ENDOSCOPIA DIGESTIVA

We present the case of a postanastomotic esophageal high estenosis (after esophageal cancer surgery) refractory to CRE balloon dilatations. Initially it was treated with a fully covered prosthesis but the stenosis recurred at 3 months. It was decided to perform incisional therapy with needle-knife together with dilatation with the CRE balloon with excellent clinical results.

We present the case of a 56yo man with previous resection of adenomatous 0-Is 15 mm pop in rectum. 6 months after resection, a new colonoscopy is performed with the presence of a small 0-Is polyp over the scar with non-lifting sign. The patient was evaluates to perform FTRD.   A Video showing the set up of the FTRD Endoscopic Full Thickness Resection Device from OVESCO (Owned by SynMed UK):

An ESD assay is presented in live animal model (pig stomach) using the new Finemedix knives models (especially ClearCut knife O-type 4 mm). Many thanks to the company ST-Endoscopies for all the facilities provided. Promocional video of Finemedix:  

Retrograde double balloon entereoscopy is often an endoscopic challenge, among other reasons, due to the difficulty in crossing the ileocecal valve with such a flexible and thin endoscope (distal diameter of 9.8 mm) next to the overtube. In this case an endoloop-assisted polypectomy was performed in a 35-year-old male patient with Peutz-Jeghers syndrome who had a 25 mm polyp at the level of the distal ileum.

La disponibilidad de disponer de un modelo animal ex-vivo para el aprendizaje de técnicas endoscópicas complejas es casi impresdicncible hoy día. En esta presentación, el Dr. Julio Guilarte expone su valoración al respecto para el aprendizaje de la disección endoscópica submucosa.

Excelente revisión sobre la tipificación de las lesiones neoplásicas precoces del colon mediante endoscopia de alta definición y cromoendoscopia virtual (fundamentalmente NBI) realizada por el Dr. Pedro J. Rosón del Hospital Quirón de Málaga. Esta caracterización basada en la clasificación de París y Japón, nos ayuda mucho a la decisión terapéutica final en este tipo de lesiones (polipectomía, mucosectomía, disección o cirugía).