Endoscopic full-thickness resection of a gastric GI stromal tumor

Post written by Vincent Huberty, MD, from the Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. This is a video case report of a 76-year-old woman diagnosed with a 23-mm gastric GIST located in the fundus, on the greater curvature. Workup (including fine-needle aspiration, bite-to-bite biopsies, and EUS) …

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Comparing adenoma and polyp miss rates for total underwater colonoscopy versus standard CO2

Post written by Joseph C. Anderson, MD, MHCDS, from the Department of Veterans Affairs Medical Center, White River Junction, Vermont, and the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA. The purpose of this study was to compare water to standard CO2 as a medium to inspect the colonic mucosa for polyp detection. …

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Successful ex-vivo probe-based confocal laser endomicroscopy of a superficial nonampullary duodenal epithelial tumor

Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 65-year-old woman was found to have a flat-elevated tumor measuring approximately 55 mm in diameter in the second part of the duodenum by endoscopy. The preoperative histological diagnosis by biopsy sampling was high-grade intraepithelial neoplasia. …

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Performance indicators in colonoscopy after certification for independent practice

Post written by Keith Siau, MBChB, MRCP, and Paul Dunckley, MBChB, FRCP, DPhil, from the Joint Advisory Group, Royal College of Physicians, London, the Department of Gastroenterology, Dudley Group Hospitals NHSFT, Dudley, and the Department of Gastroenterology, Gloucestershire Royal Hospital, Gloucester, United Kingdom. This prospective UK-wide observational study focused on the following: Quality of colonoscopy …

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Efficacy of autofluorescence imaging for flat neoplasm detection

Post written by Yoji Takeuchi, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Updated autofluorescence imaging (AFI) could show superior detection of flat colorectal neoplasms in the right-sided colon compared with conventional white-light imaging (WLI) in this prospective multicenter randomized controlled trial. Since flat (non-polypoid) neoplasms have a greater association …

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A small adenocarcinoma in the cervical esophagus

Post written by Kyosuke Tanaka, MD, PhD, from the Department of Endoscopy, Mie University Hospital, Tsu, Japan. This article presents a rare case of cervical esophageal adenocarcinoma. In this case, image-enhanced magnifying endoscopy showed clear diagnosis of adenocarcinoma, and the endoscopic resection was successful. Careful observation of the cervical esophagus could lead to the detection …

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Pine-cone and villi patterns are signs suggestive of ulcerative colitis-associated colorectal cancer and dysplasia

Post written by Takahide Shinagawa, MD, from the Department of Surgical Oncology, The University of Tokyo, Tokyo, Japan. How to survey colorectal cancer is one of the main problems in managing patients with ulcerative colitis (UC). Currently, colonoscopic surveillance is the gold standard and targeted biopsy for the suspicious lesions has become the focus of …

Continue reading Pine-cone and villi patterns are signs suggestive of ulcerative colitis-associated colorectal cancer and dysplasia