Endoscopic techniquesTeaching Videos

Rectal Endoscopic Submucosal Dissection

Rectal Endoscopic Submucosal Dissection

In this case, a 65-year-old woman presents with a recurrence of a polyp previously treated with endoscopic mucosal resection. The biopsy and the endoscopic evaluation

ClassificationsLower GI tract

Polyp Classification: BASIC

Polyp Classification: BASIC

Basic (BLI Adenoma Serrated International Classification) Classification for colorectal polyp characterization with blue light imaging

LiteratureLower GI tract

Cold Snare on the Rise?

Cold Snare on the Rise?

Cold snare resection has been established in diminutive polyps (up to 5 mm) as being at least as safe and partially more effective than biopsy

ClassificationsUpper GI tract

Paris Classification: Early Barrett Cancers

Paris Classification: Early Barrett Cancers

In the following, examples for superficial/early Barrett lesions of the esophagus are shown. Here, flat and sessilelesions are predominant, pedunculated tumors are rare. Sessile tumor

ClassificationsLower GI tract

Paris Classification: Early Colorectal Cancers

Paris Classification: Early Colorectal Cancers

The Paris classification for superficial / early tumors should be part of a standard terminology for endoscopic assessment. This classification applies to the entire gastrointestinal

LiteratureLower GI tract

Optimizing the adenoma detection rate – a never-ending story? Or does the outcome quality depend on the follow-up?

Optimizing the adenoma detection rate – a never-ending story? Or does the outcome quality depend on the follow-up?

The adenoma detection rate (ADR) is the holy grail of quality assurance in colonoscopy. It is the main parameter for outcome quality — or more

ClassificationsLower GI tractUpper GI tract

Paris Classification Early Cancer

Paris Classification Early Cancer

Endoscopic treatment for early carcinoma in the gastrointestinal tract has in the meantime become evidence-based and has been incorporated into national and international guidelines

ClassificationsUpper GI tract

Paris Classification: Early Squamous Cell Cancers Esophagus

Paris Classification: Early Squamous Cell Cancers Esophagus

Examples of superficial/early squamous cell lesions in the esophagus are presented below. In the esophagus, flat lesions are predominant in the early tumors, and polypoid

ClassificationsUpper GI tract

Paris Classification: Early Gastric Cancer

Paris Classification: Early Gastric Cancer

Examples of superficial/early gastric tumors are shown below. In the stomach, flat lesions are predominant, often as combined lesions with a central depression (IIa+c). Sessile

ColonoscopyInstrumentsLower GI tractTeaching Videos

Endocuff Vision® versus wide-angle endoscope: small attachment – big effect

Endocuff Vision® versus wide-angle endoscope: small attachment – big effect

The wide-angle colonoscope provides a field of view up to 235 degrees, thanks to a lens system featuring forward viewing (147 degrees) and also side

ClassificationsLower GI tract

Polyp Classification: NICE

Polyp Classification: NICE

The NICE (NBI International Colorectal Endoscopic) Classification is based on narrow-band images of colon polyps. The classification uses staining, vascular patterns, and surface patterns to

GalleriesLower GI tract

Rectal NET Tumors

Rectal NET Tumors

Unclear smaller polyps in the rectum may represent a pitfall — if they do not look like perfectly typical hyperplasia or small adenomas, then carcinoids

Endoscopic techniquesInstrumentsLower GI tractTeaching Videos

Endoscopic diagnosis of colon polyps using the NICE classification: initial experience with BLI and LCI

Endoscopic diagnosis of colon polyps using the NICE classification: initial experience with BLI and LCI

The new generation of the Fujifilm electronic endoscopy system allows virtual chromoendoscopy alongside zoom endoscopy. Blue laser imaging (BLI), like narrow-band imaging (NBI), allows further