Self-performed transnasal esophagogastroduodenoscopy in the standing position

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Post written by Shigenori Masaki, MD, from the Department of Surgery and Gastroenterology, Miyanomori Memorial Hospital, Sapporo, Japan. What if endoscopists could examine their own gastrointestinal tract? We investigated the optimal method for gastrointestinal endoscopists to perform esophagogastroduodenoscopy (EGD) on themselves, evaluating the insertion route (transnasal vs transoral), body position, endoscope maneuverability, and monitor visibility. Gastrointestinal endoscopists …

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Endoscopic reversal of Roux-en-Y gastric bypass using lumen-apposing metal stent for the treatment of excessive weight loss and hyperammonemic encephalopathy

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Post written by Ricardo Almeida, MD, from the Universidade Federal de São Paulo, São Paulo, Hugo Guedes, MD, Liliana Mendes, MD, and Carlos Rassi, MD, from the Department of Gastroenterology, Hospital Sírio-Libanês, Brasília, Brazil, Roberto Simons-Linares, MD, MSc, from the Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, Ohio, Prabhleen Chahal, MD, MASGE, FACG, and …

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Endoscopic tunneling and subserosal dissection using a natural orifice transluminal endoscopic surgery approach for a gastrointestinal stromal tumor

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Post written by Amol Bapaye, MD (MS), FASGE, MSGEI, FISG, FJGES, and Sanjana Bhagwat, MD, DNB, from Deenanath Mangeshkar Hospital and Research Center, Pune, India. We highlight a case of a 74-year-old woman presenting with a 3.8- x 3.3-cm exophytic gastrointestinal stromal tumor on the lesser curvature that was treated using a unique strategy and technique. The strategy: After …

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Underwater versus traction-assisted endoscopic submucosal dissection for colorectal lesions: a network meta-analysis of randomized controlled trials

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Post written by Roberto de Sire, MD, PhD, from the Endoscopy Unit, Gastroenterology Department, Humanitas Research Hospital IRCCS, Rozzano, and the IBD Unit, Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy. Our study explored a timely and practical question in therapeutic endoscopy: among the newer endoscopic submucosal dissection (ESD) strategies developed for colorectal lesions, …

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Set-up and use of the “Asclepius tube”: a slim drainage tube to facilitate saline-immersion endoscopic submucosal dissection

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Post written by Edward J. Despott, MD, FRCP, FEBGH, FASGE, MD (Res), Elisabet Maristany Bosch, MD, and Georgios Kalopitas, MD, PhD, from the Royal Free Unit for Endoscopy, The Royal Free Hospital and University College London Institute for Liver and Digestive Health, London, United Kingdom. Our video showcases the practical implementation of the “Asclepius tube,” an innovative, simple drainage system designed for …

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Optimal number of needle passes in endoscopic ultrasound–guided tissue sampling for genomic profiling: a randomized, noncomparative trial

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Post written by Hirotoshi Ishiwatari, MD, PhD, from the Department of Pancreatobiliary Medicine, Shizuoka Cancer Center, Shizuoka, Japan. The study aimed to investigate the optimal techniques for EUS-guided tissue acquisition (EUS-TA) to achieve successful comprehensive genomic profiling (CGP) testing using commercially available assays. Matched therapy based on commercially available CGP tests plays a crucial role in improving …

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Clinical characteristics analysis of anorectal function changes after endoscopic submucosal dissection for rectal lesions

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Post written by Pin Wang, MM, from The First Affiliated Hospital of Nanjing Medical University and Nanjing Mei Shan Hospital and Bixing Ye, MD, Guoxin Zhang, MD, Lin Lin, MD, and Liuqin Jiang, MD, from The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. This study systematically evaluates anorectal function changes following endoscopic submucosal dissection (ESD) for rectal lesions. We assessed incidence, characteristics, and temporal patterns of postoperative …

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Prophylactic clipping versus no clipping after endoscopic mucosal resection of large nonpedunculated colon polyps: a cost-effectiveness analysis

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Post written by Sneh Sonaiya, MD, from the Department of Internal Medicine, University of Nevada Las Vegas, Las Vegas, Nevada, and Babu P. Mohan, MD, from the University of Central Florida School of Medicine and Orlando Gastroenterology PA, Orlando, Florida, USA. Although prophylactic clipping is commonly used after EMR of large colon polyps to reduce delayed postpolypectomy bleeding, its cost-effectiveness …

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Endoscopic mesorectal dissection for precise pathologic staging and potential treatment of locally advanced rectal cancer

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Post written by Varun Jain, MD, MBA, and Sultan Mahmood, MD, FASGE, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. We present a case of endoscopic mesorectal dissection (EMD) performed for staging and potential treatment of a residual rectal adenocarcinoma following incomplete hot snare polypectomy. A 67-year-old man underwent colonoscopy after a …

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Clinical outcomes of endoscopic submucosal dissection for residual neoplasia after incomplete resection of large nonpedunculated colorectal polyps: a large multicenter propensity match study (with video)

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Post written by Ernesto Robalino Gonzaga, MD, from Gastroenterology and Hepatology, AdventHealth Medical Group, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Our study evaluated the clinical outcomes of endoscopic submucosal dissection (ESD) for residual neoplasia after incomplete endoscopic resection of large nonpedunculated colorectal polyps. Specifically, we compared outcomes of ESD performed as salvage …

Continue reading Clinical outcomes of endoscopic submucosal dissection for residual neoplasia after incomplete resection of large nonpedunculated colorectal polyps: a large multicenter propensity match study (with video)