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, …
Continue reading Endoscopic vacuum therapy for a refractory sigmoid fistula
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 …
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 …
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 …
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 …
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 …
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 …
Continue reading An interview with “one of the giants of endoscopy”
Post written by Galen Leung, MD, from NYU Langone Health, New York, New York, Daniela Guerrero Vinsard, MD, from Minneapolis Veterans Affairs, Minneapolis, and Ryan J. Law, DO, from Mayo Clinic, Rochester, Minnesota, USA. We are excited to present a comprehensive overview of endoscopic submucosal dissection (ESD). This Technology Status Evaluation Report provides a compendium of current devices and techniques in …
Post written by Miguel Martins, MD, Joana Mota, MD, and Filipe Vilas-Boas, MD, PhD, from the Gastroenterology Department, Centro Hospitalar Universitário São João, and Faculty of Medicine of University of Porto, Porto, Portugal. A 59-year-old woman receiving chemotherapy for adenocarcinoma of the third duodenal portion developed gastric outlet obstruction from disease progression and underwent EUS-guided gastroenterostomy (EUS-GE). During EUS-GE, an unrecognized transverse …
Post written by Sandro Sferrazza, MD, and Giulio Calabrese, MD, from the Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli, Palermo, Italy. Our study evaluated incidence, predictors, clinical consequences, and management of postresection stenosis after endoscopic submucosal dissection (ESD) for colorectal lesions involving ≥90% of the luminal circumference. We conducted an international multicenter analysis including 315 patients treated at 29 tertiary …
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