Post written by Christina S. Gainey, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. We present a novel method for placing a PEG tube into the excluded stomach of Roux-en-Y gastric bypass patients, allowing for bolus gastric feeding. Although percutaneous endoscopic jejunostomy tubes are standard …
Author: GIEjournal
Top tips for finding and treating serrated colon lesions (with video)
Post written by Evelien Dekker, MD, PhD, from the Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, University of Amsterdam, Cancer Center Amsterdam, Amsterdam Gastroenterology, Endocrinology & Metabolism, Amsterdam, The Netherlands. In this edition of Top Tips, this study highlights the clinical significance of serrated polyps, focusing on optimal recognition, removal, and appropriate follow-up strategies. In …
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Endoscopic radical treatment of a giant ampullary tumor with biliopancreatic duct extensions using multimodality approaches
Post written by Kazuki Hama, MD, and Takao Itoi, MD, PhD, FASGE, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Ampullary tumors with intraductal extension are typically treated with pancreaticoduodenectomy, a procedure associated with significant morbidity, especially in elderly patients. Recently, endoscopic approaches using adjunctive ablative therapies such as intraductal radiofrequency ablation (ID-RFA) and argon …
Unveiling the effectiveness of Chat-GPT 4.0, an artificial intelligence conversational tool, for addressing common patient queries in gastrointestinal endoscopy
Post written by Roberta Maselli, MD, PhD, from the Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy. This study evaluates the effectiveness and reliability of Chat Generative Pre-Trained Transformer 4.0 (Chat-GPT 4.0; OpenAI, San Francisco, Calif, USA) in addressing common patient queries regarding GI endoscopy. By assessing responses in terms of reliability, accuracy, and comprehensibility, the …
Safety and efficacy of underwater EMR for 10- to 20-mm colorectal serrated lesions (SEA CLEAR study)
Post written by Kenichiro Imai, MD, FJGES, from Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, and Yohei Yabuuchi, MD, from the Department of Gastroenterology, Kobe City Medical Center General Hospital, Kobe, Japan. Given the limitations of conventional EMR and the high recurrence rate associated with incomplete resection, our study focused on the safety and efficacy of underwater EMR (UEMR). …
Editor’s Choice: Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset
GIE Associate Editor Shivangi T. Kothari, MD, FACG, FASGE, highlights this article from the March issue: “Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset” by Samuel Han, MD, MS, et al. Post-ERCP pancreatitis (PEP) remains one of the most unpredictable, humbling, and challenging adverse events of ERCP. This study highlights …
The submucosal pinch technique: a novel traction method for large colorectal endoscopic submucosal dissection
Post written by Tomoya Kimura, MD, from NTT Medical Center Tokyo, Tokyo, Japan. We introduce the pinch technique, a novel and effective traction method for endoscopic submucosal dissection in large colorectal lesions. This technique uses the “SureClip Traction Band” (Micro-Tech, Nanjing, China) to grasp lesion edges together, representing a completely new approach. It is particularly beneficial for …
Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset
Post written by Georgios Papachristou, MD, PhD, from the Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. This was a secondary data analysis of the stent versus indomethacin (SVI) trial, a recently completed, National Institutes of Health—funded, multicenter, randomized controlled trial including 20 centers in the United States …
Top tips for diagnostic rectal EUS and assessment of rectal sphincters
Post written by Zubin Dev Sharma, MD, DNB, from Interventional Gastroenterology, Fortis Memorial Research Institute, Gurugram, India. This article provides best practice tips for using rectal EUS for diagnostic assessment in various conditions as well as assessment of anal sphincters. Rectal EUS, underutilized for assessment of rectal conditions, has emerged as a reliable tool. It can be …
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Hand-suturing–assisted traction technique and closure in colon endoscopic submucosal dissection
Post written by Fatih Aslan, MD, from the Department of Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. In this case, we describe a hand-suturing—assisted traction technique and closure applied during endoscopic submucosal dissection (ESD) for a 3-cm laterally spreading tumor in the cecum of a 47-year-old man. The technique used a barbed suture to facilitate …
