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http://dx.doi.org/10.1016/j.vgie.2020.08.003 | DOI Listing |
ACG Case Rep J
June 2025
Department of Gastroenterology and Hepatology, New York-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY.
Subepithelial lesions in the gastrointestinal tract present diagnostic challenges, particularly in difficult-to-access regions like the cecum. This case report describes a 71-year-old woman with a submucosal lesion adjacent to the appendix, where a rigidizing overtube was used to stabilize the colonoscope for an endoscopic ultrasound-guided fine-needle biopsy. The procedure was successful, obtaining a benign diagnosis without the need for surgery.
View Article and Find Full Text PDFEndoscopy
January 2025
Division of Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine, Houston, United States.
Endoscopy
January 2025
Division of Gastroenterology, Hepatology and Nutrition, Baylor College of Medicine, Houston, United States.
Background: A novel rigidizing overtube (ROT) was developed to facilitate endoscopic removal of complex gastrointestinal polyps. We aimed to prospectively evaluate the efficacy and safety of the device in the management of large gastrointestinal polyps.
Methods: A prospective, single-center study, conducted between May 2021 and April 2023, enrolled patients undergoing endoscopic resection of colon/duodenal polyps ≥25 mm.
World J Gastrointest Endosc
July 2023
Department of Gastroenterology, Stanford University Medical Center, Palo Alto, CA 94306, United States.
During endoscopy, an endoscopist is inevitably faced with the occasional "difficult colonoscopy," in which the endoscopist finds it challenging to advance the endoscope to the cecum. Beyond optimization of technique, with minimized looping, minimal insufflation, sufficient sedation, and abdominal splinting when needed, sometimes additional tools may be needed. In this review, we cover available techniques and technologies to help navigate the difficult colonoscopy, including the ultrathin colonoscope, rigidizing overtube, balloon-assisted colonoscopy and the abdominal compression device.
View Article and Find Full Text PDFVideoGIE
April 2023
Department of Gastroenterology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Video 1Endoscopic video demonstrating the ability to gain access to the biliary system using the rigidizing overtube, and subsequent attempted EMR of the neoplastic lesion, followed by successful APC with complete ablation of the neoplasm.
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