Post written by Agnieszka Maniak, MD, and Irving Waxman, MD, from Rush University Medical Center, Center for Interventional Endoscopy, Chicago, Illinois, USA. Our case features a 74-year-old woman who presented with recurrent hematochezia despite conventional endoscopic hemostasis following endoscopic submucosal dissection (ESD) of a 50-mm rectal polyp. During her second presentation for hematochezia, the patient underwent a CT angiography that …
Endoscopic approaches to reduce the incidence of interval colon cancer
Post written by Saurabh Chandan, MD, from Houston Methodist West Hospital, Houston, Texas, USA. The primary focus of this study was to review and summarize endoscopic techniques to mitigate and lower the incidence of interval colon cancer, which is defined as a colorectal cancer (CRC) diagnosed after a screening examination or test in which no cancer …
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Overcoming challenges in the endoscopic resection of a giant esophageal fibrovascular polyp
Post written by Ahmad Madkour, MD, and Amr Elfouly, MD, from the Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, and Hassan Atalla, MD, from the Hepatology and Gastroenterology Unit, Department of Internal Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt. Esophageal fibrovascular polyps are rare benign tumors. Huge polyps usually necessitate an aggressive type of surgery. Endoscopic removal of …
Multistaged endoscopic full-thickness resection using full-thickness resection device for large recurrent polyp: a case report
Post written by Taylor Bowler, DO, from the Department of Internal Medicine, Rahul Karna, MD, from the Department of Gastroenterology, Hepatology and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, and Mohammad Bilal, MD, from the Division of Gastroenterology & Hepatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA. Our article highlights a case of an 85-year-old man with multiple comorbidities …
Segmental layered incision and circumferential endoscopic dissection technique of endoscopic stricturotomy for safe, staged endoscopic dissection of complex luminal stricture
Post written by Partha Pal, MD, DNB, MRCP (UK), FASGE, from the Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India. This video demonstrates a staged endoscopic stricturotomy using the segmental layered incision and circumferential endoscopic dissection (SLICE) technique in a patient with a long, tight fibrotic colonic stricture at the splenic flexure. The stricture was …
A retrospective cohort study evaluating the impact of computer-aided detection on adenoma and polyp detection rates among nongastroenterologist endoscopists in a rural medical center
Post written by Pierce L. Claassen, MD, from Mayo Clinic, Internal Medicine, Scottsdale, Arizona, USA. The focus of our study was to evaluate the benefit of using computer-aided detection (CADe) in a rural medical center. It is known that CADe has the potential to increase adenoma detection rate (ADR), which is known to be associated with decreased …
Submucosal injection to facilitate needle-knife sphincterotomy: a novel technique
Post written by Kambiz Kadkhodayan, MD, and Muhammad K. Hasan, MD, FACG, FRCP (Glasg), from the Center for Interventional Endoscopy, AdventHealth Orlando, Orlando, Florida, USA. We present a patient with obstructive jaundice and a flat (type 1) ampulla in whom conventional biliary cannulation using a standard sphincterotome was unsuccessful despite prolonged attempts. Given the unfavorable papillary morphology and need for …
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Evaluating the outcomes and safety of underwater ampullectomy versus traditional (gas insufflation) ampullectomy (with video)
Post written by Anand Kumar, MD, MPH, from Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. We compared outcomes such as rates of histologic negative margins, procedure times, and recurrence of underwater ampullectomy (UA) with traditional (gas insufflation) ampullectomy (TA) for polyps involving the ampulla. Underwater resection has proven advantages of higher en bloc resection, lower recurrence, and …
Endoscopic ultrasound—guided duodenojejunostomy for a duodenal duplication cyst presenting with duodenal obstruction
Post written by Shanshan Shen, MD, PhD, from the Department of Gastroenterology, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China. A 50-year-old woman with refractory vomiting and severe electrolyte imbalance was diagnosed with a cystic-communicating duodenal duplication causing duodenal obstruction. As the patient declined surgical intervention, we performed EUS-guided duodenojejunostomy (EUS-DJ). Under the guidance …
Clinical outcomes of endoscopic ultrasound–guided gallbladder drainage in patients with acute cholecystitis with ≥1 year of follow-up: a systematic review and meta-analysis
Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, TidalHealth Peninsula Regional Medical Center, Salisbury, Maryland, USA. The aim of this study was to investigate mid-term clinical outcomes after EUS-guided gallbladder drainage (EUS-GBD), with a focus on clinical success and the rate of recurrent cholecystitis. Although a multitude of studies have demonstrated the …
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