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Create a Free AccountAnatomy - Esophagus
Cost-effective modified endoscopic vacuum therapy for the treatment of gastrointestinal transmural defects: step-by-step process of manufacturing and its advantages
GI transmural defects may be classified into 3 distinct categories: perforations, leaks, and fistulas. Each represents a therapeutic challenge directly affecting morbidity, mortality, and quality of life and is associated with significant healthcare costs.1,2 Endoscopic therapy has become the first-line therapy in most cases,3,4 with available treatment modalities that include closure techniques such as glues/tissue sealants, cap-mounted clips, and endoscopic suturing; cover techniques such as self-expandable metal stents (SEMSs) and cardiac septal defect occluder devices; and endoscopic draining approaches such as septotomy, endoscopic internal drainage with double-pigtail stents, and endoscopic vacuum therapy (EVT).Emerging therapies in translational endoscopy: new frontiers in endoscopic submucosal dissection
The field of therapeutic endoscopy is evolving with a variety of new endoscopic surgical procedures. One such procedure, endoscopic submucosal dissection (ESD), has proven efficacy, yielding high margin-negative (R0) resection rates with low rates of adverse events and recurrence.1 However, the technical complexity, long procedure duration, and steep learning curve associated with ESD have led to relatively slow adoption. Although there has been an increased trend in devices and tools that may assist with ESD, there remains a paucity of advances in endoscopic technology, which are much needed given these known barriers.Endoscopic submucosal dissection of esophageal metastatic melanoma
A 65-year-old man underwent surgical excision with lymph node dissection for a scalp melanoma in 2011. In 2018, he presented to his melanoma oncologist for routine follow-up and subsequently underwent an upper endoscopy for reflux symptoms. His upper endoscopy revealed a pigmented lesion in the esophagus, biopsy specimens that showed malignant melanoma. Positron emission tomography/CT and magnetic resonance imaging of the brain revealed no evidence of distant metastases. He was referred for further endoscopic evaluation and treatment.Robotic-assisted surgical endoscopy: a new era for endoluminal therapies
Minimally invasive endoscopic procedures are associated with lower adverse events and shorter hospital stays compared with conventional open surgery.1,2 However, some advanced endoscopic procedures, including endoscopic submucosal dissection (ESD), natural orifice transluminal endoscopic surgery (NOTES), and suturing, have typically required specialized training and a certain amount of experience to achieve competency. Therefore, these procedures are not widely performed in nonspecialized centers.Use of a cardiac septal occluder in the treatment of a chronic GI fistula: What should we know before off-label use in the GI tract?
A GI fistula is defined as an abnormal communication between 2 epithelialized surfaces, which can be characterized as internal (between 2 abdominal organs) or external (between an abdominal organ and the body surface). The most common causes of GI fistulas include postoperative adverse events, longstanding untreated leaks, chronic inflammatory conditions, malignancy, and radiation therapy.1,2Successful removal of an esophageal submucosal tumor by the submucosal tunneling endoscopic resection technique
We describe a case of a submucosal esophageal tumor successfully removed by a submucosal tunneling endoscopic resection (STER) technique. Informed consent was obtained from the patient for the publication of his information and imaging.
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