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Related Concept Videos

Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

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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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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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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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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 V: ERCP01:26

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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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Related Experiment Video

Updated: Mar 7, 2026

ADSC-sheet Transplantation to Prevent Stricture after Extended Esophageal Endoscopic Submucosal Dissection
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Colorectal ESD in day surgery.

Tomohiko Ohya1,2,3, Richard Marsk2,3, Klas Pekkari4,5

  • 1Department of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.

Surgical Endoscopy
|February 10, 2017
PubMed
Summary
This summary is machine-generated.

Colorectal endoscopic submucosal dissection (ESD) can be safely performed as an outpatient procedure in Europe. This study shows day surgery for colorectal ESD is feasible with low complication rates.

Keywords:
ColorectalDay surgeryEMRESDEndoscopy

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Endoscopic Procedures

Background:

  • Colorectal endoscopic submucosal dissection (ESD) is a technique developed in Japan.
  • Traditionally, patients undergoing colorectal ESD in Japan require several days of hospitalization.
  • The adoption and adaptation of colorectal ESD in European healthcare settings are increasing.

Purpose of the Study:

  • To evaluate the feasibility of performing colorectal endoscopic submucosal dissection (ESD) as an outpatient (day surgery) procedure in a European hospital.
  • To assess the safety and outcomes of same-day discharge following colorectal ESD.

Main Methods:

  • A prospective cohort study was conducted at Danderyds Hospital, Stockholm, Sweden.
  • Data from 182 patients undergoing colorectal ESD between April 2014 and December 2015 were analyzed.
  • Focus was on patient demographics, procedural success, and 30-day readmission rates for day surgery patients.

Main Results:

  • Out of 182 patients, 156 were discharged after 2-4 hours of observation, forming the day surgery cohort.
  • The mean age of patients was 69 years, with a median lesion size of 28 mm.
  • Only 5.1% (8 of 156) of day surgery patients required medical attention within 30 days, with none needing surgery.

Conclusions:

  • Colorectal endoscopic submucosal dissection (ESD) can be safely and effectively performed in an outpatient day surgery setting in Europe.
  • Day surgery for colorectal ESD demonstrates a low rate of complications and readmissions, supporting its feasibility.