Vascularity can distinguish neoplastic from non-neoplastic bile duct lesions during digital single-operator cholangioscopy

Post written by Carlos Robles-Medranda, MD, from the Gastroenterology and Endoscopy, Instituto Ecuatoriano de Enfermedades Digestivas, Guayaquil, Ecuador. Accurately diagnosing indeterminate biliary lesions on clinical practice is a challenging task. Endoscopists may use Digital single operator cholangioscopy (DSOC) to evaluate those lesions, acquire histologic specimens, and to guide clinical management. Various DSOC classification systems and …

Continue reading Vascularity can distinguish neoplastic from non-neoplastic bile duct lesions during digital single-operator cholangioscopy

Endoscopic radiofrequency ablation for palliative treatment of hilar cholangiocarcinoma

Post written by Ana Luísa Lopes dos Santos Silva, MD, from the Gastroenterology Department, Centro Hospitalar São João, Porto, Portugal. Our video reports 3 patients with a diagnosis of perihilar cholangiocarcinoma, who underwent endoscopic radiofrequency ablation with palliative intent. In all cases, endoscopic retrograde cholangiopancreatography with single-operator cholangioscope was performed due to cholestasis symptoms to …

Continue reading Endoscopic radiofrequency ablation for palliative treatment of hilar cholangiocarcinoma

Comparison of EUS-guided endoscopic transpapillary and percutaneous gallbladder drainage for acute cholecystitis

Post written by Anthony Yuen Bun Teoh, FRCSEd (Gen), from the Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China. The optimal method of gallbladder drainage for acute cholecystitis in nonsurgical candidates is uncertain. The aim of the current study was to conduct a network meta-analysis comparing …

Continue reading Comparison of EUS-guided endoscopic transpapillary and percutaneous gallbladder drainage for acute cholecystitis

ESD of early-stage rectal cancer using full-time red dichromatic imaging to minimize and avoid significant bleeding

Post written by Aoi Kita, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine, Maebashi, Japan. Red Dichromatic Imaging (RDI), a novel image-enhanced endoscopy technology (IEE), has been reported to improve the visibility of deep vessels and bleeding points compared to white-light imaging. We present …

Continue reading ESD of early-stage rectal cancer using full-time red dichromatic imaging to minimize and avoid significant bleeding

Safety and effectiveness of peroral endoscopic myotomy in patients on antiplatelet or anticoagulant therapy

Post written by Enrique Rodríguez de Santiago, MD, MSc, from the Digestive Diseases Center, Showa University, Koto-Toyosu Hospital, Koto-Ku, Tokyo, Japan, and the Department of Gastroenterology and Hepatology, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, IRYCIS, Madrid, Spain. In this study, we aimed to investigate the safety of peroral endoscopic myotomy (POEM) in patients …

Continue reading Safety and effectiveness of peroral endoscopic myotomy in patients on antiplatelet or anticoagulant therapy

Successful duodenal endoscopic submucosal dissection using multiple clip-and-thread traction for a large tumor located in the duodenal bulb

Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 74-year-old man was referred to our institute for the treatment of a large flat-elevated tumor (diameter, 50 mm) in the duodenal bulb. We selected ESD for the en bloc resection of the lesion, and the …

Continue reading Successful duodenal endoscopic submucosal dissection using multiple clip-and-thread traction for a large tumor located in the duodenal bulb

Postfundoplication submucosal prolapse syndrome

Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi. We report and describe a previously unrecognized pathology called postfundoplication submucosal prolapse syndrome (PFSPS); we coined the terminology based on the imaging and pathological findings. We hypothesized that the mucosa and submucosal layers …

Continue reading Postfundoplication submucosal prolapse syndrome

Double high-level disinfection versus liquid chemical sterilization for reprocessing of duodenoscopes used for ERCP

Post written by Mark A. Gromski, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA. This study aimed to answer whether there were any differences in 2 different duodenoscope reprocessing methods that fulfilled supplemental measures to enhance reprocessing: double high-level disinfection and liquid chemical sterilization. …

Continue reading Double high-level disinfection versus liquid chemical sterilization for reprocessing of duodenoscopes used for ERCP

Second-generation distal attachment cuff improves adenoma detection rate

Post written by Harsh K. Patel, MBBS, and Viveksandeep Thoguluva Chandrasekar, MD, from the Department of Internal Medicine, Ochsner Clinic Foundation, New Orleans, Louisiana, and the Department of Gastroenterology, University of Kansas Hospital, Kansas City, Kansas, USA. The focus of our study was to compare the outcomes of standard high-definition white-light colonoscopy (SC) to second …

Continue reading Second-generation distal attachment cuff improves adenoma detection rate

Mucosa-preserving Zenker’s diverticulotomy

Post written by Linda Yun Zhang, MBBS, from the Division of Gastroenterology & Hepatology, Johns Hopkins Medicine, Baltimore, Maryland. We present a 78-year-old woman with a short-septum Zenker’s diverticulum successfully treated with a mucosa preserving Zenker’s diverticulotomy. In this technique, in contrast to the original Zenker’s peroral endoscopic myotomy (Z-POEM) technique, mucosal incision and entry …

Continue reading Mucosa-preserving Zenker’s diverticulotomy