Post written by Go Endo, MD, and Naminatsu Takahara, MD, PhD, from the Department of Gastroenterology in Organ Pathophysiology Program, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. A 70-year-old woman developed acute cholangitis and pancreatitis 3 months after hybrid endoscopic papillectomy (EP) of a 25-mm ampullary adenoma. The papillary orifice was completely obstructed by a fibrotic post-EP …
Amber-red color imaging for enhanced anatomical structures recognition in third-space endoscopy: a prospective video-based study
Post written by Roberto de Sire, MD, PhD, and Roberta Maselli, MD, PhD, FESGE, FJGES, from the the Endoscopy Unit, Gastroenterology Department, Humanitas Research Hospital IRCCS, Rozzano, Italy. Third-space endoscopy is fundamentally a visual discipline. Whether it is endoscopic submucosal dissection or peroral endoscopic myotomy, every procedural decision depends on the operator’s ability to accurately recognize tissue planes and …
Multiple traction band—assisted endoscopic submucosal dissection of a giant colorectal lipoma after unsuccessful unroofing
Post written by Hiroshi Yamazaki, MD, and Ken Ohata, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. This video demonstrates endoscopic en bloc resection of a large colorectal lipoma by endoscopic submucosal dissection (ESD), facilitated by multiple traction bands. Unroofing was initially attempted on a 70-mm lipoma, but due to its size and the …
Long-term outcomes of endoscopic ultrasound–guided gastroenterostomy: a prospective cohort study tracking symptom recurrence, reintervention timelines, and stent modifications over time
Post written by Giuseppe Vanella, MD, PhD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, and Vita-Salute San Raffaele University, Milan, Italy. EUS-guided gastroenterostomy (EUS-GE) is to date a well-established option for malignant gastric outlet obstruction, and the short-term data are strongly supported by recent randomized evidence. What is usually missing is the long …
Pharyngeal endoscopic submucosal dissection: detection, technique, and considerations for Western adoption
Post written by Robert Bechara, MD, FRCPC, from the Division of Gastroenterology, Department of Medicine, Queen's University, Kingston, Ontario, Canada, and Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan. Our review focuses on pharyngeal endoscopic submucosal dissection (ESD) for superficial pharyngeal squamous cell carcinoma. When these cancers are detected early and selected …
Saline-immersion technique for endoscopic submucosal dissection with traction for an ileocecal adenoma involving the ileal outlet
Post written by Georgios Mavrogenis, MD, from the Third Space Endoscopy Unit, Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece. This video demonstrates endoscopic submucosal dissection (ESD) of a 4-cm nongranular adenoma involving the ileocecal valve with extension into the terminal ileum—one of the most technically demanding locations for colorectal ESD. The procedure combined saline-immersion ESD with dynamic …
Top tips for cryoballoon ablation in the gastrointestinal tract (with video)
Post written by GIE Senior Associate Editor David L. Diehl, MD, FACP, MASGE, AGAF, from the Department of Gastroenterology, Hepatology, and Nutrition, Geisinger Medical Center, Danville, Pennsylvania, USA. This month’s GIE includes a Top Tips that I wrote on the use of cryoballoon ablation (CbA) in the GI tract. In this article, I summarize current …
Continue reading Top tips for cryoballoon ablation in the gastrointestinal tract (with video)
Therapeutic endoscopic ultrasound with a novel adaptable endoscopic ultrasound probe and vision system
Post written by Carlos Robles-Medranda, MD, FASGE, AGAF, from the Instituto Ecuatoriano de Enfermedades Digestivas and Endoscopy Net, Guayaquil, Ecuador. This video presents our early clinical experience with the EndoSound Vision System (Portland, Ore, USA), a compact, portable, disposable EUS probe that clips onto a flexible upper GI endoscope while preserving the working channel. We demonstrate device …
Efficacy of artificial intelligence–assisted upper gastrointestinal endoscopy for neoplasm detection: a systematic review and meta-analysis of randomized controlled trials
Post written by Edoardo Vincenzo Savarino, MD, PhD, from the Gastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy, Mohammad Al Hayek, MD, from the Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic, and Brigida Barberio, MD, PhD, from the Gastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova. Upper GI cancers remain a …
Clinical response to gastric peroral endoscopic myotomy and its association to changes in pyloric impedance planimetry measurements: a systematic review and meta-analysis
Post written by Harsimran Kalsi, MD, from the Department of Internal Medicine, University of Central Florida/HCA Florida North Florida Hospital, Gainesville, Florida, Saurabh Chandan, MD, from Advanced Endoscopy, Houston Methodist West Hospital, Houston, Texas, and Dennis Yang, MD, from the Division of Gastroenterology and Hepatology, Advent Health, Orlando, Florida, USA. The primary focus of our study was to evaluate whether pyloric impedance …
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