Salvage resection of recurrent polyp after polypectomy

Post written by Michiko Wada, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan. We report a case of a 77-year-old woman who had undergone polypectomy for a polyp on the anastomosis of past laparoscopic sigmoidectomy but was referred to our endoscopy unit with recurrent polyp. …

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Timing of upper endoscopy influences outcomes in patients with acute nonvariceal upper GI bleeding

Post written by Navin L. Kumar, MD, and John R. Saltzman, MD, from the Brigham and Women’s Hospital, Division of Gastroenterology, Hepatology and Endoscopy and Harvard Medical School, Boston, Massachusetts. The focus of our study was to assess whether patients admitted with acute nonvariceal upper gastrointestinal bleeding (UGIB) with lower-risk vs high-risk bleeding have different …

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Identification of volumetric laser endomicroscopy features predictive for early neoplasia

Post written by Anne-Fré Swager from the Academic Medical Center, Amsterdam, the Netherlands The focus of our study was to understand what we truly see on VLE: What do the VLE structures represent on histology? The aims were therefore to identify VLE features of Barrett's neoplasia and to develop a VLE prediction score. We used …

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Overtube-assisted pneumatic dilation for achalasia in megaesophagus

Post written by Shashideep Singhal from the University of Texas Health Science Center at Houston. A 63-year-old man with a long-standing history of achalasia presented for pneumatic dilation. Several technical problems were associated with pneumatic balloo dilation in this case, which had resulted in failure of an earlier attempt. Because of a tortuous megaesophagus with …

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Over-the-scope clip-assisted endoscopic full-thickness resection

Post written by Louis M. Wong Kee Song from the Mayo Clinic. The aim of the study was to evaluate the efficacy and safety of over-the-scope clip-assisted endoscopic full-thickness resection (EFTR) technique for removal of epithelial and subepithelial lesions in the GI tract. EFTR allows for definitive diagnosis and treatment of select subepithelial and epithelial …

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Linitis plastica: a harbinger of an unusual cause of gastric wall thickening

Post written by Debdeep Banerjee, Saikiran Raghavapuram, and Benjamin Tharian from the Division of Gastroenterology, Department of Internal Medicine, University of Arkansas for Medical Sciences and the School of Medicine, Texas Tech University Health Sciences Center. In this video submission, we describe a woman with a past history of breast cancer who had undergone mastectomy …

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Overbooking and recruitment increases uptake of appointments among African American patients

Post written by Folasade P. May, MD, PhD, from the Greater Los Angeles Veterans Affairs Network and UCLA Vatche and Tamar Manoukian Division of Digestive Diseases. African Americans see several disparities in healthcare utilization and healthcare outcomes. These disparities also occur in utilization of common gastroenterological procedures. African Americans are less likely than white Americans …

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Clinical impact of narrow-band imaging magnifying endoscopic classification of colorectal tumors

Post written by Shinji Tanaka, MD, PhD, from Endoscopy and Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Japan. By JNET classification using magnifying observation, it will be possible to characterize the lesions of NICE Type 2 more in detail. NICE Type 2 includes various lesion such as dysplasia, superficial submucosal carcinoma, and …

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Endoscopic incision method to treat refractory esophageal stricture

Post written by Bing Hu, MB, from the Department of Gastroenterology, West China Hospital of Sichuan University, Chengdu, Sichuan, China. Our video case report describes a 34-year-old woman with refractory esophageal stricture that resulted from scar formation after endoscopic submucosal dissection of a fibroma. Esophagography showed the stricture located at the level of T6 with a …

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A prospective multicenter study of submucosal injection

Post written by Tae Hoon Lee, MD, PhD, and Jong Jin Hyun, MD, PhD, from the SoonChunHyang University School of Medicine and Korea University College of Medicine. In technical aspects of endoscopic papillectomy, whether submucosal injection papillectomy should be performed is still debatable. Injecting saline solution or a diluted epinephrine solution into the submucosal layer …

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