Post written by Gustavo de Carvalho Bertaccini Guriam, MD, MSc, from the Department of Endoscopy, São Francisco Hapvida Hospital, São Paulo, Brazil. This case describes successful closure of a complex duodenal fistula that failed to respond to 2 surgical attempts at local suture after major abdominal surgery. Definitive treatment was achieved through a multimodal endoscopic approach, including …
Author: GIEjournal
Potential indications for peranal endoscopic myectomy in lower rectal cancer
Post written by Katsuro Ichimasa, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. We present a groundbreaking advancement in the management of early lower rectal cancer through peranal endoscopic myectomy (PAEM), also known as endoscopic intermuscular dissection, in our recent publication in GIE. Traditional endoscopic methods such as endoscopic submucosal dissection …
Continue reading Potential indications for peranal endoscopic myectomy in lower rectal cancer
Transoral incisionless fundoplication as rescue therapy for gastroesophageal reflux in a lung transplant recipient
Post written by William King, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USA. This patient had a history of lung transplant for pulmonary sarcoidosis and a Toupet fundoplication for severe GERD. His Toupet wrap became loose and slipped into a small hiatal hernia, resulting in severe reflux and recurrent episodes …
Pilot randomized trial of efficacy and safety of yogic technique versus polyethylene glycol solution for bowel preparation in colonoscopy
Post written by Manas Kumar Panigrahi, MD, DM, FRCP (Edin), from the Department of Gastroenterology, All India Institute of Medical Sciences, Bhubaneswar, India. The focus of our study was to improve on existing methods of bowel preparation in colonoscopy. Bowel preparation is the most important determinant of a proper colonoscopy. Inadequate bowel preparation often leads to missed …
Pancreas cystic lesion with surprise findings on confocal laser endomicroscopy
Post written by Samer El-Dika, MD, FASGE, from Stanford University, Stanford, California, USA. This video case involves a 74-year-old woman with a pancreatic tail cyst identified incidentally. Initial imaging and fluid analysis suggested a nonmucinous cyst, but amylase levels hinted at possible duct communication. To better characterize the lesion, we used EUS-guided needle-based confocal laser endomicroscopy (EUS-nCLE). …
Continue reading Pancreas cystic lesion with surprise findings on confocal laser endomicroscopy
Digital single-operator cholangioscopy for difficult anastomotic biliary strictures in living donor liver transplant recipients after failure of standard ERCP: SPYPASS-2 study (with videos)
Post written by In Rae Cho, MD, and Sang Hyub Lee, MD, PhD, from the Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, South Korea. Anastomotic biliary strictures (ABSs) are a major adverse event after living donor liver transplantation (LDLT) and often difficult to treat with standard ERCP alone. The SPYPASS-2 study evaluated …
Eversion of an inverted papilla via EUS-guided rendezvous
Post written by Rishad Khan, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, Thomas M. Runge, MD, MPH, from the Division of Gastroenterology, Central Ohio VA, Columbus, Ohio, and Samuel Han, MD, MS, the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. A 45-year-old patient with cholecystitis and choledocholithiasis with a prohibitively high surgical risk …
Continue reading Eversion of an inverted papilla via EUS-guided rendezvous
Endosonography-guided suture device for gastrointestinal lumen-to-lumen apposition in a porcine model
Post written by Andrew Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. With the growth of novel transmural endoscopic ultrasound (EUS)—directed therapies in the gastrointestinal tract, awareness of the need for innovations to make these procedures safer and more reproducible is increasing. Such improvements are necessary to assure widespread access for patients who will benefit …
Quality indicators for EUS
Post written by Girish Mishra, MD, MS, FASGE, from the Wake Forest University School of Medicine/Atrium Health, Winston-Salem, North Carolina, USA. The prior version of “Quality indicators for EUS” was published 10 years ago. Interventional EUS (iEUS) was only a concept back then; therapeutic interventions were limited. We highlighted the expanding indications for EUS and …
Transcecal endoscopic appendectomy and endoscopic submucosal dissection with hand-suturing–assisted traction and closure technique
Post written by Fatih Aslan, MD, from Koc University Hospital, Istanbul, Turkey. In this case, we performed an endoscopic treatment for a laterally spreading lesion involving the lumen of the appendix with poorly defined borders. The procedure included endoscopic submucosal dissection combined with transcecal endoscopic appendectomy. Hand suturing was used for traction and separate closure of the …
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