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Endoscopic submucosal dissection (ESD) is effective but technically challenging, often requiring traction devices that involve multiple clips and added time. The long cap-assisted method, using a transparent cap with an extended tip, offers a simple alternative. In 2 cases-a 65-year-old with early gastric cancer and an 81-year-old with a large colonic laterally spreading tumor-standard caps failed to provide sufficient countertraction. Switching to a long cylindrical cap (not tapered) improved submucosal visualization and facilitated dissection. To our knowledge, this is the first report to specifically describe the long cap's use in achieving countertraction during endoscopic submucosal dissection.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12360451 | PMC |
http://dx.doi.org/10.14309/crj.0000000000001807 | DOI Listing |
Zhonghua Jie He He Hu Xi Za Zhi
September 2025
Department of Respiratory and Critical Care Medicine, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
Tracheobronchial Dieulafoy's disease (TBDD) is a rare bronchial artery vascular malformation, characterized clinically by sudden, recurrent, and life-threatening massive hemoptysis. This article reports the case of a 9-year-old female patient who presented with massive hemoptysis lasting two weeks. Following ineffective treatment at a local hospital, she was transferred to our institution.
View Article and Find Full Text PDFKhirurgiia (Mosk)
September 2025
National Medical Research Center of Oncology, Rostov-on-Don, Russia.
Objective: To study the results of treatment of cancer in tubular villous adenomas.
Material And Methods: A retrospective analysis included 51 patients with cTis-T1N0M0 between 02.2019 and 09.
Surg Case Rep
September 2025
Department of Pathology, Self-Defense Forces Central Hospital, Tokyo, Japan.
Introduction: Solitary fibrous tumor (SFT) is a rare mesenchymal neoplasm that most commonly originates in the pleura but can also occur at extrapleural sites, including the abdominal cavity. Among these, primary SFT of the stomach is exceptionally rare. Due to overlapping clinical, endoscopic, and radiologic characteristics, distinguishing SFT from gastrointestinal stromal tumor (GIST) can be particularly challenging.
View Article and Find Full Text PDFAnn Surg Oncol
September 2025
Department of Endoscopy Center, The First Affiliated Hospital, Fujian Medical University, Fuzhou, China.
Surg Endosc
September 2025
Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Background: Current guidelines recommend that rectal neuroendocrine tumors (NETs) smaller than 10 mm can be treated by endoscopic resection, whereas tumors larger than 20 mm should be treated by surgical resection. However, the optimal treatment of 10-20 mm rectal NETs remains controversial. We aimed to evaluate the efficacy of endoscopic submucosal dissection (ESD) for 10-20 mm rectal NETs based on resection margin status.
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