Endoscopic submucosal dissection with double-tunnel technique for en bloc resection of large rectal laterally spreading tumor

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Endoscopic submucosal dissection with double-tunnel technique for en bloc resection of large rectal laterally spreading tumor

Large (>2.5 cm) rectal laterally spreading tumors (LSTs) are often managed endoscopically with piecemeal endoscopic mucosal resection technique (pEMR). However, the mean recurrence rate after pEMR is 20% [1]. Furthermore, rectal LST-mixed granular type lesions (0-Is+IIa) demonstrate deep submucosal cancerous infiltration in 10.1% of cases [2]. Endoscopic submucosal dissection (ESD) is an endosc...

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Endoscopic Submucosal Dissection, a New Technique for en Bloc Resection of Large Superficial Tumor in the Esophagus

For superficial esophageal cancer, conventional endoscopic mucosal resection with cap (EMRC) has been widely prevailed for reliable and safety treatment1. Recent innovations of diagnostic endoscopy including high-resolution endoscopy, narrow band imaging (NBI), and magnified endoscopy allow detect and identify more small lesions of the GI tract, and endoscopist are forced to develop their skill...

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Circumferential rectal laterally spreading tumor resected by endoscopic submucosal dissection in a Western center.

A 78-year-old patient without relevant past medical history underwent colonoscopy for chronic diarrhea. Examination identified a laterally spreading tumor (LST), mixed-granular-type (nodules up to 1 cm) in the rectum, from the pectin line to the rectosigmoid transition. The LST covered 100% of the circumference of this segment (▶Fig. 1). Endoscopic evaluation was compatible with an adenomatous ...

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Successful en bloc endoscopic submucosal dissection of early gastric cancer and rectal lateral spreading tumor in a Greek hospital

Basioukas S. and Xinopoulos D. [1] previously reported successful endoscopic submucosal dissection (ESD) of early gastric cancer, type ‘0-IIa’, in a Greek hospital. We would also like to add our experience from gastric and rectal ESD and one-year follow up. Although, narrow band imaging (NBI) magnification endoscopy is a prerequisite, for detailed evaluation of NBI magnifying patterns of mucosa...

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Rectal laterally spreading tumors successfully treated in two steps by endoscopic submucosal dissection and endoscopic mucosal resection

BACKGROUND Endoscopic submucosal dissection (ESD) is an advanced technique of therapeutic endoscopy alternative to endoscopic mucosal resection (EMR) for superficial gastrointestinal neoplasms >2 cm. ESD allows for the direct dissection of the submucosa and large lesions can be resected en bloc. ESD is not limited by resection size, increases histologically complete resection rates and may redu...

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ژورنال

عنوان ژورنال: Annals of Gastroenterology

سال: 2017

ISSN: 1792-7463

DOI: 10.20524/aog.2017.0179