Post-ERCP pancreatitis in chronic pancreatitis

Post written by Zhuan Liao, MD, from the Department of Gastroenterology, Digestive Endoscopy Center, Changhai Hospital, Shanghai, China. The purpose of this study is to determine the incidence of post-ERCP pancreatitis (PEP) and risk factors at different clinical stages of chronic pancreatitis (CP) based on the M-ANNHEIM classification system. Therapeutic ERCP procedures are commonly used …

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Editor’s Choice: Stent as bridge to surgery for left-sided malignant colonic obstruction

Associate Editor, Dr. Fauze Maluf-Filho, highlights this article from the September issue “Stent as bridge to surgery for left-sided malignant colonic obstruction reduces adverse events and stoma rate compared with emergency surgery: results of a systematic review and meta-analysis of randomized controlled trials” by Alberto Arezzo, MD, et al. This study is the most comprehensive review …

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Biodegradable stents for refractory benign esophageal strictures

Post written by Tomonori Yano, MD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. This study was a prospective evaluation of efficacy and safety of biodegradable stents for refractory benign esophageal strictures after curative treatment for esophageal cancer. Before conducting this study, little was known about the efficacy and …

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Difficult intubation of a Zenker’s diverticulum with an acute angle

Post written by Sauid Ishaq, FRCP, from Birmingham City University, Birmingham, United Kingdom. We present this video case report of a 94-year-old woman referred with oropharyngeal dysphagia and previously failed intubation. Barium swallow had revealed Zenker’s diverticulum (ZD) and cricopharyngeal hypertrophy (CPH). Conventional intubation was unsuccessful despite multiple attempts.  Eventually, a transparent cap was attached …

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A novel polytetrafluoroethylene-channel model

Post written by Michelle J. Alfa, PhD, from the St. Boniface Research Centre & University of Manitoba, Manitoba, Canada. The focus of our study was to develop a model that would mimic the accumulation of organic material and bacteria that occurs in patient-used endoscope channels when biofilm develops after repeated exposure to high-level disinfectants such …

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Management and risk factor of stenosis after ESD for colorectal neoplasms

Post written by Takemasa Hayashi, MD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. This study focuses on the incidence of stenosis and its relationship with the clinicopathological factors in surveillance. Endoscopic submucosal dissection for large colorectal neoplasms can reduce the need for unnecessary surgery. Large mucosal lesions should be removed …

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Management of a Dieulafoy ulcer bleed with an over-the-scope clip

Post written by Malay Sharma, MD, DM, from the Jaswant Rai Speciality Hospital. This video shows the EUS features of Dieulafoy ulcer and its possible role in diagnosis of obscure overt GI bleeding. The OTSC can play an important role in the treatment of Dieulafoy ulcer. A 50-year-old man presented with massive hematemesis. Upper-Gastrointestinal (GI) …

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