Associate Editor John R. Saltzman, MD, highlights this article from the February issue, “Non-adherence to the rule of 3 does not increase the risk of adverse events in esophageal dilation” by Karina V. Grooteman, Louis M. Wong Kee Song, Frank P. Vleggaar, Peter D. Siersema, and Todd H. Baron. This study challenges the prevailing wisdom …
Author: GIEjournal
Patients undergoing covered and uncovered self-expandable metal stent placement
Post written by Yasuki Hori, MD, PhD, from the Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. We focused on predictors for solid food intake after self-expandable metal stent (SEMS) placement for malignant gastric outlet obstruction, not only patient-related factors but also stent-related factors. We consider the identification …
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Holmium laser lithotripsy to manage complex biliary calculi
Post written by Jason Behary, MBBS, from the Department of Gastroenterology and Hepatology, St George Hospital and University of New South Wales, in Sydney, Australia. Digital per-oral cholangioscopy performed under combined endoscopic and fluoroscopic control allows visualization and treatment of large and difficult to remove intra- and extrahepatic biliary calculi. A 200-micron holmium laser lithotripsy fiber …
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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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