Risk of infection transmission in curvilinear array echoendoscopes

Post written by Christopher G. Chapman, MD, from the Center for Endoscopic Research and Therapeutics (CERT) at University of Chicago Medicine. The focus of this study was to determine the yield of routine bacterial surveillance cultures of post-high-level disinfection (HLD) reprocessed curvilinear array (CLA) echoendoscopes. The impetus for this study was the relative lack of …

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Distance from hospital impacts adverse event detection

Post written by Rajesh N. Keswani, MD, MS, from the Northwestern University Feinberg School of Medicine. The objective of this study was to determine the hospital utilization patterns of patients with endoscopy-related adverse events (AEs), including death, after ambulatory endoscopy at 5 Chicago-area medical centers. We specifically aimed to investigate whether care fragmentation, which is …

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Small-bowel capsule endoscopy with panoramic view

Post written by Gian Eugenio Tontini, MD, PhD from IRCCS Policlinico San Donato, Gastroenterology & Digestive Endoscopy Unit, San Donato Milanese, Milano, Italy. CapsoCam SV is a new small bowel capsule with “panoramic view,” wire-free technology, and a long-lasting battery life. It is equipped with 4 high-frame rate cameras, resulting in a high number of …

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ESD removal of submucosal embedded fish bone in the esophagus

Post written by Hon Chi Yip from the Division of Upper Gastrointestinal and Metabolic Surgery at Prince of Wales Hospital at the Chinese University of Hong Kong. This video demonstrated successful removal of a fish bone that was deeply embedded inside the submucosa of proximal esophagus using the endoscopic submucosal dissection (ESD) technique. This video …

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Managing GI bleeding from a created endoscopic omental patch

Post written by Ashish Sharma, MD, and Robert J. Sealock, MD, from the Department of Gastroenterology & Hepatology at Baylor College of Medicine in Houston, Texas, USA. An 80-year-old male presented to the GI lab for an endoscopic retrograde cholangiopancreatography (ERCP) for gall stone pancreatitis and high probability of choledocholithiasis. He developed an iatrogenic duodenal …

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“Underwater” ESD for superficial esophageal neoplasms

Post written by Tomofumi Akasaka from the Department of Gastrointestinal Oncology at Osaka Medical Center for Cancer and Cardiovascular Disease. In this study, we used a bipolar needle-knife with a water jet function (Jet B-knife; Zeon Medical, Tokyo, Japan). After a circumferential incision, as performed for conventional ESD, esophageal lumen was filled and submucosal injection with …

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Pancreatic pseudoaneurysm mimicking cystic neoplasm with worrisome features

Post written by Matheus C. Franco, MD, from the Cleveland Clinic Foundation, in Cleveland, Ohio, USA. A 61-year-old female presented with poor appetite, weight loss, and diarrhea. CT scan from outside hospital showed no significant abnormalities. Further investigation with MRI revealed a 1.4 cm cystic lesion in the body of pancreas with wall thickness and enhancing …

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Comparison of prognosis between gastric ESD and surgery

Post written by Shusei Fukunaga, MD, PhD and  Yasuaki Nagami, MD, PhD from the Department of Gastroenterology at Osaka City University Graduate School of Medicine in Osaka. Our study focused on the long-term outcomes, risk factors for mortality, and adverse events for patients with expanded-indication lesions of differentiated-type early gastric cancer (EGC) who underwent endoscopic …

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Stepwise endoscopic eradication of GAVE using detachable snare and band ligation

Post written by Andrew P Wright, MD and Anoop Prabhu, MD, from the University of Michigan Health System in Ann Arbor, Michigan, United States. We present a case of a 58-year-old man with decompensated cirrhosis and transfusion-dependent anemia with nodular gastric antral vascular ectasia (GAVE) refractory to multiple treatment sessions with mucosal ablative therapies that we …

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Surgical clip removal using short-type single-balloon enteroscope

Post written by Hideaki Koga, MD and Akio Katanuma, MD from the Center for Gastroenterology at Teine-Keijinkai Hospital in Sapporo, Japan. A 76-year-old man who underwent laparoscopic cholecystectomy (LC) and pancreaticoduodenectomy presented with repeated cholangitis. CT showed mild dilation of the bile duct with an enhancing wall, and the surgical clips after LC located near …

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