Post written by Rizwan Ahamed, MD, DM, Sasidharan Rajesh, MD, PDCC, and Cyriac Abby Philips, DM, from the Division of Gastroenterology and Division of Hepatobiliary Interventional Radiology, Center of Excellence in GI Sciences, Rajagiri Hospital, Kochi, India. A 41-year-old man with alcohol-related Child-Pugh B cirrhosis was referred to us after failed endoscopic glue injection for bleeding fundal varices. CT showed a …
Long-term outcome after endoscopic submucosal dissection for entire circumferential cT1aN0M0 esophageal squamous cell carcinoma
Post written by Atsushi Inaba, MD, PhD, and Tomohiro Kadota, MD, PhD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. This study focused on long-term clinical outcomes after endoscopic submucosal dissection (ESD) for entire circumferential cT1aN0M0 esophageal squamous cell carcinoma compared with those after esophagectomy and definitive chemoradiotherapy (dCRT). ESD is a minimally invasive …
Training future endoscopists: gastroenterology fellows’ perspectives and hands-on exposure to artificial intelligence for polyp detection in the United States
Post written by Tessa Herman, MD, from the Department of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee, and Daniela Guerrero Vinsard, MD, from the Gastroenterology Section, Minneapolis Veteran Affairs Medical Center, and Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA. This nationwide survey study assessed gastroenterology (GE) fellows’ exposure to and experience with artificial intelligence (AI) …
Endoscopic vacuum therapy for a refractory sigmoid fistula
Post written by Connor John Rodriguez, MD, and Robert Jay Sealock, MD, from Baylor College of Medicine, Ben Taub Hospital, Houston, and University of North Texas Health, Fort Worth, Texas, USA. We present the case of a 52-year-old man who developed a chronic sigmoid cutaneous fistula following abdominal operations after a severe motor vehicle collision. Despite fecal diversion, percutaneous drainage, …
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When looks deceive: signet ring cell carcinoma masquerading as solitary pinpoint gastric erosion
Post written by Ashutosh Mohapatra, MD, DM, and Sonmoon Mohapatra, MD, from Sai Institute of Gastroenterology and Liver Sciences, Odisha, India. Our study describes a rare and educational case of early gastric signet ring cell carcinoma that presented as a solitary pinpoint gastric erosion during routine endoscopy. Despite the carcinoma’s deceptively benign appearance, careful endoscopic assessment, a high index of …
Referral patterns and outcomes in patients with dysplastic Barrett’s esophagus at an expert endoscopic therapy center: impact of radiofrequency ablation before referral
Post written by Rohit Goyal, MBBS, and Prasad Iyer, MD, MS, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, Arizona, USA. Radiofrequency ablation (RFA) is the cornerstone of endoscopic eradication therapy for dysplastic Barrett’s esophagus. Evidence suggests that patients receiving endoscopic eradication therapy at high-volume centers have better outcomes in terms of rates of achieving complete remission …
Long-term outcome after endoscopic resection for esophageal squamous cell carcinoma invading muscularis mucosa without lymphovascular invasion: a multicenter retrospective study
Post written by Tomohiro Kadota, MD, PhD, and Tomonori Yano, MD, PhD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. This multicenter study focused on the long-term clinical outcomes after endoscopic resection (ER) for superficial esophageal squamous cell carcinoma (ESCC) with pathological invasion of the muscularis mucosae without lymphovascular invasion (LVI). The metastatic …
Endoscopic ultrasound–guided fine-needle aspiration of an adrenal mass consistent with pheochromocytoma: a case report
Post written by Theodore W. James, MD, MSc, from St. Joseph Healthcare, University of New England, Bangor, Maine, USA. This is a unique case regarding a patient with a suspected pheochromocytoma who underwent endoscopic ultrasound (EUS) with fine-needle aspiration (FNA) for diagnosis. These cases are challenging to manage, as the dogma has always been that needle puncture …
Durable partial reversal of Roux-en-Y gastric bypass using the parallel lumen-apposing metal stent septotomy technique: a multicenter feasibility study (with video)
Post written by Kambiz Kadkhodayan, MD, and Muhammad Hasan, MD, FACG, from the Center for Interventional Endoscopy, AdventHealth Orlando, Orlando, Florida, and Shayan S. Irani, MD, from Virginia Mason Medical Center, Seattle, Washington, USA. This study introduces a novel technique to partially reverse Roux-en-Y gastric bypass, without the need for an indwelling lumen-apposing metal stent (LAMS). In selected malnourished patients who were …
An interview with “one of the giants of endoscopy”
Post written by GIE Senior Associate Editor David L. Diehl, MD. Dr Michael V. Sivak Jr is one of the giants of endoscopy, not just in the United States, but across the world. He was “in the room where it happened” for many important developments in gastroenterology and endoscopy that have since become routine practice. Dr …
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