EUS after failed ERCP

Joan B. Gornals, MD, PhD, from the Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de Bellvitge-IDIBELL, in Barcelona, Spain discusses this New Methods article "EUS-guided methylene blue cholangiopancreatography for benign biliopancreatic diseases after failed ERCP." The goal of this study was to describe and provide a new technique associated with interventional endoscopic ultrasound in …

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Cystgastrostomy with EUS-directed jejunogastric LAMS

Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weil Cornell Medical College, Cornell University, in New York, New York, USA shares this video case "EUS-directed jejunogastric lumen-apposing metal stent to facilitate cystgastrostomy in a patient with Roux-en-Y anatomy." This case describes a 54-year-old man with Roux-en-Y anatomy who presented with a symptomatic pancreatic …

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Screening and surveillance for gastric cancer

Joo Ha Hwang, MD, PhD, from the Harborview Medical Center, University of Washington, in Seattle, Washington, USA reports on this Review article, "Screening and surveillance for gastric cancer in the United States: Is it needed?" This is a review article that examines the published data on risk factors for gastric cancer and methods for gastric …

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Removal of large GI stromal tumor at esophagogastric junction

Payal Saxena, MD, from Johns Hopkins Hospital in Baltimore, Maryland, USA and the Royal Prince Alfred Hospital in Sydney, Australia describes this video case "Submucosal tunneling and en bloc endoscopic resection facilitates laparoscopic transgastric removal of a large GI stromal tumor at the esophagogastric junction." Endoscopic resection of gastrointestinal stromal tumor (GIST) of the esophagogastric …

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HMGA2 protein as a biomarker of dysplasia in IPMN

Christopher J. DiMaio, MD, FASGE, from the Icahn School of Medicine at Mount Sinai, Mount Sinai Medical Center, in New York, New York, USA discusses his article "Pancreatic cyst fluid concentration of high-mobility group A2 protein acts as a differential biomarker of dysplasia in intraductal papillary mucinous neoplasm." No reliable cyst fluid biomarkers exist that …

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Risk of recurrence of BE after successful endoscopic therapy

Rajesh Krishnamoorthi, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, at Mayo Clinic in Rochester, Minnesota, USA discusses this systematic review and meta-analysis "Risk of recurrence of Barrett’s esophagus after successful endoscopic therapy." Endoscopic therapy is currently the treatment of choice for Barrett’s esophagus (BE) related dysplasia and mucosal adenocarcinoma. While …

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Large muscle-layer defect closed using endoloop-clips technique

Motohiko Kato, MD, PhD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization, Tokyo Medical Center, in Tokyo, Japan share this video case "A large muscle-layer defect of the stomach caused by endoscopic submucosal dissection is closed by using the endoloop-clips technique." Endoscopic submucosal dissection (ESD) can remove endoscopically even for …

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Photodynamic therapy after CRT for esophageal cancer

Ken Hatogai, MD, from the Department of Gastroenterology, Endoscopy Division, at the National Cancer Center Hospital East, in Kashiwa, Chiba, Japan discusses this article, "Salvage photodynamic therapy for local failure after chemoradiotherapy for esophageal squamous cell carcinoma." The present study clarified the long-term results and prognostic factors of salvage photodynamic therapy (PDT) for local failure …

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Cost analysis for complex colon polyps

Ryan Law, DO¹ and Sachin Wani, MD² discuss their article "Endoscopic resection is cost-effective compared with laparoscopic resection in the management of complex colon polyps: an economic analysis." We performed a cost-effectiveness analysis comparing laparoscopic and endoscopic resection strategies in patients with complex colon polyps and sought to identify predictors that determine cost-effectiveness. Mounting evidence …

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A novel peptide solution after ESD

Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, in Tokyo, Japan discusses this New Methods article, "A novel fully synthetic and self-assembled peptide solution for endoscopic submucosal dissection-induced ulcer in the stomach." Application of a novel fully-synthetic and self-assembled peptide solution, which functions as an extracellular matrix scaffold …

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