Post written by Sahaj Rathi, MD, DM, MRCP, from the Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India. Noncontact thermoablation is often used for mucosal bleeding during endoscopy, as it has the advantage of thermal injury limited to superficial layers. Practically, argon plasma coagulation (APC) is the only modality most centers …
Author: giejournal
Detection and endoscopic classification of intraductal neoplasms of the bile duct by peroral cholangioscopy with narrow-band imaging (with videos)
Post written by Il Sang Shin, MD, PhD, Jong Ho Moon, MD, PhD, and Yun Nah Lee, MD, PhD, from the Digestive Disease Center and Research Institute, Department of Internal Medicine, SoonChunHyang University School of Medicine, Bucheon, Cheonan, and Seoul, Korea. Indirect diagnostic modalities such as CT, magnetic resonance imaging, and ERCP are sometimes unsatisfactory for …
Modified double-layered suturing for a mucosal defect after colorectal endoscopic submucosal dissection (Origami method) (with video)
Post written by Teppei Masunaga, MD, and Motohiko Kato, MD, PhD, from the Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. Endoscopic defect closure techniques have been applied to reduce the incidence of adverse events after colorectal endoscopic submucosal dissection (ESD). This retrospective observational study aimed …
Editor’s Choice: Underwater versus conventional EMR of large nonpedunculated colorectal lesions: a multicenter randomized controlled trial
GIE Associate Editor Thiruvengadam Muniraj, MD, highlights this article from the May issue: “Underwater versus conventional EMR of large nonpedunculated colorectal lesions: a multicenter randomized controlled trial” by Joaquín Rodríguez Sánchez, MD, PhD, et al. This study is valuable because it explores alternate options for endoscopic submucosal dissection (ESD). This is one of the very few randomized …
Precut papillotomy on a minor papilla followed by balloon papilloplasty to provide a complete pancreatic-duct drainage in tropical pancreatitis with reverse pancreas divisum
Post written by Rungsun Rerknimitr, MD, FRCP (London), FASGE, from Chulalongkorn University, Bangkok, Thailand. Our case is about a 10-year-old girl with known tropical chronic pancreatitis with mutation at the transition c.206C>T in exon 4 of the SPINK1 gene who underwent pancreatic sphincterotomy via major papilla with pancreatic stone extraction 6 months prior. The patient presented with a new episode of epigastric pain and elevation …
Comparative diagnostic performance of different techniques for EUS-guided fine-needle biopsy sampling of solid pancreatic masses: a network meta-analysis
Post written by Antonio Facciorusso, MD, PhD, from the Gastroenterology Unit, Department of Surgical and Medical Sciences, University of Foggia, Foggia, Italy. In the last decade, several EUS fine-needle biopsy (FNB) sampling needles have been developed, and newer end-cutting FNB needles, which feature alterations of the cutting tip, have been found to outperform other needles in …
Transjejunal ERCP, EUS-guided gallbladder drainage, and cholecystoscopy with direct electrohydraulic lithotripsy with large gallstone removal in Roux-en-Y anatomy
Post written by Arjun Chatterjee, MD, from the Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA. A 61-year-old man presented with intermittent right-upper-quadrant pain, nausea, and vomiting. A CT scan of his abdomen revealed choledocholithiasis and large cholelithiasis. His medical and surgical history included severe obesity, Roux-en-Y gastric bypass, bowel perforation with extensive resection, …
Definitive nonsurgical management of stump cholecystitis with EUS-guided lumen-apposing metal stent placement and electrohydraulic lithotripsy
Post written by Rishi Pawa, MD, from the Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. A 31-year-old woman presented with right-upper-quadrant pain and imaging findings of acute cholecystitis. She underwent an open subtotal cholecystectomy because of extensive adhesive disease involving the gallbladder. Initially, the patient did well postoperatively but started having recurrent symptoms …
Top tips for endoscopic biliary stenting for hilar obstruction
Post written by Ryan Law, DO, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. The focus of this manuscript was very simple. I aimed to identify what I believe are the most important pearls for successful endoscopic management of patients with biliary hilar obstruction. The goal was to simplify this topic into …
Continue reading Top tips for endoscopic biliary stenting for hilar obstruction
“Loop-10” line-assisted clip closure method: closure of perforation in re-do peroral endoscopic myotomy
Post written by Marc Julius Navarro, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan, and the Institute of Digestive and Liver Diseases, St. Luke’s Medical Center, Quezon City, Philippines. In this video, we highlight how the “Loop-10” line-assisted clip closure method presented to be a feasible and effective method in achieving …
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