Endoscopic ultrasound–guided variceal therapy: tips, tricks, and pitfalls

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Post written by Abdulrahman Qatomah, MBBS, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA, and Department of Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, and Marvin Ryou, MD, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard …

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Visualization of hemostatic powder on computed tomography imaging

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Post written by Noel Ravindranayagam, MBBS (Hons), from the Department of Gastroenterology, Surgical Treatment and Rehabilitation Service, Herston, and Rajit Gilhotra, MBBS (Hons), AFRACMA, FRACP, from the Department of Gastroenterology, Royal Brisbane and Women’s Hospital, Brisbane, Australia. This case report illustrates the rare, unusual finding of hemostatic spray (in this case, Hemospray; Cook Medical, Bloomington, …

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From indeterminant to septic: the rapid transformation of a pancreatic lesion

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Post written by Shyam Thakkar, MD, and Ayowumi A. Adekolu, MD, from the Department of Gastroenterology & Hepatology, West Virginia University, Morgantown, West Virginia, USA. We present 2 cases involving patients with undifferentiated pancreatic lesions (pancreatic head in case 1 and pancreatic uncinate process in case 2) concerning for malignancy who underwent EUS-guided sampling. In …

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Editor’s Choice: Endoscopic ultrasound–guided radiofrequency ablation for intraductal papillary mucinous neoplasms with worrisome features: long-term outcomes in nonsurgical patients (with video)

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GIE Associate Editor Monique Barakat, MD, highlights this article from the October issue: “Endoscopic ultrasound–guided radiofrequency ablation for intraductal papillary mucinous neoplasms with worrisome features: long-term outcomes in nonsurgical patients (with video)” by Julien Barras, MD, et al. Earlier EUS-guided ablation series largely excluded pancreatic cysts with worrisome features, which is precisely why they could …

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Enhanced endoscopic papilla visualization for endoscopic retrograde cholangiopancreatography under indocyanine green: proof of concept in a preclinical model

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Post written by Ariosto Hernández-Lara, MD, MSc, from the Institute of Image-Guided Surgery, Angeles Health System, Strasbourg, France. In this video, we present proof of concept of indocyanine green (ICG)-guided ERCP in a 30-kg pig that underwent duodenoscopy with a therapeutic colonoscope to reach the pig’s papilla and maintain insufflation while receiving 0.1 mg/kg ICG …

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Top tips for endoscopic management of nonampullary duodenal adenomas (with videos)

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Post written by Michael J. Bourke, MBBS, from the Department of Gastroenterology and Hepatology, Westmead Hospital, and Western Clinical School, The University of Sydney, Sydney, Australia. Duodenal adenomas make endoscopists nervous, and they should. It is a part of the GI tract where adverse events can be disastrous. These 9 tips are what I actually …

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Piecemeal submucosal tunneling endoscopic resection of a 4-cm esophageal leiomyoma

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Post written by Dennis Wang, MD, from the Division of Gastroenterology and Hepatology, University of Rochester Medical Center Department of Medicine, Rochester, and Gregory Haber, MD, MASGE, from the Division of Gastroenterology and Hepatology, New York University Department of Medicine, New York, New York, USA. We present a case of a patient with a symptomatic …

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Editor’s Choice: Role of prophylactic antibiotics in patients undergoing endoscopic ultrasound–directed transgastric interventions in Roux-en-Y gastric bypass and endoscopic ultrasound gastroenterostomy

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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 …

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Endoscopic intermuscular dissection of a rectal gastrointestinal stromal tumor

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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 …

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Diagnostic value of magnifying endoscopy for colorectal laterally spreading tumor nongranular type

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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 …

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