EMR of large and giant lateral spreading lesions of the duodenum

Post written by Amir Klein, MD, from the Endoscopy Unit, Westmead Hospital, in Westmead, New South Wales, Australia This study investigates the short and long term outcomes of endoscopic mucosal resection (EMR) of large duodenal adenomas. Large sporadic duodenal adenomas are uncommon, but harbor a malignant potential, which requires consideration of definitive treatment. EMR may …

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ERCP development in the largest developing country: a national survey from China in 2013

Lei Xin, Liang-Hao Hu, and Zhao-Shen Li from Changhai Hospital, The Second Military Medical University, Shanghai, China describe their article published in the October issue of GIE. This study evaluated the ERCP development in the largest developing country, China, between 2006 and 2012, when the ERCP volume in developed countries decreased. In developed countries, the …

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The first European family with gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS)

Post written by Darina Kohoutova from the 2nd Department of Internal Medicine - Gastroenterology, Charles University in Praha, Faculty of Medicine at Hradec Kralove, University Teaching Hospital, Hradec Kralove, Czech Republic Gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS) has to date been recognized in only 8 families worldwide. Recently, different point mutations within …

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Esophageal stent for treatment of choledocholithiasis

Post written by Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, New York, USA This case describes an elderly patient post-cholecystectomy with a markedly dilated bile duct and significant, persistent stone burden despite standard stone extraction techniques who ultimately achieved bile duct clearance with placement of a …

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Risk factors for bleeding after gastric ESD

Post written by Diogo Libânio, MD, from the Gastroenterology Department at the Portuguese Oncology Institute of Porto, Porto, Portugal The focus of our study was the identification of significant risk factors for bleeding after gastric endoscopic submucosal dissection (post-procedural bleeding). Additionally, we aimed at accurately estimating the proportion of patients in whom this adverse event develops …

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Editor’s Choice: EMR of lateral spreading lesions of the duodenum

Associate Editor Amit Rastogi, MD, FASGE, highlights this article from the October issue "Endoscopic mucosal resection of large and giant lateral spreading lesions of the duodenum: success, adverse events, and long-term outcomes" by Amir Klein, MD, Dhruv Nayyar, MD, Farzan F. Bahin, MBBS (Hons), FRACP, MPhi, et al.  This study describes the short and long …

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A case of ampullary follicular lymphoma

  Victoria Gomez, MD and Lady Katherine Mejia Perez, MD from the Department of Gastroenterology and Hepatology at the Mayo Clinic, Jacksonville, Florida present this video case. We describe the case of a 65-year-old man who was diagnosed with follicular lymphoma of the ampulla of Vater. He underwent an EGD for evaluation of long-standing symptoms …

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pCLE and solitary rectal ulcer syndrome

Post written by Yunlu Feng, MD,  and Aiming Yang, MD, from the Department of Gastroenterology, Peking Union Medical College Hospital, in Beijing, China Our article reported a 34-year-old male Chinese patient who presented with feeling of incomplete defecation and abdominal pain for more than 10 years. Colonoscopy showed a single rectal ulcer. Magnetic resonance imagine showed localized rectal …

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Endoscopic management of malignant ileovesicular fistula

Toufic Kachaamy, MD, from the Western Regional Medical Center at Cancer Treatment Center of America, Goodyear, Arizona, USA, presents this video case "Successful endoscopic management of a malignant ileovesicular fistula." A 56-year-old man with history of metastatic colon cancer and prior treatment with subtotal colectomy, ileostomy, and multiple lines of chemotherapy presented with a few …

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Successful removal of esophageal submucosal tumor

Successful removal of an esophageal submucosal tumor by submucosal tunneling endoscopic resection technique Hiroyuki Aihara, MD, PhD The Division of Gastroenterology, Hepatology and Endoscopy Brigham and Women’s Hospital Boston, Massachusetts, USA In this video, we describe a case of submucosal esophageal tumor successfully removed by a submucosal tunneling endoscopic resection (STER) technique. This is a …

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