Post written by Prakash Zacharias, MD, DM, and Mathew Philip, MD, DM, from the Lisie Institute of Gastroenterology, Hepatology and Transplantation, Lisie Hospital, Kochi, India. This article highlights the application of a third-space endoscopic technique to restore luminal continuity in a patient with complete esophageal obstruction at the postcricoid region. We successfully created a neo-lumen by performing submucosal tunneling from …
Tag: submucosal tunneling
Advanced endoscopic techniques for esophageal duplication cyst treatment: beyond surgery
Post written by Radhika Chavan, MD, DNB, from the Department of Gastroenterology and Endoscopy, Ansh Clinic, Ahmedabad, India. Esophageal duplication cysts are rare congenital anomalies usually managed by surgery. We present cases of 3 patients with symptomatic cysts, each managed using a tailored endoscopic approach. In the first case, a small mid-esophageal cyst was treated using submucosal …
Submucosal tunneling endoscopic full-thickness resection for management of a rare case of esophageal GI stromal tumor
Post written by Chukwunonso Benedict Ezeani, MD, from Baton Rouge General Medical Center, Baton Rouge, Louisiana, USA. This is a case of a patient with compensated alcohol-related cirrhosis (MELD-Na 7 points, Child Turcotte Pugh class A) who underwent an upper EGD for variceal screening. She was incidentally found to have a 1-cm well-circumscribed upper esophageal …
Submucosal tunneling endoscopic septum division for esophageal diverticulum with a median follow-up of 39 months: a multicenter cohort study
Post written by Ping-Hong Zhou, MD, FASGE, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, and Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, China. In this study, we primarily focused on the safety and efficacy of submucosal tunneling endoscopic septum division (STESD) for patients with esophageal diverticulum and STESD’s impact on patients’ …
Endoscopic treatment of Killian-Jamieson diverticulum using submucosal tunneling diverticulotomy technique
Post written by Ali Zakaria, MD, from the Division of Gastroenterology, Ascension Providence Hospital, Southfield, Michigan. We present a case of an 82-year-old female patient with progressively worsening dysphagia to solid food, regurgitation, globus sensation, and halitosis. Barium esophagram revealed a 40-mm anterolateral protrusion at the level of the proximal cervical esophagus, consistent with KJD. …
Submucosal tunneling technique using insulated-tip knife in complete circumferential endoscopic submucosal dissection
Kenichiro Imai from the Division of Endoscopy, Shizuoka Cancer Center presents this video case. We demonstrated complete circumferential colorectal endoscopic submucosal dissection (ESD) using an insulated-tip knife. Colonoscopy in a 70-year-old woman showed a 15-cm circumferential laterally spreading tumor (LST) in the upper rectum. Through the use of magnified endoscopy, we diagnosed non-invasive cancer, so we …
Successful removal of esophageal submucosal tumor
Successful removal of an esophageal submucosal tumor by submucosal tunneling endoscopic resection technique Hiroyuki Aihara, MD, PhD The Division of Gastroenterology, Hepatology and Endoscopy Brigham and Women’s Hospital Boston, Massachusetts, USA In this video, we describe a case of submucosal esophageal tumor successfully removed by a submucosal tunneling endoscopic resection (STER) technique. This is a …
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Endoscopic resection of giant esophageal leiomyoma
Vivek Kumbhari, MD from the Department of Medicine and Division of Gastroenterology and Hepatology at Johns Hopkins Medical Institutions in Baltimore, Maryland, USA presents this video case "Submucosal tunneling endoscopic resection of a giant esophageal leiomyoma." A 53-year-old woman presented for evaluation of a 2-month history of progressive dysphagia and chest pain. A chest CT …
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