Post written by Shailendra Singh, MD, from West Virginia University, Morgantown, West Virginia, USA. Fully covered self-expandable metal stents (FC-SEMSs) are widely used in the management of both benign and malignant esophageal disorders, including strictures, leaks, and perforations. However, high migration rates—often exceeding 30% to 60%—remain a major limitation of their use, leading to recurrent …
Author: GIEjournal
Bridge the GAPPS (gastric adenocarcinoma and proximal polyposis syndrome)
Post written by Suchapa Arayakarnkul, MD, from the Department of Medicine, University of Minnesota, Minneapolis, and Daniela Guerrero Vinsard, MD, from the Division of Gastroenterology and Hepatology, Minneapolis VA Medical Center, Minneapolis, and Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA. We present a case of gastric adenocarcinoma and proximal polyposis syndrome (GAPPS) and review its …
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Pleural connection treated with stent plus endobronchial valve
Post written by Mayank Goyal, MD, from the the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, and the University of Missouri-Kansas City, Kansas City, Missouri, and Navtej Buttar, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. We report the case of a 34-year-old man with a complex surgical history who developed a refractory esophagopleural fistula (EPF) …
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Editor’s Choice: Development and validation of the SDLD score: a simplified tool to predict successful endoscopic papillectomy in ampullary lesions
GIE Associate Editor Monique Barakat, MD, highlights this article from the October issue: “Development and validation of the SDLD score: a simplified tool to predict successful endoscopic papillectomy in ampullary lesions” by Kien Vu Trung, MD, et al. This study provides valuable insights into the predictors of incomplete resection in patients undergoing endoscopic papillectomy for ampullary lesions. The study …
Combination of through-the-scope suturing and over-the-scope clips for closure of persistent gastrocutaneous fistula after gastrostomy tube removal (“X-lock technique”)
Post written by Sagar Shah, MD, Adarsh Thaker, MD, and Alireza Sedarat, MD, from the Vatche and Tamar Manoukian Division of Digestive Diseases, Ronald Reagan UCLA Medical Center, Los Angeles, California, USA. Our video submission highlights 2 cases of persistent gastrocutaneous fistulas (GCFs) after removal of long-term PEG tubes. In both patients, the fistula tract failed to close spontaneously and led …
Physical recovery after local resection of nonpedunculated rectal adenomas and T1 carcinomas: endoscopic submucosal dissection versus transanal minimally invasive surgery
Post written by Nik Dekkers, MD, from Leiden University Medical Center, Leiden, The Netherlands. The focus of our study was to quantitatively assess physical recovery after endoscopic submucosal dissection (ESD) and transanal minimally invasive surgery (TAMIS) for large rectal lesions. We used wearable accelerometers (smartwatches) to objectively measure physical activity and to investigate key factors influencing recovery. We …
Hybrid endoscopic stricturotomy and balloon dilation of ascending colon stricture with cecal fecaliths in Crohn’s disease guided by preprocedural intestinal ultrasound
Post written by Partha Pal, MD, DNB, MRCP (UK), ESEGH, FASGE, from the Asian Institute of Gastroenterology, Hyderabad, India. We present the case of a 47-year-old man with ileocolonic Crohn’s disease who developed recurrent obstructive symptoms despite biologic therapy. Preprocedural intestinal ultrasound (IUS) identified a short, predominantly fibrotic ascending colon stricture with upstream fecaliths. Colonoscopy confirmed a …
Bringing therapeutic endoscopy to the world of inflammatory bowel disease
Post written by Bo Shen, MD, from Columbia University Irving Medical Center/New York Presbyterian Hospital, New York, New York, and Phillip S. Ge, MD, from the University of Texas MD Anderson Cancer Center, Houston, Texas, USA. This article describes the evolution of the field of interventional inflammatory bowel disease (IBD), ie, endoscopic management of structural adverse events of IBD, …
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Tack-only fixation of lumen-apposing metal stents: leave the suture at home
Post written by Andy Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. The availability of suture-based technologies is growing in flexible GI endoscopy, with one of the newcomers the X-Tack device (Boston Scientific, Marlborough, Mass, USA). This device, conceived with Dr Christopher Gostout and Apollo Endosurgery, uses steel “screws” or tacks that are drilled into …
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Safety and efficacy of EUS-guided pelvic abscess drainage with lumen-apposing metal stents for complicated acute diverticulitis
Post written by Andrea Lisotti, MD, from the Gastroenterology Unit, Hospital of Imola, University of Bologna, Italy, and the Gastroenterology Unit, Hôpital Privé Jean Mermoz, Lyon, France. Our study evaluated the safety and efficacy of endoscopic ultrasound—guided pelvic abscess drainage (EUS-PAD) using lumen-apposing metal stents in patients with complicated acute diverticulitis. This minimally invasive approach …
