Current Issue September 2017
Andreas Probst, Annette Schneider, Tina Schaller et al.
Endoscopic submucosal dissection (ESD) is the standard treatment for early gastric cancer (EGC) fulfilling guideline resection criteria or the expanded resection criteria in Asia. It is unclear whether the expanded criteria can be transferred to European patients, and long-term follow-up data are lacking. The aim of this study was to evaluate long-term follow-up data after ESD of EGCs in Europe.
Jun-Ho Choi, Dong Wan Seo, Tae Jun Song et al.
The aim of this study was to investigate the long-term outcomes after endoscopic ultrasound (EUS)-guided pancreatic cyst ablation.
Edmund Derbyshire Pali Hungin, Claire Nickerson et al.
Colonoscopic polypectomyreduces colorectal cancer incidence, but is associated with complications including post-polypectomy bleeding (PPB). PPB ranges in severity from minor to life-threatening, making interpretation and comparison difficult. No previous studies have examined PPB rate according to a standardized severity grading system. We aimed to determine the PPB rate stratified by severity grading, explore factors that contribute to PPB severity grading, and describe PPB management.
Video Comment – Michael J. Bourke on "Two-stage endoscopic mucosal
resection is a safe and effective salvage therapy after a failed single-session approach"
David J. Tate, Lobke Desomer, Luke F. Hourigan, Alan Moss, Rajvinder Singh, Michael J. Bourke
Video Comment – Frank Lenze on "Direct peroral cholangioscopy with a new anchoring technique using the guide probe of Kautz – first clinical experiences"
Frank Lenze, Tobias M. Nowacki, Torsten Beyna, Hansjoerg Ullerich
Video Comment – Drs. Pioche & Lesne on "Endoscopic submucosal dissection of early colorectal neoplasms with a monopolar scissor-type knife: short- to long-term outcomes"
Andreas Probst, Annette Schneider, Tina Schaller
Jun-Ho Choi, Dong Wan Seo, Tae Jun Song
Edmund Derbyshire, Pali Hungin, Claire Nickerson
Wu et al.
Fig 1 Endoscopic image showing an example of a mucosal
Tate et al.
Fig. 1 Two-stage endoscopic mucosal resection (EMR). a A large 35mm resection-naïve nongranular laterally spreading lesion is shown in the ascending colon. b Standard inject- and-resect EMR is used to isolate a nonlifting central component. c A stiff thin-wire snare is used to attempt resection of the central nonlifting component. d Ultimately, the nonlifting component cannot be fully resected by snare and the patient is scheduled for a second-stage procedure. e Appearance of the EMR scar at 1.5 months after the initial EMR; scarring can be seen to highlight the residual adenoma. f After injection, a thin wire snare is used to resect the residual adenoma. g Argon plasma coagulation is applied to the resection bed and surrounding scar tissue. h Appearance of the EMR scar at the first surveillance colonoscopy, with no evidence of recurrence.
Lenze et al.
Fig. 2 Anchor-assisted direct cholangioscopy in a patient with intraductal papillary neoplasia. a The guide probe was positioned in the right branch of the intrahepatic duct via a duodenoscope and was then flexed to anchor the guide probe. b After removal of the clamping device (not shown), the duodenoscope was extracted over the guide probe. c After the endoscope had been backloaded over the probe, the clamping device of the guide probe was reattached and strained to anchor the tip of the probe. d An ultraslim endoscope was then easily advanced to the second part of the duodenum, without looping in the stomach, reaching a position adjacent to the papillary orifice. e Further pulling on the guide probe while simultaneously pushing the endoscope allowed the endoscope to be advanced to the right hepatic duct. f The endoscope remains in position after the probe has been extracted. g,h Cholangioscopic views showing an intraductal papillary neoplasm, which is biopsied.
Kuwai et al.
Fig. 1 The Stag-beetle Knife Jr. (SB Knife Jr.): a showing its scissortype action; b during an endoscopic submucosal dissection procedure.