Current Issue: October 2022
Image Gallery
Our choice of this month's most significant images.
Endoscopic intermuscular dissection for deep submucosal invasive cancer in the rectum: a new endoscopic approach
Fig. 1 Schematic representation of the endoscopic intermuscular dissection (EID) procedure illustrating: a a rectal lesion suspected of having deep submucosal invasion in the mid-rectum; b a partial circumferential cut of the mucosa, which is performed to gain access to the submucosal space; c,d the circular muscularis propria being cut at the luminal edge of the lesion to gain access to the intermuscular space; e the intermuscular space being dissected to remove the specimen en bloc, including the circular part of the
muscularis propria; f the specimen being removed using a retrieval net, leaving the longitudinal part of the muscularis propria exposed.
Comparison of the removal ability of basket catheters for small bile duct stones impacted in the corner pocket of the lower bile duct
Fig. 1 Schematic diagrams illustrating the challenge of extraction of small stones from the lower bile duct corner pocket using: a a balloon catheter, which is likely to pass alongside the stone without removing it; b a basket catheter which, while possibly better suited, may still present a challenge in grasping the stone and not dropping it during removal.
