Author: GIEjournal

A station-wise approach to liver anatomy for linear EUS

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Post written by Dario Ligresti, MD, from the Digestive Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT, Palermo, Italy, and Radhika Chavan, MD, DNB, FISG, FASGE, from the Department of Gastroenterology and Endoscopy, Bharati Vidyapeeth Medical College, Pune, India. Our video demonstrates a structured, station-wise approach for identifying liver anatomy during linear EUS. Liver segments are described from …

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Predicting the need for step-up after EUS-guided drainage of peripancreatic fluid collections, including Quadrant-Necrosis-Infection score validation: a prospective cohort study

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Post written by Giuseppe Vanella, MD, PhD, from San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy. When dealing with symptomatic or infected peripancreatic fluid collections (PFCs), EUS-guided drainage has become the standard of care. In about one-half of cases, drainage alone will be enough to solve the issue. Yet, a fraction of patients will require further …

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Cap-suction pseudopolyp formation during underwater mucosal resection for intra-appendiceal lesions

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Post written by Laura Gutiérrez-Rios, MD, Raquel Muñoz-González, MD, and Hugo Uchima, MD, PhD, from the Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias i Pujol, Badalona, Spain. This video case series demonstrates the feasibility of cap-suction pseudopolyp formation during underwater EMR for en bloc resection of intra-appendiceal lesions. Two patients without prior appendectomy were successfully treated using a colonoscope fitted with …

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Risk of post–endoscopic retrograde cholangiopancreatography pancreatitis due to placement of biliary self-expandable metal stents: a single-center retrospective study

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Post written by Bashar Qumseya, MD, MPH, FASGE, from the University of Florida, Gainesville, Florida, USA. This study focuses on the risk of post-ERCP pancreatitis (PEP) in patients who receive self-expandable metal stents (SEMSs) compared with plastic biliary stents at the time of ERCP. We observed several patients who underwent PEP with seemingly no other …

Continue reading Risk of post–endoscopic retrograde cholangiopancreatography pancreatitis due to placement of biliary self-expandable metal stents: a single-center retrospective study

Endoscopic repair of Strasberg type D bile duct injury following laparoscopic cholecystectomy: an unconventional approach

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Post written by Ahmad Abdulraheem, MD, and Angela Koomson, MD, from the Department of Medicine, MedStar Georgetown Washington Hospital Center, and Abdalla Khouqeer, MD, Ahmad Al-Dwairy, MD, and Walid Chalhoub, MD, from the Gastroenterology Section, Department of Medicine, MedStar Georgetown University Hospital, Washington, District of Columbia, USA. The video describes a case of severe bile duct injury managed solely with ERCP. The patient presented with acute cholecystitis due to …

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Endoscopic submucosal dissection of a gastric adenocarcinoma of fundic-gland type

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Post written by Lady Katherine Mejia Perez, MD, and Kyungran Justina Cho, MD, PhD, from the Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic, Erica Savage, MD, from the Department of Pathology and Laboratory Medicine, Cleveland Clinic, and Amit Bhatt, MD, from the Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic, Cleveland, Ohio, USA. We describe a unique case of a large well-differentiated gastric …

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Endoscopic management of active arterial bleeding in walled-off necrosis collection

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Post written by Matthew Eganhouse, MD, and Ajaypal Singh, MD, from the Division of Digestive Diseases, Rush University Medical Center, Chicago, Illinois, USA. In our recently published video case, we describe, to our knowledge, the first time endoscopic hemostasis was achieved from active arterial bleeding within a walled-off necrosis (WON) cavity. Our patient, a 45-year-old woman, initially underwent EUS-guided cystgastrostomy …

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Randomized crossover trial comparing through-the-scope balloon enteroscopy via colonoscope with standard colonoscopy on depth of ileal insertion

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Post written by M. Ammar Kalas, MD, from Texas Tech University Health Sciences Center El Paso, El Paso, Texas, USA. This study aimed to assess the effect of a through-the-scope balloon attachment on depth of maximal ileal insertion (DMI) during retrograde enteroscopy. We adopted a crossover trial design in which each patient in the study …

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Peroral endoscopic tumor resection of recurrent hypopharyngeal fibrovascular polyp

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Post written by Yohei Nishikawa, MD, PhD, from Digestive Diseases Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan. We present a case of a 56-year-old woman with a recurrent fibrovascular polyp (FVP) in the hypopharynx. She previously underwent an incomplete resection, and the residual tumor continued to grow, leading to progressive dysphagia. We performed …

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Endoscopic suturing to prevent migration of esophageal fully covered self-expandable metal stents: a randomized controlled trial (with video)

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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 …

Continue reading Endoscopic suturing to prevent migration of esophageal fully covered self-expandable metal stents: a randomized controlled trial (with video)