Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Institute, Milan, Italy. In the realm of endoscopy, the advent of lumen-apposing metal stents (LAMSs) has paved the way for innovative solutions to challenges once considered insurmountable. One such breakthrough is the technique known as EUS-directed transgastric ERCP (EDGE), which …
Author: GIEjournal
Ultrathin endoscope equipped with ultrasonic miniprobe for upper GI US in a porcine model
Post written by Hanchao Pan, MM, from the Department of Gastroenterology, First Affiliated Hospital of Soochow University, Suzhou, China. A 1.4-mm diameter EUS miniprobe catheter system (20 MHz and 30 MHz) was designed and fabricated. This system can be compatible with the existing ultrathin gastroscope working channel. Miniprobe ultrasonography through the ultrathin gastroscope can be realized …
The cliff descending method to facilitate parallel view during endoscopic submucosal dissection in the gastric fornix
Post written by Douglas Motomura, MD, from the Department of Gastroenterology, University of British Columbia, Vancouver, British Colombia, Canada, and Toshitatsu Takao, MD, PhD, from the Department of Gastroenterology, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan. This is a case of early gastric cancer in the fundus of the stomach. Treatment was provided with …
EUS-guided gastrojejunostomy using a pre-existing PEG with jejunal extension for target bowel opacification
Post written by Laurens Janssens, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. A 71-year-old woman presented with abdominal pain, nausea, vomiting, and normal liver test results. A CT scan demonstrated gastric outlet obstruction (GOO). Extensive work-up could not reveal the etiology of an extrinsic duodenal compression, and we were unable …
What we need to do to integrate artificial intelligence into GI endoscopy
Post written by Michael B. Wallace, MD, MPH, from Mayo Clinic, Division of Gastroenterology and Hepatology, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates, and Mayo Clinic Florida, Jacksonville, Florida, USA. This Top Tips article was timely given the rapid expansion of artificial intelligence (AI) tools that are applicable to GI and medicine in …
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Small-bowel transection after peroral motorized spiral enteroscopy
Post written by Partha Pal, MD, DNB, MRCP (UK), from the Asian Institute of Gastroenterology, Hyderabad, India. This case describes a very rare instance of small-bowel transection (<1:1400 in our experience) after antegrade motorized spiral enteroscopy (MSE). The unpredictable adverse event was encountered during withdrawal of the enteroscope with the spiral overtube because of impaction …
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Cholangioscopy-guided tunneling and coaxial stenting of a large choledocholithiasis: a novel approach to mechanical lithotripsy
Post written by Abdulrahman Qatomah, MBBS, from the Department of Gastroenterology and Hepatology, McGill University, Montreal, Quebec, Canada. A large common bile duct stone was found in a patient with cholangitis. The stone was difficult to manage using the conventional ERCP method. Sessions of cholangioscopy-guided lithotripsy also failed to achieve stone fragmentation. We wanted to highlight …
Prophylactic stenting to decrease the incidence of esophageal strictures after extensive endoscopic submucosal dissection: the first U.S. experience
Post written by Antonio Mendoza Ladd, MD, FACG, FASGE, from the University of California, Davis, Davis, California, USA. This case series focused on the effect of prophylactic placement of fully covered self-expandable metal stents after esophageal endoscopic submucosal dissection (ESD). ESD of esophageal lesions has increased significantly over the last 10 years in the United States. …
Successful multidisciplinary urgent management of life-threatening intraprocedural bleeding after EUS-guided fine-needle biopsy of a pulmonary mass
Post written by Giacomo Emanuele Maria Rizzo, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS - ISMETT, and Ilaria Tarantino, MD, from the PhD program, Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), University of Palermo, Palermo, Italy. An 82-year-old man with a previous diagnosis of adenocarcinoma in the right side of …
Endoscopic submucosal dissection for a duodenal polyp at the upper aspect of the duodenal bulb using a newly developed endoscope
Post written by Satoki Shichijo, MD, PhD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. A polyp at the upper aspect of the duodenal bulb was identified by follow-up endoscopy after Helicobacter pylori eradication. The oral side of the tumor was adjacent to the pylorus, but the anal margin could not be …
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