Post written by Ahmir Ahmad, MRCP, from the Wolfson Unit for Endoscopy, St Mark’s Hospital, Harrow, London, UK. Real-time optical diagnosis (OD) is now possible because of image-enhancing technologies offering the potential for huge cost and time savings associated with histopathology. Despite several GI societies endorsing a “resect and discard” strategy for low-risk diminutive polyps, there …
Author: GIEjournal
Cryotherapy for removal of an embedded, partially covered esophageal stent
Post written by Aman Deep, MD, from the Department of Nephrology, Asante Rogue Regional Medical Center, Medford, Oregon, USA. Esophageal stents are used to relieve obstruction in diverse benign and malignant esophageal conditions. However, excessive granulation tissue may make the removal of such stents challenging, and it increases the risk of adverse events such as bleeding …
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EUS-guided gastroenterostomy versus duodenal self-expandable metal stent for malignant gastric outlet obstruction: results from a nationwide multicenter retrospective study (with video)
Post written by Rubén Sánchez-Aldehuelo, MD, from the Unidad de Endoscopia, Servicio de Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, Fundación para la Investigación Biomédica del Hospital Universitario Ramón y Cajal (IRYCIS), Universidad de Alcalá, and Enrique Vázquez-Sequeiros, MD, PhD, from the Unidad de Endoscopia, Servicio de Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, …
New ASGE journal debuts with 14-article issue: iGIE
A new ASGE journal launches today! The first issue of iGIE is now available with 14 articles exploring novel preclinical work and early clinical studies. Led by Editor-in-Chief Dr Christopher C. Thompson, the gold open-access, online-only journal will publish peer-reviewed research and best practices in GI endoscopy quarterly. “With an emphasis on innovation, early clinical …
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Use of a novel endoscopic tack and suture system for the management of pancreatocolonic fistula
Post written by Arunkumar Krishnan, MBBS, from the Section of Gastroenterology and Hepatology, West Virginia University School of Medicine, Morgantown, West Virginia, USA. We demonstrate a technique for the closure of pancreatocolonic fistulae (PCF) using an X-Tack Endoscopic HeliX System (Apollo Endosurgery, Austin, Tex, USA). GI tract fistulation is an uncommon but important consequence of acute …
Endoscopic removal of a retained esophageal stent using the stent-in-stent technique
Post written by Jose Antonio Navarro Almario, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA. In this video, we demonstrate the use of the stent-in-stent technique to extract a retained esophageal stent. The formation of granulation tissue secondary to placement of an esophageal stent is common and can serve …
Reflections on Gastrointestinal Endoscopy: 8 years of editorship
Post written by Michael B. Wallace, MD, MPH, GIE Editor-in-Chief and Fred C. Andersen Professor of Medicine, Mayo Clinic, Chief of Gastroenterology and Hepatology: Sheikh Shakhbout Medical City, Abu Dhabi, UAE. It has been nearly 8 years since our team assumed responsibility for the editorship of GIE, and it is now our turn to pass the torch …
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A novel bedside swallowed optical sensor for detection of upper GI bleeding
Post written by Andrew C. Storm, MD, Director of Endoscopy, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. GI bleeding is among the most common admitting diagnoses within gastroenterology. Most GI bleeding occurs in the upper GI tract along a spectrum of severity ranging from massive variceal hemorrhage through mild or self-limited oozing associated …
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Environmental and health outcomes of single-use versus reusable duodenoscopes
Post written by Lyndon V. Hernandez, MD, MPH, from GI Associates and the Division of Gastroenterology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA. Concern about serious duodenoscope-related infection from multidrug-resistant organisms has facilitated single-use duodenoscopes (SDs) to permeate the market, promising a safer alternative to reusable duodenoscopes (RDs) by virtually eliminating this risk. Using mathematical modeling, …
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Mid-gut exploration: video-capsule endoscopy cannot always determine the insertion route of device-assisted enteroscopy
Post written by Michael Fernandez Y Viesca, MD, from the Department of Gastroenterology Hepatopancreatology and Digestive Oncology, Erasme Hospital, Brussels, Belgium. This video case shows how challenging it can be to choose the correct insertion route (anterograde vs retrograde) before an enteroscopy based on video-capsule time index landmarks. Indeed, these time indexes are not always reliable …
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