En bloc resection of a large symptomatic duodenal lipoma by ESD

Post written by Bing Hu, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, West China Hospital, Sichuan University, China. This video presents a case in which EGD showed a huge mass in the duodenum. There was a Forrest-type 2B ulcer at the distal end. CT and EUS characteristics were consistent for lipoma. On …

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Editor’s Choice: Colorectal cancer screening

Editor-in-Chief, Dr. Michael Wallace, highlights this article from the July issue “Colorectal cancer screening: Recommendations for physicians and patients from the U.S. Multi-Society Task Force on Colorectal Cancer” by Douglas K. Rex, MD, et al. Colorectal cancer screening is likely the single most common activity performed by gastroenterologists in the United States. Every few years, …

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Impact of gum chewing on the quality of bowel preparation

Post written by Yu Bai, MD, PhD, from the Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China. Polyethylene glycol (PEG) is widely used for bowel preparation; however, it is reported that up to 20 to 25% of patients have inadequate bowel preparation, so the methods to improve the quality of bowel preparation …

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Endoscopic salvage of a large EJA dehiscence

Post written by Omar Mousa, MBBS, from the Department of Gastroenterology and Hepatology, Mayo Clinic Florida. A 34-year-old woman with invasive gastric adenocarcinoma underwent total gastrectomy with en bloc splenectomy, distal esophagectomy, subtotal pancreatectomy, and intraoperative percutaneous jejunal tube placement. An esophagojejunostomy anastomosis (EJA) dehiscence was suspected 7 days after the initial procedure when the …

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Risk of colorectal cancer in chronic liver diseases

Post written by Yuga Komaki and Atsushi Sakuraba from the Section of Gastroenterology, Hepatology, and Nutrition at The University of Chicago Medicine. We performed a systematic review and meta-analysis to assess the risk of colorectal cancer in various chronic liver diseases compared to the general population. We also assessed whether the risk would change with …

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Indomethacin and diclofenac in the prevention of post-ERCP pancreatitis

Post written by Árpád V. Patai, MD, from Semmelweis University, 2nd Department of Medicine, Budapest, Hungary. Although post-ERCP pancreatitis (PEP) is the most frequent complication of ERCP and mortality of severe PEP is high, ERCP is still inevitable in our therapeutic armamentarium, so it is fundamental to assess the efficacy of all potential preventive measures, …

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Digital single-operator pancreatoscopy for evaluation of IPMN

Post written by David Albers, MD, from the Department of Gastroenterology, Elisabeth-Krankenhaus Essen, academic teaching hospital of the University of Duisburg-Essen. Main-duct-IPMN and mixed-type-IPMN are frequently associated with malignancy and usually leaded to surgery; however, branch-duct-IPMNs biologically behave more indolent. Prediction of malignancy is a crucial point to distinguish between surgical therapy and conservative management …

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