Sauid Ishaq, FRCP, from the Department of Gastroenterology, Russells Hall Hospital, Birmingham City University in Birmingham, United Kingdom discusses this systematic review and meta-analysis: "Flexible endoscopic treatment for Zenker's diverticulum: a systematic review and meta-analysis." The aim of this systematic review was to pool the results of endoscopic treatment of Zenker's diverticulum (ZD) in terms …
Author: GIEjournal
Accidental removal of a biliary metallic stent
Koh Kitagawa, MD, from the Center for Gastroenterology, Teine-Keijinkai Hospital, in Sapporo, Japan presents this video case "Tornado effect: accidental removal of a biliary metallic stent on winding around a stent retriever." Our video case describes the accidental removal of a non-covered hilar self-expandable metallic stent(SEMS) placed in a partial “stent-in-stent” manner upon around a …
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ERCP in Billroth II gastrectomy patients
Tae Young Park, MD¹ and Tae Jun Song, MD, PhD² report their study "Outcomes of ERCP in Billroth II gastrectomy patients." We investigated the outcomes and risk factors for adverse events for endoscopic retrograde cholangiopancreatography (ERCP) using a cap-fitted forward-viewing endoscope with endoscopic papillary balloon dilation (EPBD) in Billroth II gastrectomy patients. ERCP is difficult …
Evaluation of the AGA guidelines
GIE Associate Editor Dr. Doug Adler highlights this article from the June issue: "American Gastroenterological Association guidelines are inaccurate in detecting pancreatic cysts with advanced neoplasia: clinicopathologic study of 225 patients with supporting molecular data." The study is a clear rebuttal of the much-read, much-discussed, and highly controversial AGA guideline on pancreatic cysts, demonstrating the …
ERCP-related perforations
Vivek Kumbhari, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, in Baltimore, Maryland, USA discusses this Original Article "Algorithm for the management of ERCP-related perforations." The focus of this study was to assess patient outcomes using a predetermined algorithm based on managing ERCP-related duodenal perforations according to the …
Treatment for endoscopically obscured bleeding gastric varices
Raymond S. Tang, MD, from the Institute of Digestive Disease, The Chinese University of Hong Kong, Prince of Wales Hospital, in Hong Kong, China presents this VideoGIE case "EUS-guided cyanoacrylate injection for treatment of endoscopically obscured bleeding gastric varices." Variceal bleeding is still a potentially lethal adverse event of cirrhosis. While resuscitation, early use of …
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Novel self-propelled disposable colonoscope is effective for colonoscopy
Nathan Gluck, MD, PhD, from the Tel Aviv Medical Center, Research Center for Digestive Disorders and Liver Diseases, in Tel Aviv, Israel discusses this Open Access Original Article "A novel self-propelled disposable colonoscope is effective for colonoscopy in humans (with video)." The focus of this study was to test the cecal intubation rate, safety, and …
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Needle-based confocal endomicroscopy for pancreatic cysts
Kunal Karia, MD from the Division of Gastroenterology and Hepatology at Weill Cornell Medical College in New York, New York discusses "Needle-based confocal endomicroscopy for pancreatic cysts: the current agreement in interpretation." With the increasing use of abdominal cross-sectional imaging, more and more pancreatic cystic lesions (PCLs) are being identified. Accurate diagnosis and understanding the …
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Managing acute hemorrhagic pancreatitis
Ji Young Bang, MD, MPH, from the Division of Gastroenterology and Hepatology, Indiana University, in Indianapolis, Indiana, USA presents this video case "Management of acute hemorrhagic pancreatitis after EUS-guided FNA of a pancreatic cyst." Our VideoGIE video describes a case of a patient presenting with acute pancreatitis and a hemorrhagic pancreatic fluid collection (PFC) following EUS-FNA …
Incarcerated, retroflexed endoscope associated with a paraesophageal hernia
Herbert C. Wolfsen, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA describes this video case "Incarcerated, retroflexed endoscope associated with a paraesophageal hernia." An elderly woman underwent upper endoscopy in our ASC to evaluate GERD symptoms and dysphagia in setting of PEH. Unfortunately, the endoscope could not be easily passed …
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