Post-resection Surveillance
Fig. 20.1 Post-ESD scars (after curative resection of EGC) Fig. 20.2 Granulation tissue after ESD of EGC (surveillance biopsy showed no local tumor recurrence) Fig. 20.3 Local recurrence at previous…
ESD Technique: Stomach
Fig. 11.1 (a) IT knife, (b) IT knife 2, and (c) IT knife nano Preparation Informed Consent Informed consent should be obtained from patients only after they have received an…
Electrocautery for ESD
Fig. 9.1 Cutting current Coag In general, coagulation current is produced by intermittent bursts of higher voltage alternating current (Fig. 9.2). The effect is a slower increase in temperature that…
Regenerative Medicine for Stricture Management: What does the Future Hold?
Fig. 15.1 (a) Confluent epithelial cells were strongly connected to each other and attached to the temperature-responsive surfaces of the culture dishes at 36 °C. (b) Cell sheets were harvested…
Submucosal Endoscopy: From ESD to POEM and POET
Fig. 21.1 (a) ESD: Mucosa, with some submucosal tissue, is resected, and the exposed muscle layer facilitates as a barrier to esophageal content. (b) POEM: Muscle layer was dissected in…
ESD Expansion: NOTES—Eastern Perspective
Procedure Year Author Country Route Number Operation time (min) Complications Cholecystectomy 2008 Rao et al India Transvaginal 3 NA None 2009 Palanivelu et al India Transvaginal 8 148 1 subhepatic…
Submucosal Fluid Cushion Injection Fluid: Western Perspective
Ideal SFC solution characteristics SFC solution should be: [5, 10, 14] Cost Inexpensive Clarity Transparent enough to help identify submucosal structures Local and systemic toxicity Non-toxic Availability Readily in bulk…
History of ESD
Fig. 1.1 Blunt tip ESD knives. From the bottom: IT-knife (Olympus Medical Systems), SAFEKnife V (Fujifilm), Swan Blade (Hoya/Pentax), Mucosectom (Hoya/Pentax) Fig. 1.2 Tip-cutting ESD knives. From the left: Hook…
Identification, Treatment, and Prevention of Complications: Perforation in the Upper Gastrointestinal Tract
Fig. 17.1 (a) Before changing position. (b) After changing position. (c) Clipwith-line attached on the underside of the specimen. (d) After “Clip-with-line method”. (e) Perforation occurrence during esophageal ESD. (f)…
ESD Expansion: NOTES—The Western Perspective
Fig. 23.1 Insulated tip knife, hook knife, flush knife, triangular tip knife, sphincterotome Peritoneal Inspection Control of pneumoperitoneum is a particular challenge in NOTES. Controlled insufflation through the endoscope is…
