Post written by Yoko Kubosawa, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, and the Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. We analyzed the incidence of post–endoscopic submucosal dissection (ESD) strictures after wide-field duodenal ESD. Although it is known that …
EUS of a submucosal lesion at the appendiceal orifice using a double-balloon endoluminal intervention platform
Post written by Sardar Momin Shah-Khan, MD, from the Section of Gastroenterology and Hepatology, West Virginia University, Morgantown, West Virginia, USA. We present the case of a patient referred for EUS evaluation of a submucosal lesion at the appendiceal orifice. We used a double-balloon endoluminal intervention platform to perform both radial and linear EUS with fine-needle …
Motorized spiral enteroscopy versus double-balloon enteroscopy: a case-matched study
Post written by Ravishankar Asokkumar, MBBS, FRCP, FASGE, from the Department of Gastroenterology and Hepatology, Singapore General Hospital, and the Division of Medicine, DUKE-NUS Graduate Medical School, Singapore. Evaluation of the small intestine can be tedious and challenging because of its anatomical nature. For a long time, double-balloon enteroscopy (DBE) has been considered the gold standard …
EUS-guided liver biopsy using a novel hydrostatic stylet technique
Post written by Patrick T. Magahis, BA, from the Joan & Sanford I. Weill Medical College of Cornell University, and SriHari Mahadev, MD, MS, from the Division of Gastroenterology and Hepatology, New York-Presbyterian Hospital/Weill Cornell Medicine, New York, New York, USA. We present a novel EUS-guided liver biopsy (EUS-LB) approach, the hydrostatic stylet technique, resulting in …
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Endoscopic submucosal dissection of a gigantic gastric polyp aided by a novel retraction device and complicated by upper esophageal sphincter laceration during retrieval
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. An 87-year-old woman with multiple comorbidities was found to have a gigantic gastric polyp (11 × 8 cm) with a broad short stalk containing an area of irregular vascular patterns worrisome for high-grade dysplasia. Attempting polypectomy using an endoloop was challenging because of the …
Endoscopic pyloric exclusion—EUS-guided gastrojejunostomy combined with endoscopic suturing and closure of the pylorus: a novel approach to failed surgical repair of a perforated duodenal ulcer
Post written by Kambiz Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe a novel endoscopic procedure that results in complete diversion of the gastric stream away from the duodenum and into the proximal jejunum. Duodenal bypass was achieved using a 2-step approach. Step 1 involved diverting the gastric stream into …
Computer-aided detection, mucosal exposure device, their combination, and standard colonoscopy for adenoma detection: a randomized controlled trial
Post written by Satimai Aniwan, MD, from the Division of Gastroenterology, Faculty of Medicine, Chulalongkorn University, and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. This study aimed to compare adenoma detection rate (ADR) differences among computer-aided detection (CADe), endocuff-assisted colonoscopy (EAC; Endocuff Vision ARV 110; Olympus Corporation, Tokyo, Japan), and the combination of CADe …
Impact of withdrawal time on adenoma detection rate: results from a prospective multicenter trial
Post written by Madhav Desai, MD, MPH, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Achieving an optimal adenoma detection rate (ADR), a priority quality metric for screening colonoscopy, is necessary for a high-quality colonoscopy. Studies have shown that a higher ADR is linked to a lower risk …
Diagnostic yield and technical performance of the novel motorized spiral enteroscopy compared with single-balloon enteroscopy in suspected Crohn’s disease: a prospective study (with video)
Post written by Partha Pal, MD, DNB, MRCP (UK), from the Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India. In this study, we compared single-balloon enteroscopy with motorized spiral enteroscopy in suspected Crohn’s disease (CD) in a prospective manner. We aimed to compare the technical success, diagnostic yield, depth of maximal insertion, enteroscopy time, …
Safety and efficacy of EUS-guided celiac plexus block in the evaluation of patients with median arcuate ligament syndrome anatomy for possible surgery
Post written by Elisa Karhu, MD, from the Department of Internal Medicine, Stanford University, Palo Alto, California, USA. Median arcuate ligament syndrome (MALS) is often considered in the differential diagnosis of patients with intractable postprandial abdominal pain. However, diagnosis of this condition can be difficult. To aid in diagnosis, a symptomatic response to celiac plexus …
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