VideoGIE Pub Date : 2026-10-01 Epub Date: 2026-05-20 DOI: 10.1016/j.vgie.2026.05.001

Riku Nakajima MD, Wataru Sano MD, Sachiko Shimizu MD, Naoki Sugimura MD, PhD, Daizen Hirata MD, PhD, Mineo Iwatate MD, PhD, Mikio Fujita MD, PhD, Yasushi Sano MD, PhD

{"title":"Underwater endoscopic submucosal dissection for large colonic lipomas: a case series","authors":"Riku Nakajima MD, Wataru Sano MD, Sachiko Shimizu MD, Naoki Sugimura MD, PhD, Daizen Hirata MD, PhD, Mineo Iwatate MD, PhD, Mikio Fujita MD, PhD, Yasushi Sano MD, PhD","doi":"10.1016/j.vgie.2026.05.001","DOIUrl":"10.1016/j.vgie.2026.05.001","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Colonic lipomas are benign tumors arising from mature adipose tissue and are usually asymptomatic; however, they can occasionally lead to adverse events, such as intussusception, abdominal pain, and GI bleeding. Colonic lipomas can be removed using a variety of endoscopic techniques, including endoscopic unroofing, loop-assisted resection, EMR, and endoscopic submucosal dissection (ESD). However, symptomatic lipomas are often large, and the visualization of the lipoma base during resection is difficult, rendering treatment challenging. Here, we report a case series of patients with large colonic lipomas who underwent underwater ESD (U-ESD).</div></div><div><h3>Methods</h3><div>Between April 2024 and March 2025, 4 patients with symptomatic or large colonic lipomas (≥30 mm), which were identified during colonoscopy, underwent U-ESD at our center.</div></div><div><h3>Results</h3><div>The buoyancy-based underwater technique provided continuous countertraction enhanced the visualization of the lesion base, and improved exposure of the dissection plane. In all 4 cases, lesions were safely and efficiently resected by U-ESD.</div></div><div><h3>Conclusions</h3><div>U-ESD may be considered a useful approach for the endoscopic resection of large colonic lipomas.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 10","pages":"Pages 459-462"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149175923","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhanced endoscopic papilla visualization for endoscopic retrograde cholangiopancreatography under indocyanine green: proof of concept in a preclinical model 吲哚菁绿下内镜逆行胆管造影增强内镜乳头可视化：临床前模型的概念证明

VideoGIE Pub Date : 2026-10-01 Epub Date: 2026-05-06 DOI: 10.1016/j.vgie.2026.04.050

Ariosto Hernández-Lara MD, MSc, Alain García MD, María Rita Rodríguez-Luna MD, PhD, Kohei Mishima MD, PhD, Fanélie Wanert DVM, Santiago Philibert-Rosas MD, Lee Swanström MD, FASGE, Silvana Perretta MD, PhD

{"title":"Enhanced endoscopic papilla visualization for endoscopic retrograde cholangiopancreatography under indocyanine green: proof of concept in a preclinical model","authors":"Ariosto Hernández-Lara MD, MSc, Alain García MD, María Rita Rodríguez-Luna MD, PhD, Kohei Mishima MD, PhD, Fanélie Wanert DVM, Santiago Philibert-Rosas MD, Lee Swanström MD, FASGE, Silvana Perretta MD, PhD","doi":"10.1016/j.vgie.2026.04.050","DOIUrl":"10.1016/j.vgie.2026.04.050","url":null,"abstract":"<div><h3>Background and Aims</h3><div>ERCP is technically demanding, often requiring up to 300 procedures for proficiency. Indocyanine green (ICG) has emerged as a promising tool for enhancing biliary structures. This study aimed to evaluate the feasibility of ICG-based near-infrared (NIR) imaging for improved papillary orifice localization and cannulation in a porcine model.</div></div><div><h3>Methods</h3><div>Four 30-kg pigs underwent laparotomy and duodenoscopy with a therapeutic colonoscope. Scopolamine (0.5 mg/2 mL) was administered, followed by 0.1 mg/kg of ICG administered as an intravenous bolus and a 20-mL saline flush. An NIR-enabled laparoscope was introduced through an enterotomy, enabling concurrent endoscopic and laparoscopic assessment of the duodenal papilla. Standard ERCP tools were used for cannulation, and a precut technique was used when standard methods failed.</div></div><div><h3>Results</h3><div>ICG-enhanced bile was observed at approximately 5 minutes. Although the dye spread diffusely by 10 minutes, the papilla remained distinguishable, and fluorescence at the papillary orifice improved localization to guide targeted cannulation and precut orientation.</div></div><div><h3>Conclusions</h3><div>ICG-enhanced NIR imaging can facilitate papillary identification in a porcine model, suggesting potential applicability as an adjunct when the papilla or bile duct orifice is difficult to identify. This approach is currently limited by the need for NIR-capable imaging platforms and the lack of commercially available NIR-enabled duodenoscopes.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 10","pages":"Pages 436-440"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149175916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Real-time tele-endoscopic guidance for endoscopic antireflux mucosectomy using a novel high-speed mobile network system 利用新型高速移动网络系统实时远程内镜指导内镜下抗反流粘膜切除术

VideoGIE Pub Date : 2026-10-01 Epub Date: 2026-05-06 DOI: 10.1016/j.vgie.2026.04.049

Fumisato Sasaki MD, PhD, Kunihisa Uchita MD, PhD, Yuto Shimamura MD, PhD

{"title":"Real-time tele-endoscopic guidance for endoscopic antireflux mucosectomy using a novel high-speed mobile network system","authors":"Fumisato Sasaki MD, PhD, Kunihisa Uchita MD, PhD, Yuto Shimamura MD, PhD","doi":"10.1016/j.vgie.2026.04.049","DOIUrl":"10.1016/j.vgie.2026.04.049","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Advances in telemedicine and high-speed mobile networks, including multichannel 4G and 5G connectivity, have enabled real-time remote endoscopic support across international settings without imposing additional demands on institutional internet infrastructure. These technologies enhance access to expert guidance for complex procedures, improving safety and facilitating knowledge transfer. However, real-world clinical applications of international tele-endoscopic support remain limited.</div></div><div><h3>Methods</h3><div>We describe the implementation of a tele-endoscopy system (Medical Edge; Zao-X, Tokyo, Japan) using a high-speed mobile network and present a case of endoscopic antireflux mucoplasty performed under real-time remote guidance. An 80-year-old man with postgastrectomy gastroesophageal reflux disease (GERD) refractory to medical therapy was selected. The system provided high-definition, low-latency imaging, bidirectional audio communication, video pausing, and on-screen annotation, enabling precise procedural instruction. Representative endoscopic findings are shown in the esophagus and remnant stomach, as well as a small sliding hiatal hernia.</div></div><div><h3>Results</h3><div>The procedure was completed without intraoperative or postoperative adverse events. The patient was discharged on postoperative day 4. Follow-up endoscopy demonstrated reduction of a sliding hiatal hernia and complete resolution of reflux esophagitis. Symptom scores improved, with the frequency scale for the symptoms of GERD score decreasing from 15 to 6, and the GERD questionnaire score improving from 9 to 4 by postoperative day 14.</div></div><div><h3>Conclusions</h3><div>This case demonstrates the feasibility and clinical utility of real-time international tele-endoscopic guidance using a high-speed mobile network system.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 10","pages":"Pages 421-424"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149175912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From indeterminant to septic: the rapid transformation of a pancreatic lesion 从不确定到败血症：胰腺病变的快速转变

VideoGIE Pub Date : 2026-10-01 Epub Date: 2026-05-06 DOI: 10.1016/j.vgie.2026.04.044

Ayowumi A. Adekolu MD, Ethan M. Cohen MD, Vibhu Chittajallu MD, Rohit Agrawal MD, Abdullahi Adedotun Sulaiman MD, Brain Markovich MD, Shailendra Singh MD, Shyam Thakkar MD

{"title":"From indeterminant to septic: the rapid transformation of a pancreatic lesion","authors":"Ayowumi A. Adekolu MD, Ethan M. Cohen MD, Vibhu Chittajallu MD, Rohit Agrawal MD, Abdullahi Adedotun Sulaiman MD, Brain Markovich MD, Shailendra Singh MD, Shyam Thakkar MD","doi":"10.1016/j.vgie.2026.04.044","DOIUrl":"10.1016/j.vgie.2026.04.044","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Delineation of the malignant potential of pancreatic cystic lesions (PCLs) is important for management. Current guidelines recommend EUS-guided FNA (EUS-FNA) for PCLs that meet specific criteria. However, data are conflicting on the role of prophylactic antibiotics after EUS-FNA. We present 2 cases of undifferentiated pancreatic lesions that were infected after EUS sampling.</div></div><div><h3>Methods</h3><div>Both patients developed signs and symptoms of sepsis after EUS sampling of PCLs. As a result, cystoduodenostomy with necrosectomy was performed for both cases with cyst wall biopsy.</div></div><div><h3>Results</h3><div>The cystoduodenostomy with necrosectomy and cyst wall biopsy successfully drained the cyst, resolved the sepsis, and revealed the diagnosis of the PCL as a lymphoepithelial cyst (LEC).</div></div><div><h3>Conclusions</h3><div>A LEC is a type of PCL that may carry a higher risk of infection for which prophylactic antibiotics should be considered. Postprocedure infections are rarely encountered with other cysts. Close observation and follow-up should be performed after EUS sampling of LECs given the risk of sepsis as seen in our cases despite prophylactic antibiotic use. EUS-guided drainage and debridement are effective for the management of infected LECs.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 10","pages":"Pages 447-450"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149175908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Combined laparoscopic and endoscopic technique for safe percutaneous endoscopic gastrostomy in a patient with challenging abdominal anatomy 腹腔镜和内窥镜联合技术安全经皮内窥镜胃造口术患者具有挑战性的腹部解剖

VideoGIE Pub Date : 2026-10-01 Epub Date: 2026-05-18 DOI: 10.1016/j.vgie.2026.05.002

David Hakimian MD, Anat Hershko Moshe MD, Joshua Zev Gottesman MD, Briggite Helou MD, Gad Marom MD

{"title":"Combined laparoscopic and endoscopic technique for safe percutaneous endoscopic gastrostomy in a patient with challenging abdominal anatomy","authors":"David Hakimian MD, Anat Hershko Moshe MD, Joshua Zev Gottesman MD, Briggite Helou MD, Gad Marom MD","doi":"10.1016/j.vgie.2026.05.002","DOIUrl":"10.1016/j.vgie.2026.05.002","url":null,"abstract":"<div><h3>Background and Aims</h3><div>PEG is the standard method for long-term enteral access but may fail when anatomical distortion or visceral interposition prevents safe placement. Laparoscopic-assisted PEG combines laparoscopic exposure with endoscopic guidance, providing a minimally invasive rescue technique in such cases.</div></div><div><h3>Methoods</h3><div>We report a 69-year-old man with advanced mixed salivary gland carcinoma (T4N3bM0) previously treated with bilateral neck dissection and radiotherapy. He developed severe dysphagia secondary to a postradiation esophageal stricture and bilateral vocal cord paralysis, leading to significant malnutrition with weight decline from 72 to 58 kg over 1 year. Long-term enteral feeding was indicated. Two conventional PEG attempts failed because of absent transillumination, and a radiologic gastrostomy attempt was aborted because the transverse colon was interposed between the abdominal wall and the stomach. With the patient under general anesthesia via tracheostomy, laparoscopic-assisted PEG was performed. Laparoscopy identified a superiorly displaced transverse colon overlying the stomach, which was mobilized to create a safe window. A 14F pull-type PEG tube was successfully inserted under combined laparoscopic and endoscopic visualization, confirming intragastric positioning.</div></div><div><h3>Results</h3><div>Enteral feeding began the same day, and recovery was uneventful. Laparoscopic-assisted PEG enabled safe gastrostomy placement after multiple failed approaches.</div></div><div><h3>Conclusions</h3><div>Laparoscopic-assisted PEG is a minimally invasive alternative that avoids the morbidity of formal surgical gastrostomy when PEG or radiologic interventional gastrostomy are not feasible.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 10","pages":"Pages 429-431"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149175915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contrast-enhanced harmonic endoscopic ultrasound–guided pancreatic duct drainage: a practical troubleshooting for the obscured main pancreatic duct 超声内镜下对比增强谐波胰管引流术：主胰管模糊的一种实用诊断方法

VideoGIE Pub Date : 2026-10-01 Epub Date: 2026-05-06 DOI: 10.1016/j.vgie.2026.04.054

Soma Fukuda MD, Masato Endo MD, Yusuke Niisato MD, Yuya Hagiwara MD, Naoki Ishikawa MD, Takashi Ishikawa MD, Taku Sakamoto MD, PhD, Kiichiro Tsuchiya MD, PhD

{"title":"Contrast-enhanced harmonic endoscopic ultrasound–guided pancreatic duct drainage: a practical troubleshooting for the obscured main pancreatic duct","authors":"Soma Fukuda MD, Masato Endo MD, Yusuke Niisato MD, Yuya Hagiwara MD, Naoki Ishikawa MD, Takashi Ishikawa MD, Taku Sakamoto MD, PhD, Kiichiro Tsuchiya MD, PhD","doi":"10.1016/j.vgie.2026.04.054","DOIUrl":"10.1016/j.vgie.2026.04.054","url":null,"abstract":"<div><h3>Background and Aims</h3><div>EUS-guided pancreatic duct drainage (EUS-PDD) is a vital salvage technique, but identifying the main pancreatic duct (MPD) on B-mode EUS is challenging when it contains isoechoic debris. We aimed to demonstrate a “dual-imaging strategy” to enhance the safety and precision of EUS-PDD for an obscured MPD.</div></div><div><h3>Methods</h3><div>A 70-year-old woman with pancreatic head cancer presented with obstructive pancreatitis. Transpapillary drainage failed due to complete obstruction. On B-mode EUS, the MPD in the pancreatic tail—the intended puncture site—was entirely obscured by internal debris, making it impossible to identify as a distinct target. To overcome this, we performed contrast-enhanced harmonic EUS (CH-EUS). Simultaneously, color Doppler was used to map peripancreatic vessels.</div></div><div><h3>Results</h3><div>CH-EUS clearly delineated the MPD as an avascular structure, providing a definitive “black-and-white” roadmap. With real-time CH-EUS guidance, the obscured MPD was precisely punctured with a 22-gauge needle while ensuring a safe tract via color Doppler. After tract dilation, a 6F plastic stent was successfully deployed. The patient's symptoms improved rapidly without adverse events.</div></div><div><h3>Conclusions</h3><div>Combining CH-EUS for ductal visualization with color Doppler for vascular mapping is a practical strategy to enhance the feasibility of challenging EUS-PDD when the MPD is obscured on conventional B-mode imaging.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 10","pages":"Pages 441-446"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149175922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic ultrasound–guided variceal therapy: tips, tricks, and pitfalls 超声内镜下静脉曲张治疗：提示、技巧和陷阱

VideoGIE Pub Date : 2026-10-01 Epub Date: 2026-05-06 DOI: 10.1016/j.vgie.2026.04.053

Abdulrahman Qatomah MBBS, Ahmad Bazarbashi MD, Daryl Ramai MD, MSc, MPH, Amit S. Grover MD, Marvin Ryou MD

{"title":"Endoscopic ultrasound–guided variceal therapy: tips, tricks, and pitfalls","authors":"Abdulrahman Qatomah MBBS, Ahmad Bazarbashi MD, Daryl Ramai MD, MSc, MPH, Amit S. Grover MD, Marvin Ryou MD","doi":"10.1016/j.vgie.2026.04.053","DOIUrl":"10.1016/j.vgie.2026.04.053","url":null,"abstract":"<div><h3>Background and Aims</h3><div>EUS-guided variceal therapy (EUS-VT) is effective in eradicating cardiofundal varices. EUS-VT carries a higher success rate compared with direct endoscopic injection with fewer adverse events and fewer sessions. Herein, we aim to highlight important technical points to achieve successful EUS-VT outcomes.</div></div><div><h3>Methods</h3><div>In this video, we demonstrate room set-up, equipment preparation, variceal measurement, and proper coil and needle selection, along with coil loading, adjunct hemostatic delivery, and water-assisted visualization. Key pitfalls, including needle-coil mismatch, migration, and management of eroded coils, are also illustrated.</div></div><div><h3>Results</h3><div>The first patient had large bleeding gastric varices and underwent EUS-VT with three 0.035-inch × 20-mm × 20-cm coils, using a sewing technique to prevent migration and provide stability of subsequent coil placement, followed by injection of 5 mL of absorbable gelatin sponge (Gelfoam; Pfizer Inc, New York, NY, USA). The second patient was referred with eroded coils from prior EUS-VT (where four 0.035-inch × 20-mm × 20-cm coils were placed and 7 mL of Gelfoam was applied); the coils were endoscopically removed using a forward-viewing gastroscope with a distal attachment cap and endoscopic scissors.</div></div><div><h3>Conclusions</h3><div>EUS-VT has demonstrated higher variceal obliteration rates and fewer required sessions compared with conventional direct endoscopic injection in published series; however, successful outcomes depend critically on the procedural technique and team expertise.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 10","pages":"Pages 425-428"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149175913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic ultrasound–directed transenteric endoscopic retrograde cholangiopancreatography for biliary interventions in altered anatomy: tips and techniques 内镜下超声引导经肠内镜逆行胆管造影在改变解剖中的胆道干预：提示和技术

VideoGIE Pub Date : 2026-10-01 Epub Date: 2026-05-06 DOI: 10.1016/j.vgie.2026.04.045

Michael Lajin MD, Kevin Bui MD, Tyler Jackson MD, Michael Khanjyan MD

{"title":"Endoscopic ultrasound–directed transenteric endoscopic retrograde cholangiopancreatography for biliary interventions in altered anatomy: tips and techniques","authors":"Michael Lajin MD, Kevin Bui MD, Tyler Jackson MD, Michael Khanjyan MD","doi":"10.1016/j.vgie.2026.04.045","DOIUrl":"10.1016/j.vgie.2026.04.045","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Traditionally, deep enteroscopy, surgery, or percutaneous biliary drains were used to gain access for biliary interventions in patients with Roux-en-Y reconstruction. These methods are cumbersome, less successful than standard ERCP, and carry a higher risk of adverse events (AEs). Transductal and transmural EUS-assisted techniques are increasingly used in these settings. Although EUS-directed transgastric ERCP is mainly used for Roux-en-Y gastric bypass, EUS-directed transenteric ERCP (EDEE) is used for Roux-en-Y hepaticojejunostomy (RYHJ) and Roux-en-Y gastrectomy.</div></div><div><h3>Methods</h3><div>In this case series, we presented 3 patients who underwent EDEE for stones, strictures, or both. We highlighted the technical differences between RYHJ and Roux-en-Y gastrectomy, as well as the different methods to distend the targeted small-bowel loop.</div></div><div><h3>Results</h3><div>The biliary orifice was easily reached, and biliary interventions were successfully performed in all patients using the necessary accessories. There were no AEs directly related to the procedures.</div></div><div><h3>Conclusions</h3><div>EDEE is an important technique for biliary interventions in patients with nongastric bypass Roux-en-Y reconstruction. Further data are needed to assess its long-term effectiveness and safety.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 10","pages":"Pages 463-468"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149175907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From endoscopic diagnosis to curative treatment: superficial pharyngeal cancer 从内镜诊断到根治：浅表性咽癌

VideoGIE Pub Date : 2026-10-01 Epub Date: 2026-05-06 DOI: 10.1016/j.vgie.2026.04.046

Renata Nobre MD, PhD, Ylanna Fortes MD, Gustavo Andrade de Paulo MD, PhD, Bruno da Costa Martins MD, PhD, Luciano Lenz MD, PhD, Adriana Vaz Safatle-Ribeiro MD, PhD, Fauze Maluf-Filho MD, PhD

{"title":"From endoscopic diagnosis to curative treatment: superficial pharyngeal cancer","authors":"Renata Nobre MD, PhD, Ylanna Fortes MD, Gustavo Andrade de Paulo MD, PhD, Bruno da Costa Martins MD, PhD, Luciano Lenz MD, PhD, Adriana Vaz Safatle-Ribeiro MD, PhD, Fauze Maluf-Filho MD, PhD","doi":"10.1016/j.vgie.2026.04.046","DOIUrl":"10.1016/j.vgie.2026.04.046","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Superficial pharyngeal cancers are frequently missed during routine endoscopy and remain challenging to diagnose, even with image advances such as digital chromoendoscopy. Endoscopic submucosal dissection (ESD) has emerged as a minimally invasive, organ-preserving, therapeutic option. Pharyngeal ESD, however, requires awareness of specific anatomical and technical considerations, including narrower working space, thinner pharyngeal wall, proximity to vascular and neural structures, and the risk of airway impairment during the procedure.</div></div><div><h3>Methods</h3><div>A 71-year-old male patient had previously undergone subtotal esophagectomy for esophageal squamous cell carcinoma (SCC). On follow-up endoscopy, after examination of the oral cavity and pharynx, a subtle flat lesion with minimal erythema was identified on the posterior wall of the oropharynx, extending distally to the hypopharynx and right piriform sinus, mildly brownish on virtual chromoendoscopy with preserved loop-like vessels. Biopsy confirmed high-grade dysplasia, and ESD was performed.</div></div><div><h3>Results</h3><div>Histopathology confirmed in situ SCC with free margins. The patient recovered uneventfully and was discharged after 2 days. Endoscopic follow-up revealed cicatricial retraction, and the patient remained asymptomatic.</div></div><div><h3>Conclusions</h3><div>Careful inspection of the oral cavity and pharynx should be incorporated into routine endoscopy in patients at high risk for SCC, because early detection may allow curative treatment with minimally invasive endoscopic technique.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"11 10","pages":"Pages 417-420"},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149175911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic resection of a periampullary duodenal paraganglioma 内镜下壶腹周围十二指肠副神经节瘤切除术

VideoGIE Pub Date : 2026-10-01 Epub Date: 2026-05-06 DOI: 10.1016/j.vgie.2026.04.052

Anand R. Kumar MD, MPH, FASGE, Robert Coben MD, Wei Jiang MD, Thomas Kowalski MD

引用次数: 0

VideoGIE最新文献