Electrohydraulic lithotripsy under double-balloon endoscope–assisted direct cholangioscopy

Post written by Tatsuya Sato, MD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. This is a case report of double-balloon endoscope-assisted direct cholangioscopy in a patient with a history of total gastrectomy and Roux-en-Y (R-Y) reconstruction. Electrohydraulic lithotripsy (EHL) was necessary to remove large and multiple bile …

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Use of N-acetylcysteine plus simethicone to improve mucosal visibility

Post written by Jose Ignacio Vargas, MD, from the Gastroenterology Department and School of Medicine, Pontificia Universidad Católica de Chile, and the Endoscopy Unit, Hospital Clínico Universidad Católica de Chile, Santiago, Chile. The focus of our study was to assess the effectiveness of the ingestion of different cleaning solutions before upper gastrointestinal in the evaluation …

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A modified method of endoclip-and-snare to assist in ESD with mucosal traction

Post written by Qiang Zhang, MD, from the Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China. Our team explored a modified method of assisting in ESD in the upper GI tract, with the application of a snare and endoclips (SC-ESD). We reported 3 cases: Case 1 was …

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Metallic coil and N-butyl-2-cyanoacrylate for closure of pancreatic duct leak

Post written by Ara B. Sahakian, MD, from the Division of Gastrointestinal and Liver Diseases, University of Southern California Keck School of Medicine, Los Angeles, California, USA. Pancreatic fistulae are a common complication of pancreatic surgery, which often respond to conservative management or transpapillary pancreatic duct stenting. However, a small proportion of these leaks do …

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Editor’s Choice: Risk factors for gastric adenocarcinoma

Associate Editor, Dr. Sharmila Anandasabapathy, highlights this article from the April issue “Association of gastric intestinal metaplasia and East Asian ethnicity with the risk of gastric adenocarcinoma in a U.S. population” by Alyssa Y. Choi, MD, et al.  In the United States, gastric adenocarcinoma is the forgotten stepchild, often believed to be a disease of …

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Comparison of uncovered with covered SEMSs

Post written by Sunguk Jang, MD, Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, Ohio, USA. This article compares the efficacy and safety of covered versus uncovered metallic biliary stents in patients with malignant biliary strictures. There remains a controversy over the increased risk of cholecystitis after the placement of covered metallic stents for malignant …

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Pancreatic duct rendezvous with pancreatoscopy through the minor papilla

Post written by Erin Y. Chew, BS, Bibin T. Varghese, BS, and Robert J. Sealock, MD, from the Department of Gastroenterology, Baylor College of Medicine, Houston, Texas, USA. An 18-year-old woman presented to our hospital with diffuse abdominal pain and visible distention. She reported a history of acute pancreatitis 2 months earlier. Physical examination revealed …

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