Set-up and use of the “Asclepius tube”: a slim drainage tube to facilitate saline-immersion endoscopic submucosal dissection

Post written by Edward J. Despott, MD, FRCP, FEBGH, FASGE, MD (Res), Elisabet Maristany Bosch, MD, and Georgios Kalopitas, MD, PhD, from the Royal Free Unit for Endoscopy, The Royal Free Hospital and University College London Institute for Liver and Digestive Health, London, United Kingdom. Our video showcases the practical implementation of the “Asclepius tube,” an innovative, simple drainage system designed for …

Continue reading Set-up and use of the “Asclepius tube”: a slim drainage tube to facilitate saline-immersion endoscopic submucosal dissection

Endoscopic mesorectal dissection for precise pathologic staging and potential treatment of locally advanced rectal cancer

Post written by Varun Jain, MD, MBA, and Sultan Mahmood, MD, FASGE, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. We present a case of endoscopic mesorectal dissection (EMD) performed for staging and potential treatment of a residual rectal adenocarcinoma following incomplete hot snare polypectomy. A 67-year-old man underwent colonoscopy after a …

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The saline-immersion/irrigation technique for endoscopic submucosal dissection of a challenging colonic lesion using double-balloon endoscopy and a novel type of advanced imaging

Post written by Edward John Despott, MD, FRCP, FEBGH, FASGE, FJGES, FESGE, MD (Res), Elisabet Maristany Bosch, MD, and Georgios Kalopitas, MD, PhD, from the Royal Free Unit for Endoscopy, The Royal Free Hospital and University College London Institute for Liver and Digestive Health, London, United Kingdom. We present a case of endoscopic submucosal dissection (ESD) of an 80-mm sessile lesion of …

Continue reading The saline-immersion/irrigation technique for endoscopic submucosal dissection of a challenging colonic lesion using double-balloon endoscopy and a novel type of advanced imaging

A >30-cm circumferential rectal laterally spreading tumor treated with multitunnel endoscopic submucosal dissection and suturing

Post written by Fatih Aslan, MD, from Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. This video presents a case of multitunnel endoscopic submucosal dissection (ESD) followed by endoscopic suturing in a patient with an approximately >30-cm-long circumferential laterally spreading tumor located in the rectum. A 51-year-old woman presenting with diarrhea underwent colonoscopic evaluation, which revealed a large circumferential laterally …

Continue reading A >30-cm circumferential rectal laterally spreading tumor treated with multitunnel endoscopic submucosal dissection and suturing

Saline-tunneling endoscopic submucosal dissection for residual rectal lesion at anastomotic staple line

Post written by Taranika Sarkar Das, MD, from The Brooklyn Hospital, Brooklyn, New York, and Matheus Franco, MD, PhD, from the Division of Gastroenterology and Human Nutrition at the University of Texas Health San Antonio and UT Health San Antonio’s Multispecialty and Research Hospital, San Antonio, Texas, USA. We present a case of a 67-year-old man with prior T3N1M0 rectal …

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Anchor-pronged clip–assisted countertraction in submucosal tunneling endoscopic resection and endoscopic submucosal dissection: a novel technique for submucosal tumors

Post written by Georgios Mavrogenis, MD, from the Third Space Endoscopy Unit, Mediterraneo Hospital, Athens, Greece. Resection of submucosal tumors by means of endoscopic submucosal dissection (ESD) or submucosal tunneling endoscopic resection (STER) is associated with several technical challenges. In particular, access to the tumor base is often limited because of firm attachment to the muscularis propria. …

Continue reading Anchor-pronged clip–assisted countertraction in submucosal tunneling endoscopic resection and endoscopic submucosal dissection: a novel technique for submucosal tumors

Expanded options for removal of an old over-the-scope clip

Post written by Ka-Kin Sze, FHKCP, from the Division of Gastroenterology and Hepatology, Department of Medicine and Geriatrics, Tuen Mun Hospital, Tuen Mun, Hong Kong SAR, China. We present a case of a patient who had an over-the-scope clip (OTSC) in situ for more than 2 years. A decision was made to remove the OTSC using the …

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Ischemic polypectomy for small-bowel polyps in pediatric Peutz-Jeghers syndrome

Post written by Brett J. Hoskins, DO, from the Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Indiana University School of Medicine, Riley Hospital for Children at IU Health, Indianapolis, Indiana, USA. This video demonstrates ischemic polypectomy during balloon-assisted enteroscopy in a 12-year-old girl with Peutz-Jeghers syndrome and chronic iron deficiency anemia. Seven pedunculated small-bowel …

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Farewell: Reflecting on 5 years as VideoGIE Editor-in-Chief

Post written by VideoGIE Editor Emeritus Field F. Willingham, MD, MPH, FASGE, from Emory University Hospital, Atlanta, Georgia, USA. I cannot believe how fast it went. What an honor to have had the opportunity to lead VideoGIE for these past 5 years. I loved every minute we spent working on and evolving the journal. I …

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Bleeding rectal pseudoaneurysm following endoscopic submucosal dissection managed with endoscopic ultrasound—guided absorbable gelatin sponge injection

Post written by Agnieszka Maniak, MD, and Irving Waxman, MD, from Rush University Medical Center, Center for Interventional Endoscopy, Chicago, Illinois, USA. Our case features a 74-year-old woman who presented with recurrent hematochezia despite conventional endoscopic hemostasis following endoscopic submucosal dissection (ESD) of a 50-mm rectal polyp. During her second presentation for hematochezia, the patient underwent a CT angiography that …

Continue reading Bleeding rectal pseudoaneurysm following endoscopic submucosal dissection managed with endoscopic ultrasound—guided absorbable gelatin sponge injection