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 …
Continuous carbon dioxide flow via a modified 4-way stopcock to prevent hemostatic spray catheter clogging
Post written by Mina Alkomos, MD, DABOM, from the Gastroenterology Department, Mount Sinai South Nassau, Oceanside, New York, and Walid Baddoura, MD, from the Gastroenterology Department, St Joseph’s University Medical Center, Paterson, New Jersey, USA. This video demonstrates a simple modification to the delivery system used during application of hemostatic powder to reduce catheter clogging. Catheter occlusion remains …
Submucosal tunneling endoscopic resection in challenging esophageal subepithelial lesions: a minimally invasive approach
Post written by Shaimaa Elkholy, MD, Karim Essam, MD, and Mohamed El Sherbiny, MD, from the Gastroenterology Division, Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt. Our article highlights the role of submucosal tunneling endoscopic resection (STER) in managing 2 highly challenging esophageal subepithelial lesions. Although STER has become an established minimally invasive technique for selected lesions, its application in …
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