Prediction of clinical outcomes in Crohn’s disease by using confocal laser endomicroscopy

Post written by Gian Eugenio Tontini, MD, PhD, and Helmut Neumann, MD, PhD, from the Gastroenterology and Digestive Endoscopy Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy, and the Department of Interdisciplinary Endoscopy, I. Medizinische Klinik und Poliklinik, University Hospital, Mainz, Germany. Our study focuses on the value of Confocal Laser Endomicroscopy (CLE) …

Continue reading Prediction of clinical outcomes in Crohn’s disease by using confocal laser endomicroscopy

ESD with scissor-type knife for pedunculated polyp with short and thick stalk

Post written by Shunsuke Yamamoto, MD, PhD, and Morteza Shafazand, MD, from the Department of Gastroenterology, Sahlgrenska University Hospital, Östra, Sweden. This is a case of a pedunculated polyp in the sigmoid colon whose stalk is short and thick, and we resected it using a scissor-type endoscopic knife. We wanted to demonstrate how to maneuver …

Continue reading ESD with scissor-type knife for pedunculated polyp with short and thick stalk

Endoscopic submucosal dissection for early Barrett’s neoplasia

Post written by Justin J. Forde, MD, from the Department of Medicine, University of Florida, Gainesville, Florida, USA. The role of endoscopic submucosal dissection (ESD) in Barrett's esophagus (BE) is not well established. This meta-analysis aimed to evaluate the safety and efficacy of ESD for the management of early BE neoplasia. ESD is an advanced technique that …

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Bleeding at Roux-en-Y jejunojejunal anastomosis after orthotopic liver transplantation

Post written by Chaitanya Allamneni, MD, from the Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. A young woman with a medical history of primary sclerosing cholangitis/autoimmune hepatitis overlap syndrome diagnosed at age 2, complicated by decompensated cirrhosis, underwent orthotopic liver transplantation (OLT). During OLT she underwent a standard Roux-en-Y hepaticojejunostomy. Twenty-four …

Continue reading Bleeding at Roux-en-Y jejunojejunal anastomosis after orthotopic liver transplantation

Efficacy and safety of ESD between cirrhosis and noncirrhosis patients

Post written by Ji Yong Ahn, MD, and Young Kwon Choi, MD, from the Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. We compared the clinical outcomes of ESD for gastric neoplasms between cirrhosis and noncirrhosis patients. In addition, we analyzed the Child–Pugh classification status before and after ESD …

Continue reading Efficacy and safety of ESD between cirrhosis and noncirrhosis patients

Retrieval and redeployment of migrated LAMS to facilitate endoscopic necrosectomy of walled-off necrosis

Post written by Shashideep Singhal, MD, FASGE, from the Gastrointestinal Care Consultants, Houston, Texas, USA.                  Walled-off necrosis (WON) develops as a sequel to acute pancreatitis. Approximately 15% of patients with acute pancreatitis can experience WON. EUS-guided transmural drainage of WON has been a safe, efficacious, and widely used therapeutic modality in recent times. The …

Continue reading Retrieval and redeployment of migrated LAMS to facilitate endoscopic necrosectomy of walled-off necrosis

Endoscopic angle manipulation training for endoscopic submucosal dissection

Post written by Tatsuma Nomura, MD, and Shinya Sugimoto, MD, from the Department of Gastroenterology, Kinan Hospital, Minamimuro, and the Department of Gastroenterology, Ise Red Cross Hospital, Ise, Japan. We conducted endoscopy training for endoscopic angle manipulation using the transparent sheet and the EGD Simulator. The video and figure show the animation and the actual …

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