GIE Associate Editor Shivangi T. Kothari, MD, FACG, FASGE, highlights this article from the September issue: “Role of prophylactic antibiotics in patients undergoing endoscopic ultrasound–directed transgastric interventions in Roux-en-Y gastric bypass and endoscopic ultrasound gastroenterostomy” by Tina Boortalary, MD, et al. This is the first multicenter study to directly evaluate the role of prophylactic antibiotics …
Endoscopic intermuscular dissection of a rectal gastrointestinal stromal tumor
Post written by Babak Mirminachi, MD, MPH, and Sultan Mahmood, MD, from the University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. Our video shows endoscopic resection of a distal rectal GI stromal tumor located 1.5 cm proximal to the dentate line using endoscopic intermuscular dissection. EUS initially suggested a submucosal origin, but during endoscopic submucosal …
Continue reading Endoscopic intermuscular dissection of a rectal gastrointestinal stromal tumor
Diagnostic value of magnifying endoscopy for colorectal laterally spreading tumor nongranular type
Post written by Yuki Amioka, MD, and Hidenori Tanaka, MD, PhD, from the Department of Gastroenterology, Hiroshima University Hospital, Hiroshima, Japan. Laterally spreading tumors (LSTs) of the nongranular type are classified into flat-elevated (FE) and pseudodepressed (PD) subtypes, which have different malignant potential. Although magnifying endoscopy is widely used to predict histology and invasion depth …
Through-the-scope fully covered self-expandable metal stent with biflanged ends for ampullary access in severe duodenal obstruction
Post written by Rahul Karna, MD, and Stuart K. Amateau, MD, PhD, FASGE, FACG, AGAF, from the University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Our article highlights a case of an 80-year-old white woman who presented for evaluation of biliary obstruction in the setting of indeterminate gastric outlet obstruction. The accompanying video demonstrates use …
Endoscopic mucosal resection–assisted mucosal flap creation to facilitate endoscopic submucosal dissection for gastric adenoma amid diffuse fundic gland polyposis
Post written by Rinrada Worapongpaiboon, MD, and Clement Wu, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Medicine, Baltimore, Maryland, USA, Kasenee Tiankanon, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Medicine, and Division of Gastroenterology, Department of Medicine, King Chulalongkorn Memorial Hospital and Chulalongkorn University, Bangkok, Thailand, and Saowanee Ngamruengphong, …
The role of quantitative contrast-enhanced endoscopic ultrasound in the differential diagnosis of pancreatic solid neoplasms: a proof-of-concept prospective study shifting from subjective to objective
Post written by Matteo Tacelli, MD, PhD, from the Pancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, IRCCS San Raffaele Scientific Institute, Milan, Italy. Can we move contrast-enhanced endoscopic ultrasound (CE-EUS) from a subjective visual impression to an objective and reproducible diagnostic tool? Our study explored whether quantitative analysis of CE-EUS using dedicated perfusion software …
A low-cost ex vivo simulator for training in endoscopic hemostasis and perforation management
Post written by Samer Al-Dury, MD, PhD, from Muscat Endoscopy Academy, Endoscopy Unit, Division of Gastroenterology and Hepatology, Medical City for Military and Security Services, Muscat, Oman. This video presents a low-cost simulator designed specifically for hands-on training in both GI bleeding control and perforation management. The platform can use ex vivo animal tissue or, where available, …
Zenker’s diverticulum in the era of third-space endoscopy: innovations, challenges, and adverse event management
Post written by Dimo Dimitrov, MD, from the Department of Medicine, Boston Medical Center-Brighton, Boston, Massachusetts, USA. In this Topic Review, we examine how treatment of Zenker’s diverticulum has evolved from open surgery and rigid endoscopic approaches to flexible endoscopic septotomy and third-space techniques, particularly Zenker’s peroral endoscopic myotomy (Z-POEM). We also review newer cutting devices and …
Endoscopic ultrasound–guided coil–assisted retrograde transgastric occlusion of shunt efferent for gastric variceal bleeding
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 …
