Coagulation forceps-sparing techniques for pre-emptive sealing of blood vessels during third-space endoscopy

Post written by Zaheer Nabi, MD, DNB, FASGE, FISG, FSGEI, from the Asian Institute of Gastroenterology, Hyderabad, India. This video presents a series of coagulation forceps-sparing techniques used during third-space endoscopy, including peroral endoscopic myotomy. Using various electrosurgical knife-based and bipolar coagulation methods, we demonstrate how large blood vessels encountered during submucosal dissection can be …

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Performance of perioperative antibiotics against post–endoscopic submucosal dissection coagulation syndrome: a multicenter randomized controlled trial

Post written by Yoji Takeuchi, MD, FJGES, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Post—endoscopic submucosal dissection (ESD) coagulation syndrome (PECS) sometimes occurs after colorectal ESD and leads to extended hospitalization. Although the efficacy of perioperative antibiotics preventing PECS had been uncertain, perioperative antibiotics had been used to prevent PECS …

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Management of a windsock diverticulum by the use of novel submucosal dissection scissors

Post written by Ryan Law, DO, from the Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA. A 41-year-old woman presented with a 2-year history of nausea, post-prandial pain, dysphagia to solid food, and intermittent regurgitation. During her evaluation, she was found to have a 4-cm long outpouching suggestive of an epiphrenic diverticulum as …

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