Post written by Tony He, MBBS, FRACP, and Andrew C.F. Taylor, MD, FRACP, from the Department of Gastroenterology, St Vincent’s Hospital, and the University of Melbourne, Melbourne, Victoria, Australia. We aimed to help inform surveillance guidelines in patients who had successful complete eradication of dysplastic Barrett’s esophagus (BE) by identifying the anatomic location, appearance, and histology …
Author: GIEjournal
Endoscopic blind limb reduction with septotomy: a novel endoscopic approach to candy cane syndrome after Roux-en-Y gastric bypass
Post written by Kambiz Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe a new endoscopic procedure to treat candy cane syndrome in Roux-en-Y gastric bypass patients. The syndrome refers to patients who have undergone Roux-en-Y gastric bypass and developed significant and sometimes debilitating postprandial abdominal discomfort that is often relieved …
Randomized controlled trial of procedural sequence for same-day bidirectional endoscopy under monitored anesthesia care (RECoVER Trial)
Post written by Ali El Mokahal, MD, from the American University of Beirut, Beirut, Lebanon. In this study, we investigated the impact of procedural sequence during same-day bidirectional endoscopy conducted with the patient under monitored anesthesia care. Our primary outcome was the time to recovery from sedation. We also evaluated the amount of sedation administered, time …
Endoscopic sleeve gastroplasty reintervention score using supervised machine learning
Post written by Hassam Ali, MD, from the Department of Gastroenterology, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA. This study aimed to develop a predictive model for 30-day reintervention rates following endoscopic sleeve gastroplasty (ESG) procedures. Using supervised machine learning techniques, the model incorporates factors such as patient demographics, clinical variables, and …
Resection of large terminal ileum polyp: usefulness of underwater EMR
Post written by Satoki Shichijo, MD, PhD, from Osaka International Cancer Institute, Osaka, Japan. We performed underwater EMR for a 20-mm Paris Ip polyp at the terminal ileum. The lumen of the terminal ileum was infused with normal saline through the waterjet of the colonoscope. This made the polyp float and permitted thorough inspection despite the …
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Endoscopic removal of a weight-loss device with stoma closure using a tack-and-suture device
Post written by Christopher McGowan, MD, MSCR, AGAF, ABOM, FASGE, from True You Weight Loss, Cary, North Carolina, USA. In this video, we describe our technique for the endoscopic removal of an AspireAssist weight-loss device (Aspire Bariatrics, King of Prussia, Penn, USA) with simultaneous prophylactic stoma closure. The device was approved by the U.S. Food and …
EUS-guided gallbladder drainage using a lumen-apposing metal stent as rescue treatment for malignant distal biliary obstruction: a large multicenter experience
Post written by Cecilia Binda, MD, from the Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, Forlì-Cesena, Italy. Our study focused on EUS-guided gallbladder drainage (EUS-GBD) as an option for jaundice treatment that may be reserved for patients affected by distal malignant biliary obstruction (DMBO) after ERCP failure and EUS-guided biliary drainage (hepaticogastrostomy or choledochoduodenostomy) …
Antireflux mucoplasty, an evolution of endoscopic antireflux therapy for refractory GERD
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This study introduces a novel therapeutic approach known as antireflux mucoplasty (ARM-P) to tackle the challenges associated with proton pump inhibitor (PPI)—refractory GERD. Previously, we pioneered 2 techniques, antireflux mucosectomy (ARMS) and antireflux mucosal ablation (ARMA), which …
Artificial intelligence–assisted colonoscopy for adenoma and polyp detection: an updated systematic review and meta-analysis
Post written by Mohamed Shiha, MRCP, from the Academic Unit of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, UK. Adenoma detection rate (ADR) is the main quality indicator for the effectiveness of colonoscopy in preventing colorectal cancer. However, it is estimated that 1 in 4 adenomas are missed during colonoscopy. Recently, advances in artificial intelligence (AI) have enabled …
Endoscopic submucosal dissection of colon polyps with submucosal fibrosis using the combination of near-focus mode and traction device
Post written by Sukit Pattarajierapan, MD, from the Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. We present 2 cases of a lateral spreading tumor with the pseudo-depressed nongranular type (LST-NG-PD) with submucosal fibrosis at the ascending colon. The tumors were challenging to resect by endoscopic submucosal dissection (ESD) with …
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