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Create a Free AccountAnatomy - Colorectal
Successful endoscopic management of adult ileocecal intussusception secondary to a large ileal lipoma
A 90-year-old man presented to our hospital with abdominal pain, nausea, and loss of appetite that started the day before arrival. Initial CT revealed a target sign with a low-density mass at the center located in the terminal ileum (Fig. 1). Although a severely distended small bowel and ascites were present, physical and serum laboratory findings were not suggestive of peritonitis. From the CT findings, the patient was diagnosed with adult intussusception secondary to a lipoma. Because vital signs were stable and abdominal pain was under control without administration of anesthetics, we attempted endoscopic reduction under fluoroscopic guidance (Video 1, available online at www.VideoGIE.org ).A case of anal condyloma acuminatum observed by endocytoscopy
Condyloma acuminatum (CA) is one of the most common sexually transmitted diseases caused by human papillomavirus (HPV) infection. This virus causes not only inflammation-induced benign squamous hyperplasia, as in anal CA, but also anal intraepithelial neoplasia, which is a precursor of anal squamous cell carcinoma (SCC). Therefore, observation of anal CA with various modalities can help us decide on a treatment strategy and prevent anal SCC. Here, we report a case of anal CA, for which endocytoscopy was used to provide the ultra-high-magnification images at cellular resolution in real time with manipulating zoom lever after staining.Axis-keeping shortening technique for colonic intubation
Fast and successful colonic intubation is of paramount importance in achieving high-level diagnostic success and patient satisfaction. Moreover, during the current COVID-19 pandemic, adequate colonic intubation techniques are even more important to reduce examination times and sedation. Nevertheless, colonic intubation is still sometimes challenging in clinical practice, although various helpful strategies have been demonstrated in recent years.1,2Suction marking method: a novel technique to prevent overlooking of polyps detected upon endoscope insertion
It has been established that removal of adenomas reduces the prevalence and mortality of colorectal cancers.1,2 Because the miss rate of polyps in colonoscopy remains high, an appropriate approach for all polyps, even for lesions detected upon endoscope insertion, plays an important role in achieving high-quality colonoscopy.
