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The attachment of nylon fixation rings to the rubber band allows the previously positioned nylon ring to be easily cut and the same rubber band to then be repositioned to apply traction in another direction. After complete circumferential incision had been performed, a clip grasping a rubber band with three nylon rings attached, which were handmade with fishing line, was applied to the lesion (Fig. 1 Schematic showing: a a rubber band with three nylon rings (made from fishing line) applied to the edge of the lesion; b a clip grasping one of the nylon fixation rings is attached to the opposite bowel wall; c initial endoscopic submucosal dissection is performed; d the previously positioned nylon ring is cut to release the traction; e the readjusted traction is created by a new clip grasping another nylon ring being attached to a different point on the bowel wall, which enables dissection to proceed again. [Extracted from the article]

Endoscopic evaluation using white-light, narrow-band imaging and lugol chromoendoscopy revealed a circumferential 6-cm, Paris 0-IIa, type V3 intrapapillary capillary loop classification lesion, from 37 to 43 cm from the incisors. Histological examination revealed an R0 resection of a 57-mm, well-differentiated squamous cell carcinoma, with lymphovascular invasion and submucosal invasion > 200 m, along with additional R0, m3 squamous cell carcinoma and high-grade dysplastic lesions corresponding to the proximal lesions. Multiple minor Paris 0-IIb + 0-IIc lesions were also observed proximally, up to 30 cm from the incisors. [Extracted from the article]

Four bleeding episodes from ligation-induced ulcers occurred and an SX-Ella Danis fully covered self-expanding metal stent (SEMS) was placed during the last of these episodes (Fig. The retrieval stent loop was grasped, which allowed slight constriction and distal movement of the stent, which resulted in adequate coverage of the distal esophagus and control of the bleeding (Fig. [Extracted from the article]

The article presents a case study of a 38-year-old man with a genetic diagnosis of familial amyloidotic polyneuropathy (FAP), and a history of neuropathic manifestations and being treated with tafamidis, who underwent gastric peroral endoscopic myotomy for transthyretin amyloidosis gastroparesis.

The article discusses the performance of elective single-balloon antegradeenteroscopy to a woman patient having Peutz–Jeghers syndrome for the removal of a previously identified jejunal polyp.

The article presents the case history of a 67-year-old woman with anti-neutrophil cytoplasmic antibody (ANCA)-positive vasculitis who is diagnosed for gastric barotrauma.