Intraperitoneal echoendoscopy for rescue of a gastrojejunal anastomosis

Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA. We describe our experience rescuing a maldeployed lumen-apposing metal stent (LAMS) by passing an endoscopic ultrasound scope through the proximal end of the stent and re-puncturing the target bowel from within the …

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Contributing factors to an outbreak of multidrug-resistant K pneumoniae

Post written by Arjan W. Rauwers, MD, from the Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands. Worldwide, an increasing number of duodenoscope-associated outbreaks are reported. The contributing factors to an outbreak are not well understood. We report on an investigation after the outbreak of a multidrug-resistant Klebsiella pneumoniae (MRKP) …

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Stent-in-stent self-expandable metallic stent placement under direct cholangioscopy

Post written by Mitsuru Okuno, MD, PhD, from the Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan. Managing consequent jaundice caused by malignant hilar biliary obstruction (MHBO) is important. Endoscopic biliary drainage is the treatment of choice because of its limited invasiveness. However, in patients with surgically altered anatomy, especially those who have undergone Roux-en-Y …

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EUS-guided enterocolostomy for palliation of malignant distal small-bowel obstruction

Post written by Shelini Sooklal, MD, and Anand Kumar, MD, MPH, from the Division of Gastroenterology, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA. Our video case describes the implementation of a therapeutic endoscopic ultrasound (EUS) technique to provide palliative relief of recurrent small bowel obstruction in a patient with metastatic adenocarcinoma of the colon …

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Improvement in colonoscopy quality metrics in clinical practice

Post written by Simon C. Mathews, MD, from the Johns Hopkins University School of Medicine, Department of Medicine, Division of Gastroenterology and Hepatology, and the Johns Hopkins Medicine Armst.rong Institute for Patient Safety and Quality, Baltimore, Maryland, USA. Our basic aim was to determine whether metrics for colonoscopy quality have improved over time. Research, education, …

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Reversal and reloading of a 22-mm duodenal stent for urgent decompression of malignant colonic obstruction

Post written by Keshav Kukreja, MD, Aman Deep, MD, and Tomas DaVee, MD, MSCI, from the Department of Gastroenterology, USF Health Morsani College of Medicine, Tampa, Florida, and the Interventional Gastroenterology at the University of Texas (iGUT), McGovern Medical School at UTHealth, Memorial Hermann Hospital, Houston, Texas, USA. Our video case describes a 57-year-old woman …

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Metal stent covered with a silicone membrane containing integrated silver particles in preventing biofilm and sludge formation

Post written by Tae Hoon Lee, MD, PhD, and Do Hyun Park, MD, PhD, from the Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan Hospital, Cheonan, and the Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea. Membrane-covered self-expandable metal stents (SEMS) have been developed to …

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