ESD by use of a modified dental floss clip method for recurrent tumor in the cecum

Post written by Hisatomo Ikehara, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. The patient in this video case underwent endoscopic submucosal dissection (ESD) for a recurrent tumor in the cecum 11 months after initial piecemeal endoscopic mucosal resection (p-EMR). The recurrent tumor showed …

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Editor’s Choice: Impact of mucosal inflammation on risk of colorectal neoplasia

GIE Editor-in-Chief, Dr. Michael Wallace, highlights this article from the December issue, “Impact of mucosal inflammation on risk of colorectal neoplasia in patients with ulcerative colitis: a systematic review and meta-analysis” by Brisas M. Flores, MD, et al. Endoscopy is playing an increasing role in the management of patients with IBD. The special December issue …

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Development and reliability of the new endoscopic virtual chromoendoscopy score

Post written by Marietta Iacucci, MD, PhD, from the NIHR Biomedical Research Centre, Institution of  Translational  Medicine, University of Birmingham, United Kingdom. Endoscopic scoring of mucosal inflammation and healing is widely used in clinical trials and increasingly in clinical practice. The current endoscopic scores are not precise in assessing minimal inflammatory changes or complete mucosal …

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Insulated tip knife tunneling technique with clip line traction

Post written by Seiichiro Abe, MD, from the Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. A 80-year-old male underwent endoscopic submucosal dissection (ESD) for a circumferential esophageal squamous cell carcinoma, 70 mm in size, involving the middle and lower esophagus. Using a dual knife and IT knife nano, a semi-circumferential mucosal incision was made …

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Balloon enteroscopy vs spiral enteroscopy for small-bowel disorders

Post written by Ramkaji Baniya, MD, and Prabin Sharma, MD, from the Department of Internal Medicine, Hurley Medical Center, Michigan State University, Flint, Michigan, and the Department of Internal Medicine, Yale New Haven Health Bridgeport Hospital, Bridgeport, Connecticut. Our systematic review and meta-analysis aimed to compare the efficacy and safety of different deep enteroscopic procedures. …

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Esophageal stent placement without optical or fluoroscopic visualization

Post written by Michael M. Mwachiro, MBChB, from Tenwek Hospital, Bomet, Kenya. In this video, we describe the technique for placement of self-expanding metal stents (SEMS) for palliation of dysphagia due to esophageal malignancy without the use of optical or fluoroscopic visualization. The patient undergoes a video-endoscopic procedure to assess tumor length and proximal tumor …

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Successful EUS-guided nondilated pancreatic duct stent placement

Post written by Kazuhiro Minami, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan. Recently, the interventional EUS procedure has been performed in many facilities; however, EUS-guided pancreatic drainage (EUS-PD) remains extremely technically challenging. Generally, the normal pancreatic duct is too narrow to cannulate, and …

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