VideoGIE
appendiceal orifice was made with a dual knife (Fig. 1). Subsequently, the submucosal layer was carefully dissected. After that, the lesion was completely resected in en bloc fashion without any adverse events (Video 1, available online at www.giejournal.org). Pathologic diagnosis confirmed that the slightly submucosal invasive cecal cancer (240 mm) without other risk factor of metastasis had been curatively resected by ESD. The careful dissection at the side of the appendiceal orifice enabled complete en bloc resection of an early cecal cancer, which was adjacent to the appendiceal orifice.
DISCLOSURE All authors disclosed no financial relationships relevant to this publication. Tomohiro Iwai, MD, Kinichi Hotta, MD, Kenichiro Imai, MD, Yuichiro Yamaguchi, MD, Sayo Ito, MD, Noboru Kawata, MD, Masaki Tanaka, MD, Naomi Kakushima, MD, PhD, Kohei Takizawa, MD, Hiroyuki Matsubayashi, MD, PhD, Hiroyuki Ono, MD, PhD, Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan http://dx.doi.org/10.1016/j.gie.2015.07.007
Capsule endoscopy diagnosis of intestinal Taenia
Figure 1. Capsule endoscopy view of the Taenia.
An 81-year-old white man was admitted to our hospital with severe anemia (hemoglobin 5.5 g/dL). Upper GI endoscopy and colonoscopy were performed without relevant findings. Therefore, we performed capsule endoscopy (CE) that revealed the presence of a long, white worm, tangled in the ileum, which appeared to be stretched by peristalsis (Fig. 1; Video, available online at www.giejournal.org). A This video can be viewed directly from the GIE website or by using the QR code and your mobile device. Download a free QR code scanner by searching “QR Scanner” in your mobile device’s app store. www.giejournal.org
fecal examination confirmed the infection of Taenia species. Therapy with an anticestode drug was started (niclosamide). Two weeks later, the stool test was repeated with negative results, and an increase in the hemoglobin level was observed (9.2 g/dL). Two months later, a repeat CE revealed only the presence of fragments of proglottids. Helminths are endemic in developing countries but are rarer in Western countries. CE is the first-line tool to explore the small bowel, and the main indication for CE is obscure anemia. Several cases of intestinal parasites are diagnosed with CE. The interest in CE for the diagnosis of helminths is growing because CE can be a useful tool with which to diagnose helminths and can be used to visualize the in vivo kinetics of intestinal parasites. In this case, Volume 83, No. 1 : 2016 GASTROINTESTINAL ENDOSCOPY 261
VideoGIE
CE provided a clear diagnosis and was useful to confirm the effect of the anticestode therapy. DISCLOSURE All authors disclosed no financial relationships relevant to this publication.
Alessandro Pezzoli, MD, Nadia Fusetti, MD, Department of Gastroenterology, Endoscopy Unit, Sant’Anna Hospital Ferrara, Ferrara, Italy, Elena Pizzo, MD, Department of Applied Health Research, University College London, London, United Kingdom http://dx.doi.org/10.1016/j.gie.2015.07.021
The use of a detachable multiple polyp catcher to facilitate accurate location and pathological diagnosis of resected polyps in the proximal colon
Figure 1. A, A multiple polyp catcher (MPC) with numbered baskets. B, A neoplastic polyp in the ascending colon diagnosed by narrow-band imaging magnified endoscopy. C, A polyp collected with grasping forceps and placed in basket number 1. D, A polyp in the basket. E, The opening of the basket closed with a hemoclip. F, The MPC after removal.
The retrieval methods for multiple polyps of post-EMR in the proximal colon create 2 problems. First, retrieval by suction collection through the endoscope channel tears the resected specimen into several pieces. Second, collectThis video can be viewed directly from the GIE website or by using the QR code and your mobile device. Download a free QR code scanner by searching “QR Scanner” in your mobile device’s app store.
ing multiple polyps at the same time by using net forceps makes it difficult to determine the correct location (Video 1, available online at www.giejournal.org). We developed a new method called a multiple polyp catcher (MPC). We cut off 3 to 5 surgical glove fingertips of 1-cm length and connected them to each other with surgical thread to create “baskets,” each of which was then numbered (Fig. 1A; Video 2, available online at www. giejournal.org). Colon polyps were diagnosed in a 67-year-old woman. Two of 3 polyps were diagnosed as neoplastic polyps
262 GASTROINTESTINAL ENDOSCOPY Volume 83, No. 1 : 2016
www.giejournal.org
appendiceal orifice was made with a dual knife (Fig. 1). Subsequently, the submucosal layer was carefully dissected. After that, the lesion was completely resected in en bloc fashion without any adverse events (Video 1, available online at www.giejournal.org). Pathologic diagnosis confirmed that the slightly submucosal invasive cecal cancer (240 mm) without other risk factor of metastasis had been curatively resected by ESD. The careful dissection at the side of the appendiceal orifice enabled complete en bloc resection of an early cecal cancer, which was adjacent to the appendiceal orifice.
DISCLOSURE All authors disclosed no financial relationships relevant to this publication. Tomohiro Iwai, MD, Kinichi Hotta, MD, Kenichiro Imai, MD, Yuichiro Yamaguchi, MD, Sayo Ito, MD, Noboru Kawata, MD, Masaki Tanaka, MD, Naomi Kakushima, MD, PhD, Kohei Takizawa, MD, Hiroyuki Matsubayashi, MD, PhD, Hiroyuki Ono, MD, PhD, Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan http://dx.doi.org/10.1016/j.gie.2015.07.007
Capsule endoscopy diagnosis of intestinal Taenia
Figure 1. Capsule endoscopy view of the Taenia.
An 81-year-old white man was admitted to our hospital with severe anemia (hemoglobin 5.5 g/dL). Upper GI endoscopy and colonoscopy were performed without relevant findings. Therefore, we performed capsule endoscopy (CE) that revealed the presence of a long, white worm, tangled in the ileum, which appeared to be stretched by peristalsis (Fig. 1; Video, available online at www.giejournal.org). A This video can be viewed directly from the GIE website or by using the QR code and your mobile device. Download a free QR code scanner by searching “QR Scanner” in your mobile device’s app store. www.giejournal.org
fecal examination confirmed the infection of Taenia species. Therapy with an anticestode drug was started (niclosamide). Two weeks later, the stool test was repeated with negative results, and an increase in the hemoglobin level was observed (9.2 g/dL). Two months later, a repeat CE revealed only the presence of fragments of proglottids. Helminths are endemic in developing countries but are rarer in Western countries. CE is the first-line tool to explore the small bowel, and the main indication for CE is obscure anemia. Several cases of intestinal parasites are diagnosed with CE. The interest in CE for the diagnosis of helminths is growing because CE can be a useful tool with which to diagnose helminths and can be used to visualize the in vivo kinetics of intestinal parasites. In this case, Volume 83, No. 1 : 2016 GASTROINTESTINAL ENDOSCOPY 261
VideoGIE
CE provided a clear diagnosis and was useful to confirm the effect of the anticestode therapy. DISCLOSURE All authors disclosed no financial relationships relevant to this publication.
Alessandro Pezzoli, MD, Nadia Fusetti, MD, Department of Gastroenterology, Endoscopy Unit, Sant’Anna Hospital Ferrara, Ferrara, Italy, Elena Pizzo, MD, Department of Applied Health Research, University College London, London, United Kingdom http://dx.doi.org/10.1016/j.gie.2015.07.021
The use of a detachable multiple polyp catcher to facilitate accurate location and pathological diagnosis of resected polyps in the proximal colon
Figure 1. A, A multiple polyp catcher (MPC) with numbered baskets. B, A neoplastic polyp in the ascending colon diagnosed by narrow-band imaging magnified endoscopy. C, A polyp collected with grasping forceps and placed in basket number 1. D, A polyp in the basket. E, The opening of the basket closed with a hemoclip. F, The MPC after removal.
The retrieval methods for multiple polyps of post-EMR in the proximal colon create 2 problems. First, retrieval by suction collection through the endoscope channel tears the resected specimen into several pieces. Second, collectThis video can be viewed directly from the GIE website or by using the QR code and your mobile device. Download a free QR code scanner by searching “QR Scanner” in your mobile device’s app store.
ing multiple polyps at the same time by using net forceps makes it difficult to determine the correct location (Video 1, available online at www.giejournal.org). We developed a new method called a multiple polyp catcher (MPC). We cut off 3 to 5 surgical glove fingertips of 1-cm length and connected them to each other with surgical thread to create “baskets,” each of which was then numbered (Fig. 1A; Video 2, available online at www. giejournal.org). Colon polyps were diagnosed in a 67-year-old woman. Two of 3 polyps were diagnosed as neoplastic polyps
262 GASTROINTESTINAL ENDOSCOPY Volume 83, No. 1 : 2016
www.giejournal.org
