Endoscopic resection of a periampullary duodenal paraganglioma

Post written by Anand R. Kumar, MD, MPH, FASGE, from Thomas Jefferson University, Philadelphia, Pennsylvania, USA. We combined ERCP and endoscopic submucosal dissection techniques to resect a large periampullary duodenal paraganglioma. This was a unique case where the biliary and pancreatic openings could be moved away from the paraganglioma with ERCP and protected during endoscopic …

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From endoscopic diagnosis to curative treatment: superficial pharyngeal cancer

Post written by Ylanna Fortes, MD, Renata Nobre, MD, PhD, Bruno da Costa Martins, MD, PhD, and Fauze Maluf-Filho, MD, PhD, from the Department of Endoscopy, Cancer Institute of São Paulo, University of São Paulo, São Paulo, Brazil. A 71-year-old man with a history of esophageal squamous cell carcinoma underwent surveillance endoscopy. During systematic examination …

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Beyond the scope: the transition from visual artificial intelligence to embodied humanoid robotics in flexible gastrointestinal endoscopy

Post written by Yichen Wang, MD, MSc, Vivek Kumbhari, MBChB, PhD, and Michael B. Wallace, MD, MPH, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA. Today’s endoscopic artificial intelligence (AI) can see, but it cannot act. Our perspective examines what may arrive next: embodied or physical, AI that can interpret the …

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Underwater endoscopic submucosal dissection for large colonic lipomas: a case series

Post written by Riku Nakajima, MD, Wataru Sano, MD, Sachiko Shimizu, MD, Naoki Sugimura, MD, PhD, Daizen Hirata, MD, PhD, Mineo Iwatate, MD, PhD, Mikio Fujita, MD, PhD, and Yasushi Sano, MD, PhD, from the Gastrointestinal Center, Sano Hospital, Kobe, Japan. Our article presents 4 patients who underwent underwater endoscopic submucosal dissection for large colonic …

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Efficacy and safety of endoscopic ultrasound–guided choledochoduodenostomy compared with endoscopic ultrasound–guided gallbladder drainage for palliation of malignant distal biliary obstruction: a systematic review and meta-analysis

Post written by Saurabh Chandan, MD, from Houston Methodist West Hospital, Houston, Texas, and Douglas G. Adler, MD, FACG, AGAF, FASGE, from the Center for Advanced Therapeutic Endoscopy, Porter Adventist Hospital, Denver, Colorado, USA. Interventional radiology techniques or EUS-guided biliary drainage are considered alternative therapeutic options for patients with malignant distal biliary obstruction (MDBO) who …

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Endoscopic ultrasound–guided radiofrequency ablation for management of bleeding gastrointestinal tract malignancies: a report of 2 cases

Post written by Muhammad Ahmad Bashir, MD, and Shailendra Singh, MD, from West Virginia University, Morgantown, West Virginia, USA. Our video demonstrates the use of EUS-guided radiofrequency ablation (RFA) to control bleeding GI tract malignancies in 2 patients. Under real-time sonographic guidance, we advanced a RFA needle directly into the core of each malignant mass. …

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Novel endoscopic guidewire—assisted transection for removal of an embedded pediatric foreign body: a case report

Post written by Courtney Svenstrup, MD, and Brett J. Hoskins, DO, from the Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Department of Pediatrics, Riley Hospital for Children at IU Health, Indiana University School of Medicine, Indianapolis, Indiana, USA. Our case report describes a nonthermal, guidewire-assisted technique for removing an embedded foreign body in a child …

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Real-time tele-endoscopic guidance for endoscopic antireflux mucosectomy using a novel high-speed mobile network system

Post written by Fumisato Sasaki, MD, PhD, from Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. We present the case of an 80-year-old man with a history of distal gastrectomy who had GERD refractory to medical therapy. Endoscopy revealed Los Angeles grade B reflux esophagitis, bile retention in …

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Endoscopic ultrasound–directed transenteric endoscopic retrograde cholangiopancreatography for biliary interventions in altered anatomy: tips and techniques

Post written by Michael Lajin, MD, from Sharp HealthCare, La Mesa, California, USA. In this case series, we present 3 patients who underwent EUS-directed transenteric ERCP (EDEE) (2 with Roux-en-Y hepaticojejunostomy [RYHJ] and 1 with Roux-en-Y distal gastrectomy) to treat biliary strictures or stones or to replace percutaneous transhepatic biliary drainage (PTBD) with endoscopic stent …

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Risk factors for bleeding after endoscopic retrograde cholangiopancreatography: a systematic review and meta-analysis

Post written by Aamir Saeed, MD, from the University of Tennessee Health Sciences Center, Memphis, Tennessee, and Faisal Kamal, MD, from the Division of Gastroenterology and Hepatology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. We conducted a systematic review and meta-analysis to evaluate the predictors of post-ERCP bleeding. We also performed subgroup analyses to identify …

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