clinical outcomes of endoscopic submucosal dissection for colorectal tumors
Post written by Ping-Hong Zhou, MD, PhD, from the Endoscopy Center, Zhongshan Hospital of Fudan University and Endoscopy Research Institute of Fudan University, Shanghai, China. We investigated the efficacy and safety of endoscopic submucosal dissection (ESD) of colorectal submucosal tumors (SMTs) in a large series of patients and examined its long-term outcomes in our study. …
Continue reading Efficacy and safety of ESD for submucosal tumors of the colon and rectum
Post written by Kotaro Shibagaki, MD, PhD, from the Department of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan. The esophageal extensive ESD causes a postoperative severe stenosis, which requires endoscopic balloon dilation. The most popular preventive procedure is perhaps an endoscopic local injection of triamcinolone acetonide (TA), but it has a big problem in …
Continue reading Esophageal triamcinolone acetonide–filling method
Post written by Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. This patient underwent an endoscopic piecemeal removal of an 11-mm flat lesion in the sigmoid colon in 2011. Her follow-up colonoscopy in 2016 revealed a 30-mm recurrent lesion at the …
Continue reading ESD pocket technique for removal of recurrent colonic lesion
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