Endoscopic full-thickness resection of a gastric subepithelial tumor

On March 26, 2018March 7, 2018 By GIEjournalIn Investigations, VideoGIELeave a comment

Post written by Shashideep Singhal, MD, from the Division of Gastroenterology, Hepatology & Nutrition, University of Texas Health Science Center at Houston, Houston, Texas, USA. An 81-year-old man was complaining of GERD. An EGD showed an incidental gastric body nodule. An EUS revealed a 1.5-cm by 1.4-cm submucosal tumor extending into the muscularis propria. Cytology from FNA showed spindle cells, suggestive …

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A prospective comparison of live and video-based assessments of colonoscopy performance

On March 24, 2018March 5, 2018 By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by Michael A. Scaffidi, BSc(Hon), MEd, and Catharine M. Walsh, MD, MEd, PhD, from the Division of Gastroenterology, St. Michael’s Hospital and the Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, University of Toronto, Toronto, Canada. Assessment is a critical process to determine endoscopic competence. Real-time, or “live” assessment, involves an …

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Endoscopic treatment of large impacted pancreatic ductal stone

On March 22, 2018March 7, 2018 By GIEjournalIn Investigations, VideoGIELeave a comment

Post written by Hitoshi Shibuya, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. This video is a case of a large main pancreatic duct stone treated endoscopically using digital pancreatoscopy and electrohydraulic lithotripsy (EHL). Acute exacerbation of chronic pancreatitis occurred with an impacted stone in …

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Impact of experience on self-assessment accuracy of clinical colonoscopy competence

On March 20, 2018March 5, 2018 By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by Michael A. Scaffidi, BSc(Hon) MEd, and Catharine M. Walsh, MD, MEd, PhD, FRCPC, from the Division of Gastroenterology, St. Michael’s Hospital and the Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, University of Toronto, Toronto, Canada. Assessment of gastrointestinal endoscopy competence is integral to delivering high-quality patient care. Endoscopic competence …

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Feasibility and efficacy of double over-the-scope clipping for colonic iatrogenic perforation

On March 18, 2018March 7, 2018 By GIEjournalIn Investigations, VideoGIELeave a comment

Post written by Paola Soriani, MD, from the Digestive Endoscopy Unit, Azienda USL Modena, Ramazzini Hospital, Carpi, Italy. An 89-year-old woman underwent colonoscopy. In a setting of severe diverticular disease, a perforation of 20-25 mm occurred in the sigmoi-rectal juntion. The leakage was completely closed after the deployment of 2 over-the-scope clips, tightly adjacent to …

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Editor’s Choice: Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia

On March 16, 2018March 5, 2018 By GIEjournalIn GIE, InvestigationsLeave a comment

Associate Editor, Dr. Seth Gross, highlights this article from the March issue “Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia on the next colonoscopy” by Matthew A. Kluge, MD, et al. This article further supports the notion of the importance of bowel preparation and its impact on adenoma detection. The study demonstrates …

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Cold snare polypectomy for polyp adjacent to colonic diverticulum

On March 14, 2018March 7, 2018 By GIEjournalIn Investigations, VideoGIE1 Comment

Post written by Yoko Kubosawa, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, and the Department of Gastroenterology, Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. We report 2 cases of cold snare polypectomy for polyp …

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EMR is superior to rectal suction biopsy for analysis of enteric ganglia in constipation and dysmotility

On March 12, 2018March 5, 2018 By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by Kenneth Barshop, MD, from the Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. This study demonstrated a potential new application of an existing technique, endoscopic mucosal resection (EMR), to aid in the diagnosis of Hirschsprung’s Disease. While EMR has been established as a therapeutic and diagnostic procedure …

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Digital cholangioscopic evaluation of a post–liver transplantation stricture

On March 10, 2018March 7, 2018 By GIEjournalIn Investigations, VideoGIELeave a comment

Post written by Shyam Menon, MSc, MD, FRCP, from the Department of Liver Medicine, University Hospitals Birmingham, NHS Foundation Trust, Birmingham, United Kingdom. Post liver transplantation anastomotic strictures can be technically challenging to manage. We describe a patient who presented a few months after liver transplantation with progressively deteriorating liver function tests and an episode …

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Clinical outcomes of endoscopic submucosal dissection for colorectal tumors

On March 8, 2018March 5, 2018 By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by Kazuki Boda, MD, from the Department of Gastroenterology and Metabolism, Hiroshima University Hospital, Hiroshima, Japan. The focus of our study was to investigate the clinical outcomes of colorectal endoscopic submucosal dissection (ESD) at a regional level. Because the morbidity associated with colon carcinomas is rising in Japan, the number of ESDs for …

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