Use of cyanoacrylate glue in gastric variceal bleed: a modified technique without using lipiodol

Post written by Pankaj N. Desai, MS, FASGE Gastro, from the Department of Endoscopy & Endosonography, and the Department of Clinical Research, Surat Institute of Digestive Sciences (SIDS), Surat, India. Our video describes a simple technique of injection of cyanoacrylate glue for the management of gastric variceal bleed. We use 0.5ml aliquots of n butyl …

Continue reading Use of cyanoacrylate glue in gastric variceal bleed: a modified technique without using lipiodol

Successful endoscopic management of adult ileocecal intussusception secondary to a large ileal lipoma

Post written by Akira Teramoto, MD, from the Gastrointestinal Center, Sano Hospital, Kobe, Japan. Our video presents a case of adult ileocecal intussusception due to a lipoma. The intussusception was endoscopically repositioned, and the lipoma was removed by polypectomy. Although ileocecal intussusception is not a common disease, we believe that many institutions do experience 1 …

Continue reading Successful endoscopic management of adult ileocecal intussusception secondary to a large ileal lipoma

Automated software-assisted diagnosis of esophageal squamous cell neoplasia using high-resolution microendoscopy

Post written by Mimi C. Tan, MD, MPH, from the Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, Texas. High-resolution microendoscopy (HRME) is an ‘optical biopsy’ technology that provides sub-cellular imaging of esophageal mucosa at the time of endoscopy. The endoscopist is able to assess nuclear size, crowding, and pleomorphisms …

Continue reading Automated software-assisted diagnosis of esophageal squamous cell neoplasia using high-resolution microendoscopy

Small-bowel aspiration during upper esophagogastroduodenoscopy: Rao technique

Post written by Satish S.C. Rao, MD, PhD, from the Digestive Health Center, Department of Medicine, Augusta University, Augusta, Georgia. Small intestinal bacterial overgrowth (SIBO) is a common yet underrecognized problem. Because symptoms alone are poor predictors of SIBO, diagnostic testing is required. Today, most experts agree, and the recent American College of Gastroenterology guidelines …

Continue reading Small-bowel aspiration during upper esophagogastroduodenoscopy: Rao technique

Vascularity can distinguish neoplastic from non-neoplastic bile duct lesions during digital single-operator cholangioscopy

Post written by Carlos Robles-Medranda, MD, from the Gastroenterology and Endoscopy, Instituto Ecuatoriano de Enfermedades Digestivas, Guayaquil, Ecuador. Accurately diagnosing indeterminate biliary lesions on clinical practice is a challenging task. Endoscopists may use Digital single operator cholangioscopy (DSOC) to evaluate those lesions, acquire histologic specimens, and to guide clinical management. Various DSOC classification systems and …

Continue reading Vascularity can distinguish neoplastic from non-neoplastic bile duct lesions during digital single-operator cholangioscopy

Endoscopic radiofrequency ablation for palliative treatment of hilar cholangiocarcinoma

Post written by Ana Luísa Lopes dos Santos Silva, MD, from the Gastroenterology Department, Centro Hospitalar São João, Porto, Portugal. Our video reports 3 patients with a diagnosis of perihilar cholangiocarcinoma, who underwent endoscopic radiofrequency ablation with palliative intent. In all cases, endoscopic retrograde cholangiopancreatography with single-operator cholangioscope was performed due to cholestasis symptoms to …

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Comparison of EUS-guided endoscopic transpapillary and percutaneous gallbladder drainage for acute cholecystitis

Post written by Anthony Yuen Bun Teoh, FRCSEd (Gen), from the Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China. The optimal method of gallbladder drainage for acute cholecystitis in nonsurgical candidates is uncertain. The aim of the current study was to conduct a network meta-analysis comparing …

Continue reading Comparison of EUS-guided endoscopic transpapillary and percutaneous gallbladder drainage for acute cholecystitis

ESD of early-stage rectal cancer using full-time red dichromatic imaging to minimize and avoid significant bleeding

Post written by Aoi Kita, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine, Maebashi, Japan. Red Dichromatic Imaging (RDI), a novel image-enhanced endoscopy technology (IEE), has been reported to improve the visibility of deep vessels and bleeding points compared to white-light imaging. We present …

Continue reading ESD of early-stage rectal cancer using full-time red dichromatic imaging to minimize and avoid significant bleeding

Safety and effectiveness of peroral endoscopic myotomy in patients on antiplatelet or anticoagulant therapy

Post written by Enrique Rodríguez de Santiago, MD, MSc, from the Digestive Diseases Center, Showa University, Koto-Toyosu Hospital, Koto-Ku, Tokyo, Japan, and the Department of Gastroenterology and Hepatology, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, IRYCIS, Madrid, Spain. In this study, we aimed to investigate the safety of peroral endoscopic myotomy (POEM) in patients …

Continue reading Safety and effectiveness of peroral endoscopic myotomy in patients on antiplatelet or anticoagulant therapy

Successful duodenal endoscopic submucosal dissection using multiple clip-and-thread traction for a large tumor located in the duodenal bulb

Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 74-year-old man was referred to our institute for the treatment of a large flat-elevated tumor (diameter, 50 mm) in the duodenal bulb. We selected ESD for the en bloc resection of the lesion, and the …

Continue reading Successful duodenal endoscopic submucosal dissection using multiple clip-and-thread traction for a large tumor located in the duodenal bulb