Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. An 87-year-old woman with multiple comorbidities was found to have a gigantic gastric polyp (11 × 8 cm) with a broad short stalk containing an area of irregular vascular patterns worrisome for high-grade dysplasia. Attempting polypectomy using an endoloop was challenging because of the …
Author: giejournal
Endoscopic pyloric exclusion—EUS-guided gastrojejunostomy combined with endoscopic suturing and closure of the pylorus: a novel approach to failed surgical repair of a perforated duodenal ulcer
Post written by Kambiz Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe a novel endoscopic procedure that results in complete diversion of the gastric stream away from the duodenum and into the proximal jejunum. Duodenal bypass was achieved using a 2-step approach. Step 1 involved diverting the gastric stream into …
Computer-aided detection, mucosal exposure device, their combination, and standard colonoscopy for adenoma detection: a randomized controlled trial
Post written by Satimai Aniwan, MD, from the Division of Gastroenterology, Faculty of Medicine, Chulalongkorn University, and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. This study aimed to compare adenoma detection rate (ADR) differences among computer-aided detection (CADe), endocuff-assisted colonoscopy (EAC; Endocuff Vision ARV 110; Olympus Corporation, Tokyo, Japan), and the combination of CADe …
Impact of withdrawal time on adenoma detection rate: results from a prospective multicenter trial
Post written by Madhav Desai, MD, MPH, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Achieving an optimal adenoma detection rate (ADR), a priority quality metric for screening colonoscopy, is necessary for a high-quality colonoscopy. Studies have shown that a higher ADR is linked to a lower risk …
Diagnostic yield and technical performance of the novel motorized spiral enteroscopy compared with single-balloon enteroscopy in suspected Crohn’s disease: a prospective study (with video)
Post written by Partha Pal, MD, DNB, MRCP (UK), from the Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India. In this study, we compared single-balloon enteroscopy with motorized spiral enteroscopy in suspected Crohn’s disease (CD) in a prospective manner. We aimed to compare the technical success, diagnostic yield, depth of maximal insertion, enteroscopy time, …
Safety and efficacy of EUS-guided celiac plexus block in the evaluation of patients with median arcuate ligament syndrome anatomy for possible surgery
Post written by Elisa Karhu, MD, from the Department of Internal Medicine, Stanford University, Palo Alto, California, USA. Median arcuate ligament syndrome (MALS) is often considered in the differential diagnosis of patients with intractable postprandial abdominal pain. However, diagnosis of this condition can be difficult. To aid in diagnosis, a symptomatic response to celiac plexus …
Effectiveness of prophylactic clipping in preventing postpolypectomy bleeding in aspirin users: a propensity-score analysis
Post written by Louis H.S. Lau, MBChB, and Francis K. L. Chan, MD, from the Department of Medicine and Therapeutics, Faculty of Medicine, and the Institute of Digestive Diseases, The Chinese University of Hong Kong, Hong Kong SAR. This study focused on examining the benefit of prophylactic clipping after colonoscopic polypectomy or endoscopic resection in high-risk …
A novel less-invasive therapy for a bleeding eroded artery in a giant duodenal ulcer: principles and technical description
Post written by iGIE iNTERNATIONAL Associate Editor Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, from the Instituto D’Or de Pesquisa e Ensino, Hospital Vila Nova Star, and the Gastrointestinal Endoscopy Unit, Department of Gastroenterology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. Our study presents a novel use …
Computer-assisted detection versus conventional colonoscopy for proximal colonic lesions: a multicenter, randomized, tandem-colonoscopy study
Post written by Wai K. Leung, MD, from the Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong, China. A meta-analysis reported that up to 26% of colorectal adenomas could be missed during colonoscopy. Computer-assisted detection (CADe) has been shown to enhance colorectal adenoma and polyp detection. However, it remains uncertain whether CADe …
Outpatient flexible endoscopic diverticulotomy for the management of Zenker’s diverticulum: a retrospective analysis of a large single-center cohort
Post written by Christopher Teshima, MD, PhD, from the Center for Advanced Therapeutic Endoscopy and Endoscopic Oncology, Division of Gastroenterology and Hepatology, Department of Medicine, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada. We evaluated the outcomes of 240 patients who underwent endoscopic therapy for Zenker’s diverticulum over a 6-year study period at our center. …
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