Post written by Emily R. Jonica, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA. In our video, we showcase the use of per-oral pancreatoscopy (POP) with holmium laser therapy during ERCP to address a nontraversable severe stricture and upstream large main pancreatic duct (MPD) stone in …
Month: April 2022
Multilevel stenting of malignant colonic obstructions from multilevel breast cancer colonic metastasis
Post written by Andrew Alabd, MD, from Cooper University Hospital, Camden, New Jersey, USA. A 54-year-old woman with known stage IV breast cancer presented with colonic obstruction and was found to have proximal, middle, and distal colonic strictures that were all secondary to metastatic breast cancer. An upper endoscope was advanced up to the proximal …
Successful endoscopic ultrasound-guided nasocavitary catheter drainage of abscess caused by delayed perforation after gastric endoscopic submucosal dissection
Post written by Shunya Takayanagi, MD, from the Department of Gastroenterology, NTT Medical Center Tokyo, Tokyo, Japan. In this study, we reported the use of EUS-guided nasocavitary catheter drainage to treat an intra-abdominal abscess caused by delayed perforation after gastric endoscopic submucosal dissection (ESD). A 78-year-old man with early gastric cancer in the lesser curvature …
Optimal mode and power output of electrosurgical units for endoscopic papillectomy based on animal experiments and a preliminary clinical study (with videos)
Post written by Kenjiro Yamamoto, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. In this study, we conducted animal experiments to evaluate incision force and coagulation effect in various settings of the endoCUT mode with the VIO (Erbe, Tübingen, Germany) series. We determined the optimal electrosurgical unit (ESU) settings for …
Long-term clinical outcome after endoscopic resection of esophageal squamous cell carcinoma invading the muscularis mucosae without lymphovascular invasion
Post written by Daiki Sato, MD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, and the Department of Gastroenterology, Saitama Cancer Center, Saitama, Japan, and Tomohiro Kadota, MD, PhD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. This study focused on the long-term clinical …
Cholangioscopic diagnosis of hemobilia: an unusual case of left hepatic portal hypertension by plasma cell tumor
Post written by Kyosuke Goda, MD, and Yusuke Hashimoto, MD, MMA, from the National Cancer Center, Hospital East Hepatobiliary Pancreatic Oncology, Chiba, Japan. A 68-year-old man with a history of diabetes mellitus was referred to our institution for evaluation of a bulky tumor in the head of the pancreas. Abdominal CT revealed a large hyperdense …
New concept for colonoscopy including side optics and artificial intelligence
Post written by Joel Troya, MSc, from Interventional and Experimental Endoscopy (InExEn), Internal Medicine II, University Hospital Würzburg, Würzburg, Germany. The combination of artificial intelligence (AI) and side optics might help detect adenomas that otherwise could be missed. Several studies have demonstrated that the adenoma detection rate is the critical parameter for reducing the incidence …
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A novel approach for weight regain after Roux-en-Y gastric bypass: Staged transoral outlet reduction (TORe) followed by surgical type 1 distalization
Post written by Omar M. Ghanem, MD, from the Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA. The video describes a case of a patient suffering from weight regain after open Roux-en-Y gastric bypass (RYGB) in 2003. The patient’s presenting BMI was 59. We elected to perform a novel staged endo-laparoscopic approach with transoral outlet …
Gauze extension method for specimens resected by endoscopic submucosal dissection
Post written by Satoshi Ono, MD, PhD, from the Department of Gastroenterology, Chiba-Nishi General Hospital, Matsudo, Chiba, Department of Gastroenterology, Tokyo Metropolitan Geriatric Medical Center, and Department of Gastroenterology, The University of Tokyo Hospital, Tokyo, Japan. Nowadays, endoscopic resection has been accepted as a reliable choice for gastrointestinal neoplasms. Many endoscopists perform endoscopic resections, including …
Continue reading Gauze extension method for specimens resected by endoscopic submucosal dissection
Real-time use of artificial intelligence for diagnosing early gastric cancer by magnifying image-enhanced endoscopy: a multicenter diagnostic study (with videos)
Post written by Honggang Yu, MD, from the Department of Gastroenterology, Key Laboratory of Hubei Province for Digestive System Disease, and Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, China. In this study, we used deep learning models to develop an artificial intelligence system called ENDOANGEL-ME …
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