Underwater endoscopic mucosal resection of a rectal adenoma in the nondistensible rectum from severe fecal incontinence

Post written by Sukit Pattarajierapan, MD, from the Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. Our video presents a challenging case of difficult polypectomy in the nondistensible rectum from severe fecal incontinence. An 89-year-old woman with ischemic heart disease and hypertension underwent laparoscopic sigmoidectomy for stage II sigmoid …

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Outcomes of thermal ablation of the defect margin after duodenal endoscopic mucosal resection

Post written by Mayenaaz Sidhu, MBBS, from the Department of Gastroenterology and Hepatology, Westmead Hospital, and Westmead Clinical School, The University of Sydney, Sydney, Australia. Endoscopic mucosal resection (EMR) for large (>10-mm), sporadic, non-ampullary duodenal laterally spreading lesions (LSLs) is established as an effective treatment. However, one of the major limitations of EMR is the issue …

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EUS-guided hepaticogastrostomy for management of cholangitis, hepatolithiasis, and anastomotic stricture after Roux-en-Y hepaticojejunostomy

Post written by Rishi Pawa, MD, FACG, from the Wake Forest School of Medicine, Winston-Salem, North Carolina. A 43-year-old woman with history of Roux-en-Y hepaticojejunostomy (secondary to Strasberg type E1 common bile duct injury at the time of her cholecystectomy) presented with cholangitis, hepatolithiasis, and hepaticojejunostomy (HJ) anastomotic stricture. She initially underwent an EUS-guided hepaticogastrostomy …

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Does provider gender matter in endoscopy? An international perspective

Post written by Pascale Anglade, MD, MBA, from the Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates. Studies have shown that physician gender can be a factor in patient-related outcomes. The goal of our perspective article was to review the current understanding, both in the U.S. and internationally, of patient-provider gender …

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Endoscopic retrieval of multiple sewing needles by using the tip of a magnetic tube

Post written by Shinichi Morita, MD, from the Department of Gastroenterology and Hepatology, Uonuma Institute of Community Medicine Niigata University Hospital, Niigata, Japan. Endoscopic foreign body retrieval is an established treatment for accidental ingestion. Although forceps are most frequently used, grasping may be difficult depending on the type and shape of the foreign body. The …

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Comparing a conventional and a spring-and-loop with clip traction method of endoscopic submucosal dissection for superficial gastric neoplasms

Post written by Mitsuru Nagata, MD, from the Department of Endoscopy, Shonan Fujisawa Tokushukai Hospital, Fujisawa-shi, Kanagawa, Japan. A spring-and-loop with clip (SLC; S–O clip; Zeon Medical, Tokyo, Japan) has been developed as a traction device for endoscopic submucosal dissection (ESD). Its great advantage is that it can provide traction in any direction. We hypothesized …

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EUS-guided gastroenterostomy to treat gastric outlet obstruction in a patient with gastric lymphoma followed by pyloric recanalization using a rendezvous technique

Post written by Michael Lajin, MD, from Sharp Grossmont Hospital, La Mesa, California. A 66-year-old man was diagnosed with gastric lymphoma and received chemotherapy. He developed pulmonary tuberculosis and was started on TB medications. He presented with vomiting and 80-pound weight loss. Endoscopy revealed a pyloric ulcer resulting in outlet obstruction and proximal gastric ulcers. …

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Gender dynamics in education and practice of gastroenterology

Post written by Loren Galler Rabinowitz, MD, from the Icahn School of Medicine at Mount Sinai, New York, New York, USA. This study focuses on the impact of gender dynamics on teaching and learning endoscopic skills as well as on gastroenterologists’ experiences in the endoscopy suite.  As more women join the field of gastroenterology, the …

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Applications Open for Peer-Review Mentorship Program

Students of peer review: Where are you in your S-curve? The S-curve illustrates how we tailor the mentorship program to your own learning curve. Progress is slow in the initial phase, but this is followed by almost exponential growth in learning. The wide spectrum of how individuals take on specific tasks is often overlooked—some acquire skills quicker, …

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Use of cyanoacrylate glue in gastric variceal bleed: a modified technique without using lipiodol

Post written by Pankaj N. Desai, MS, FASGE Gastro, from the Department of Endoscopy & Endosonography, and the Department of Clinical Research, Surat Institute of Digestive Sciences (SIDS), Surat, India. Our video describes a simple technique of injection of cyanoacrylate glue for the management of gastric variceal bleed. We use 0.5ml aliquots of n butyl …

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