GIE Senior Associate Editor David L. Diehl, MD, highlights this article from the February issue: “Identification of patients with malignant biliary strictures using a cholangioscopy-based deep learning artificial intelligence (with video)” by Neil B. Marya, MD, et al. The assessment of indefinite biliary strictures is difficult because results of intraductal biopsy and cytologic brushing can be inconclusive. It …
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Endoscopic adventitial dissection of a rectal GI stromal cell tumor
Post written by Hao Dang, BSc, and Jurjen J. Boonstra, MD, PhD, from the Department of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, The Netherlands. Endoscopic submucosal dissection has allowed the endoscopist to perform en bloc resection of various types of GI neoplasms, including subepithelial tumors (SETs). However, submucosal dissection is not feasible for SETs …
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GIE now accepting submissions for new article type
Post written by Douglas G. Adler, MD, FACG, AGAF, FASGE, GIE Editor-in-Chief, from the Center for Advanced Therapeutic Endoscopy, Centura Health, Denver, Colorado, USA. We at Gastrointestinal Endoscopy (GIE) are excited to announce a new section in the journal and a new manuscript classification: Focused Communications. These articles will highlight studies that reach a highly specific conclusion and …
Continue reading GIE now accepting submissions for new article type
Modified technique of peroral endoscopic myotomy using transnasal ultra-slim gastroscope in a child with achalasia cardia
Post written by Amol Bapaye, MD, FASGE, FJGES, from the Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune, India. An 18-month female child presented with failure to thrive and regurgitation for 1 year. She was diagnosed with type II achalasia cardia on high-resolution manometry, and peroral endoscopic myotomy (POEM) was planned. …
Performance of single-use duodenoscopes for ERCP: a systematic review and meta-analysis
Post written by Harishankar Gopakumar, MD, FACP, from the Division of Gastroenterology, Hepatology and Nutrition, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA. This study is a systematic review and meta-analysis of the performance characteristics, safety profile, and overall endoscopist satisfaction with single-use fully disposable duodenoscopes. Transmission of exogenous pathogens during ERCP using …
With a little help from my friends: percutaneously assisted internalization of a biliary drain
Post written by Jad AbiMansour, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. We present the use of a preexisting percutaneous transhepatic biliary drain to distend the left biliary system and facilitate the completion of EUS-guided hepaticogastrostomy (EUS-HG), successfully internalizing the drain. This case highlights a multidisciplinary, collaborative approach and a …
Endoscopic submucosal dissection of appendiceal lesions by using a novel adjustable traction device: A-TRACT-2
Post written by Louis-Jean Masgnaux, MR, from the Gastroenterology and Endoscopy Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France. We describe the use of an adjustable endoscopic traction system, the A-TRACT-2, a handmade device that can be tightened during the procedure to increase the traction tension and greatly assist the operator in difficult cases …
Cognitive ERCP: decision making during successful retrieval of proximally migrated biliary stent
Post written by Arjun Chatterjee, MD, from the Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA. A 56-year-old man presented with painless jaundice. A CT scan reported a pancreatic mass, and he underwent ERCP at an outside facility with the placement of a plastic biliary stent through distal biliary stricture and EUS-guided biopsy of …
Expanding the role of pneumatic dilation for nonachalasia patients: a comparative study
Post written by Nikita Desai, MD, from the Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA. The focus of our study was to evaluate the treatment efficacy of pneumatic dilation (PD) for the disorders of esophagogastric junction outflow obstruction (EGJOO) and postfundoplication esophagogastric junction obstruction (PF-EGJO) and to assess attitudes about training in …
Successful management of a duodenal perforation using a through-the-scope suturing device after failed attempt at closure with an over-the-scope clip
Post written by Maham Hayat, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We present a case of a patient with an indwelling percutaneous gastrojejunostomy tube with a chronic perforation in the duodenum from the tip of the displaced tube. Attempt at endoscopic closure using an over-the-scope clip was unsuccessful because of the …