Endoscopic tamponade using a fully covered self-expandable metallic stent for massive biliary bleeding from a pseudoaneurysm rupture during metallic stent removal

Post written by Nao Fujimori, MD, PhD, from the Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. Hemobilia is a rare but life-threatening adverse event related to pancreato-biliary diseases, transhepatic percutaneous, or endoscopic interventions. The rupture of the pseudoaneurysm after a plastic stent or self-expandable metallic stents (SEMSs) …

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Triple-loop clip for the traction-assisted colorectal ESD

Post written by Shuichi Miyamoto, MD, PhD, from the Department of Gastroenterology and Hepatology, Hakodate Municipal Hospital, Hakodate, and the Department of Gastroenterology and Hepatology, Hokkaido University Faculty of Medicine and Graduate School of Medicine, Sapporo, Japan. Recently, the effectiveness of traction-assisted ESD has been reported, and there are various devices for applying countertraction. These …

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New insights on missed colonic lesions during colonoscopy through artificial intelligence–assisted real-time detection

Post written by Wai K. Leung, MD, from the Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong. This study aimed to determine whether the use of artificial intelligence (AI)-assisted real-time detection could reduce colorectal adenoma miss rate during colonoscopy. Previous studies showed that up to 26% of adenomas could be missed …

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Hemostatic forceps used as a scissor-type knife in combination with the transanal-traction method for assisted ESD in the area of the dentate line

Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, HM Hospitales Group, and the Department of Clinical Sciences, School of Medicine, University of CEU San Pablo, Boadilla del Monte, Madrid, Spain. In this video case report, we present a patient who was diagnosed with a subtle Paris 0-IIb …

Continue reading Hemostatic forceps used as a scissor-type knife in combination with the transanal-traction method for assisted ESD in the area of the dentate line

Clinical impact of routine esophagram after peroral endoscopic myotomy

Post written by Chanakyaram A. Reddy, MD, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. The focus of the study was to provide clarification for the role in obtaining routine postoperative day (POD) 1 esophagram following peroral endoscopic myotomy (POEM). POEM is a technique that has rapidly evolved over the last …

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Colon Capsule CLEansing Assessment and Report (CC-CLEAR)

Post written by Rui de Sousa Magalhães, MD, from the Gastroenterology Department, Hospital Senhora da Oliveira, Guimarães, Life and Health Sciences Research Institute, School of Medicine, University of Minho, Braga, and ICVS/3B’s, PT Government Associate Laboratory, Guimarães/Braga, Portugal. Our focus was the creation of a new grading scale for the evaluation of colon capsule cleansing, …

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Use of a double-lumen cytology brush catheter to allow double-guidewire technique for endoscopic interventions

Post written by Kavel H. Visrodia, MD, from the Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts. In this video case series, we describe 3 distinct cases in which the use of a double-lumen cytology brush catheter to place 2 guidewires facilitated successful endoscopic interventions. The first is a case of an endoscopic retrograde cholangiopancreatography …

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Peroral pancreatoscopy via the minor papilla in the diagnosis of intraductal papillary mucinous neoplasm

Post written by Shuhei Shintani, MD, from the Division of Gastroenterology, Shiga University of Medical Science, Seta Tsukinowacho, Otsu Shiga, Japan. This report is the first video case report of the peroral pancreatoscopy (POPS) via the minor duodenum papilla for diagnosis of main duct intraductal papillary mucinous neoplasm (MD-IPMN). This case was novel in 2 …

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Circumferential ESD for the treatment of ultra-short-segment Barrett’s adenocarcinoma with multifocal dysplasia

Post written by Fabian Emura, MD, PhD, FASGE, from the Division of Gastroenterology, Universidad de La Sabana, Chía, and the Advanced GI Endoscopy, EmuraCenter LatinoAmerica, Bogotá DC, Colombia. The procedure initiated from the esophagus in direct view and continued from the stomach in the retroflexion view using the IT-Knife2. A small perforation occurred when the …

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Covered versus uncovered metal stents for malignant gastric outlet obstruction

Post written by Alberto Tringali, MD, Deborah Costa, MD, Andrea Anderloni, MD, Silvia Carrara, MD, Alessandro Repici, MD, and Douglas G. Adler, MD, from the Endoscopy Unit, Conegliano Hospital Italy, Conegliano, Italy, the Endoscopy Unit, Humanitas Hospital, Milan, Italy, and the Division of Gastroenterology and Hepatology, University of Utah Hospital, Salt Lake City, Utah, USA. …

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