Optimal mode and power output of electrosurgical units for endoscopic papillectomy based on animal experiments and a preliminary clinical study (with videos)

Post written by Kenjiro Yamamoto, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan.  In this study, we conducted animal experiments to evaluate incision force and coagulation effect in various settings of the endoCUT mode with the VIO (Erbe, Tübingen, Germany) series. We determined the optimal electrosurgical unit (ESU) settings for …

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Endoscopic submucosal dissection for a laterally spreading ampullary carcinoma

Post written by Osamu Dohi, MD, PhD, from Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan. We performed endoscopic submucosal dissection (ESD) for a laterally spreading ampullary carcinoma 3 cm in size because it was expected to be difficult to completely resect the lesion by endoscopic papillectomy …

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Expert consensus on endoscopic papillectomy using a Delphi process

Post written by Jeska A. Fritzsche, MD, from the Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, Amsterdam Gastroenterology Endocrinology & Metabolism, Amsterdam, the Netherlands. The focus of our study was to assess the expected wide variety in daily practice of endoscopic papillectomy and to achieve further consensus among international experts by using a …

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A prospective multicenter study of submucosal injection

Post written by Tae Hoon Lee, MD, PhD, and Jong Jin Hyun, MD, PhD, from the SoonChunHyang University School of Medicine and Korea University College of Medicine. In technical aspects of endoscopic papillectomy, whether submucosal injection papillectomy should be performed is still debatable. Injecting saline solution or a diluted epinephrine solution into the submucosal layer …

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