Efficacy of autofluorescence imaging for flat neoplasm detection

Post written by Yoji Takeuchi, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Updated autofluorescence imaging (AFI) could show superior detection of flat colorectal neoplasms in the right-sided colon compared with conventional white-light imaging (WLI) in this prospective multicenter randomized controlled trial. Since flat (non-polypoid) neoplasms have a greater association …

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A small adenocarcinoma in the cervical esophagus

Post written by Kyosuke Tanaka, MD, PhD, from the Department of Endoscopy, Mie University Hospital, Tsu, Japan. This article presents a rare case of cervical esophageal adenocarcinoma. In this case, image-enhanced magnifying endoscopy showed clear diagnosis of adenocarcinoma, and the endoscopic resection was successful. Careful observation of the cervical esophagus could lead to the detection …

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Pine-cone and villi patterns are signs suggestive of ulcerative colitis-associated colorectal cancer and dysplasia

Post written by Takahide Shinagawa, MD, from the Department of Surgical Oncology, The University of Tokyo, Tokyo, Japan. How to survey colorectal cancer is one of the main problems in managing patients with ulcerative colitis (UC). Currently, colonoscopic surveillance is the gold standard and targeted biopsy for the suspicious lesions has become the focus of …

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Bite-on-bite technique for removal of a gastric subepithelial lipoma

Post written by Dean Ehrlich, MD, from the Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California, USA. This video showcases the bite-on-bite technique as an approach for the diagnosis and removal of gastric subepithelial lesions. A patient was referred for evaluation of a gastric subepithelial lesion. Using the bite-on-bite technique …

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Successful endoscopic management of a malignant gastroretroperitoneal fistula

Post written by Ali Alshati, MD, from the Department of Internal Medicine, Maricopa Integrated Health System, Creighton University, Phoenix, Arizona, USA. This is a case of a gastric fistula due to involvement with lymphoma that was successfully managed endoscopically and then with systemic therapy. Endoscopic closure consisted of ablation of the fistula track with argon …

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Increasing adenoma detection rates in the right side of the colon

Post written by Madhav Desai, MD, MPH, from the Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, Kansas, USA. Colonoscopy prevents colon cancer and, therefore, has become a widely used screening modality. Right-sided lesions are often missed during standard colonoscopy and could account for interval colon cancer. As gastroenterologists and endoscopists, our keen …

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Hemospray hemostasis in bleeding diffusely ulcerated esophagus

Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. The authors present 3 consecutive cases of diffusely ulcerated esophagus with clinically significant bleeding. The first 2 cases failed conventional hemostatic treatment including clipping and injection therapy. In the third case, hemospray …

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