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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Peptic Ulcer Disease IV: Management01:26

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Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
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Endoscopic Procedures III: Video Capsule Endoscopy01:28

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Related Experiment Video

Updated: Mar 22, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
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[Curative endoscopic therapy: which lesions can be addressed].

Johanna Munding, Andrea Tannapfel

    Deutsche Medizinische Wochenschrift (1946)
    |April 29, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Nationwide screening colonoscopies are reducing colorectal cancer incidence and increasing early-stage, resectable tumors. Improved technology aids endoscopic resection for upper gastrointestinal cancers, with guidelines defining curable lesions based on metastasis risk.

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    Area of Science:

    • Gastroenterology
    • Oncology
    • Endoscopic Surgery

    Background:

    • Nationwide screening colonoscopies have led to a decrease in colorectal adenocarcinoma incidence.
    • There is a concurrent increase in early-stage, endoscopically resectable tumors in the colorectum and upper gastrointestinal tract.
    • Technological advancements have significantly contributed to the rise in endoscopic resections.

    Purpose of the Study:

    • To review current guidelines for the endoscopic diagnosis and treatment of esophageal, gastric, and colorectal cancers.
    • To define criteria for curative endoscopic resection based on the risk of lymph node metastasis.
    • To highlight histopathological factors influencing metastasis risk and curability.

    Main Methods:

    • Review of current diagnostic and treatment guidelines for squamous cell carcinoma and adenocarcinoma of the esophagus, gastric cancer, and colorectal cancer.
    • Analysis of histopathological characteristics used to assess the risk of lymph node metastasis.
    • Evaluation of factors determining eligibility for curative endoscopic resection.

    Main Results:

    • Guidelines precisely define lesions amenable to curative endoscopic resection.
    • The risk of lymph node metastasis is a primary determinant for curative resection.
    • Key histopathological factors include depth of invasion, resection margin status, tumor subtype, histological grade, and lymphovascular invasion.

    Conclusions:

    • Endoscopic resection is increasingly utilized for early-stage gastrointestinal malignancies.
    • Accurate histopathological assessment is crucial for determining curative potential and guiding treatment decisions.
    • Adherence to established guidelines ensures optimal patient outcomes for endoscopically resectable tumors.