Post written by Tomoya Kimura, MD, from NTT Medical Center Tokyo, Tokyo, Japan. We introduce the pinch technique, a novel and effective traction method for endoscopic submucosal dissection in large colorectal lesions. This technique uses the “SureClip Traction Band” (Micro-Tech, Nanjing, China) to grasp lesion edges together, representing a completely new approach. It is particularly beneficial for …
Tag: VideoGIE
Hand-suturing–assisted traction technique and closure in colon endoscopic submucosal dissection
Post written by Fatih Aslan, MD, from the Department of Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. In this case, we describe a hand-suturing—assisted traction technique and closure applied during endoscopic submucosal dissection (ESD) for a 3-cm laterally spreading tumor in the cecum of a 47-year-old man. The technique used a barbed suture to facilitate …
Knife-assisted full-thickness resection guided by pocket detection method for detection and complete excision of deeply invasive rectal cancer
Post written by Maria Eva Argenziano, MD, from the Clinic of Gastroenterology, Hepatology and Emergency Digestive Endoscopy, Università Politecnica delle Marche, Ancona, Italy, Department of Gastroenterology & Hepatology, University Hospital Ghent, and Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium, and David James Tate, MBBS, MA (Cantab), MRCP, PhD, from the Department of Gastroenterology & Hepatology, …
Novel robotic gripper for traction and closure in colorectal endoscopic submucosal dissection
Post written by Sang Hyun Kim, MD, PhD, and Hyuk Soon Choi, MD, PhD, from the Division of Gastroenterology and Hepatology, Korea University College of Medicine, Seoul, South Korea. We describe application of a novel dual-function robotic gripper (ROBOPERA-TraCloser [Dual Gripper]; ENDOROBOTICS, Seoul, South Korea) in colorectal endoscopic submucosal dissection (ESD). This device integrates traction and closure functionalities, enhancing …
Endoscopic closure of esophageal, gastric, jejunal, and rectopelvic fistulas with cardiac septal occluder devices: a case series
Post written by Shailendra Singh, MD, and Ethan Cohen, MD, from West Virginia University, Morgantown, West Virginia, USA. This video case series highlights the novel application of cardiac septal occluder (CSO) devices for endoscopic closure of esophageal, gastric, jejunal, and rectal fistulas. Traditionally, managing these complex fistulas and anastomotic leaks has been challenging, often requiring multiple endoscopic attempts …
The “Asclepius tube”: a slim drainage tube wrapped around the distal part of the endoscope for cecal endoscopic submucosal dissection
Post written by Yoshikazu Hayashi, MD, PhD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan. Our article describes a 62-year-old patient with a laterally spreading tumor in the cecum. We developed “the Asclepius tube”—a modified, fenestrated 14F nasogastric tube (SF-GX1420, Terumo, Tokyo, Japan) wrapped around the distal end of the endoscope, allowing …
Endoscopic incisional therapy for giant bridged pseudopolyposis of the esophagus in a patient with upper GI Crohn’s disease
Post written by Sarang Gupta, MD, and Jeffrey Mosko, MD, from St. Michael’s Hospital and the University of Toronto, Toronto, Canada. A 38-year-old man with stricturing esophageal Crohn’s disease (eCD) was referred for evaluation of progressive solid-food dysphagia despite medical therapy and prior dilation attempts. After balloon dilation of a proximal esophageal stricture, examination of the distal esophagus revealed a …
Video recording in GI endoscopy
Post written by Fateh Bazerbachi, MD, from CentraCare, Interventional Endoscopy Program, St Cloud Hospital, St Cloud, Minnesota, USA. This society document outlines the transformative potential of endoscopic video recording (EVR) in GI endoscopy. Although current endoscopic reporting relies on brief written documentation and static images, EVR can capture the complete procedural experience, offering new opportunities to enhance …
Revision of failed Nissen fundoplication using combined antireflux mucosal ablation and endoscopic full-thickness fundoplasty
Post written by Wasseem Skef, MD, from the Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine and Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA, and Jasmine Haydel, MD, from the Department of Medicine, Baylor College of Medicine. We performed a hybrid endoscopic procedure of antireflux mucosal ablation and fundoplasty using endoscopic suturing …
Open Zenker’s-peroral endoscopic myotomy: novel treatment for Zenker’s diverticulum
Post written by Kapil Sharma, DM, from the Department of Gastroenterology, Sarvodaya Hospital and Medical Research Centre, Faridabad, Haryana, India. We describe a novel approach to managing a case of absolute dysphagia caused by a large Zenker’s diverticulum (ZD) in an elderly man. The procedure, termed open Zenker’s-peroral endoscopic myotomy (OZ-POEM), incorporates submucosal tunneling to conduct cricopharyngeal …
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