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 …
Author: GIEjournal
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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Impact of endoscopic papillary large-balloon dilation
Post written by Young Koog Cheon, MD, PhD, from the Digestive Disease Center, Department of Internal Medicine, Konkuk University School of Medicine in South Korea. Endoscopic papillary balloon dilation (EPBD) using balloons with a diameter of less than 8mm is considered to preserve papillary function. However, it is still unknown whether papillary function is preserved …
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Mucosubmucosal elongated colonic polyp
Post written by Jennifer L. Horsley-Silva, MD, and David E. Fleischer, MD from the Division of Gastroenterology and Hepatology, Mayo Clinic, in Phoenix, Arizona, USA. Our video is of a surveillance colonoscopy that demonstrated a 12 mm elongated, pedunculated polyp that was “wormlike” in appearance and found in the ascending colon. An EndoLoop detachable ligating device …
Technical aspects of endoscopic sleeve gastroplasty
Post written by Vivek Kumbhari, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology, at the Johns Hopkins Medical Institutions in Baltimore, Maryland, USA. Endoscopic sleeve gastroplasty (ESG) is an emerging weight loss technique. However, it is highly operator dependent and there is some variability in technique. In ESG, the volume of the stomach …
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Adenoma recurrence after piecemeal colonic EMR is predictable
Post written by David J. Tate, MA (Cantab), MBBS, MRCP, from Westmead Hospital, Department of Gastroenterology and Hepatology, and Westmead Campus, University of Sydney Medical School, Sydney, Australia. Recurrence is the main limitation of wide-field endoscopic mucosal resection (EMR) for large laterally spreading colonic lesions (LSL). We aimed to derive a set of clinically useful …
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Migrated surgical clips in bile duct stone suspected on EUS and verified on ERCP
Post written by Mehul Choksi, MD, DM, from S. L. Raheja Hospital in Mumbai, India. This video describes a patient who presented with primary bile duct stone formation 10 years after laparoscopic cholecystectomy. EUS showed presence of migrated surgical clips within the body of the bile duct stone. The migrated surgical clips actually act as a nidus …
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Migrated stent retrieved via oral double-balloon enteroscopy
Post written by Laith H. Jamil, MD, FASGE, FACG from Cedars Sinai Medical Center in Los Angeles, California, USA. An 18 mm X 12 cm covered esophageal stent migrated into the mid-distal jejunum and did not migrate further for 4 weeks. The patient remained asymptomatic thus it was felt safe to attempt to remove the stent …
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Endoscopic band ligation in diverticular bleeding
Post written by Daniela G. Vinsard, MD and Victoria Gómez, MD, from the Division of Gastroenterology and Hepatology at the Mayo Clinic in Jacksonville, Florida, USA. Our video case report describes a 90-year-old man with acute painless hematochezia and diverticular bleeding in the sigmoid colon, which was detected on a same day colonoscopy after a …
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