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 …
Continue reading A novel bedside swallowed optical sensor for detection of upper GI bleeding
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, …
Continue reading Environmental and health outcomes of single-use versus reusable duodenoscopes
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 …
Post written by Douglas G. Adler, MD, FACG, AGAF, FASGE, from the Center for Advanced Therapeutic Endoscopy, Centura Health, Denver, Colorado, USA, and incoming GIE Editor-in-Chief. We analyzed the U.S. Food and Drug Administration’s Manufacturer and User Facility Device Experience (MAUDE) database for all reports of patient-related adverse events and device failures associated with the 3 …
Post written by Wiriyaporn Ridtitid, MD, and Rungsun Rerknimitr, MD, from the Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, and the Excellence Center for Gastrointestinal Endoscopy, King Chulalongkorn Memorial Hospital, Bangkok, Thailand. The focus of this randomized trial was to compare bacterial contamination evaluated by culture between duodenoscopes with disposable distal caps …
Post written by Iris J.M. Levink, MD, from the Department of Gastroenterology & Hepatology, Erasmus University Medical Center, Rotterdam, The Netherlands. We aimed to develop a panel of biomarkers from serum and pancreatic juice (PJ) to detect pancreatic ductal adenocarcinoma for future surveillance purposes. This study focused on the performance of proteins (interleukin-8 [IL-8]; interferon-γ [IFN-γ]; …
Post written by Jay Bapaye, MD, from the Department of Internal Medicine, Rochester General Hospital, Rochester, New York, USA. This study compared the safety and efficacy of over-the-scope clips (OTSCs) and standard therapy for high-risk nonvariceal upper GI bleeding (NVUGIB). Upper GI bleeding carries a high risk of morbidity and mortality. Endoscopic therapy aims at achieving …
Post written by Tamasha Persaud, MD, from New York Presbyterian/Weill Cornell Medical Center, New York, New York, USA. In this video case report, we describe the formation of a gastrojejunocolic fistula (GCF) as a rare delayed sequela of EUS-guided gastrojejunostomy (EUS-GJ) and demonstrate how tandem stent placement with a long covered metal stent can be an …
Post written by Mike Tzuhen Wei, MD, from Stanford University, Stanford, California, and Veterans Affairs Palo Alto, Palo Alto, California, USA. In our presentation, we demonstrate the use of a dual-action clip and clips with atraumatic teeth in facilitating the closure of endoscopic submucosal dissection defects. We found that the dual-action clip (Micro-Tech Endoscopy USA, Ann …
Continue reading Use of a novel dual-action clip for closure of complex endoscopic resection defects
Post written by Shosuke Hosaka, MD, from the Department of Gastroenterology, Chiba-nishi General Hospital, Matsudo, Chiba, Japan, and the Department of Gastroenterology and Gastrointestinal Endoscopy, Tokyo Metropolitan Geriatric Medical Center, Tokyo, Japan. Endoscopic procedures such as ERCP and EUS are making significant contributions to the diagnosis and treatment of disorders in the biliopancreatic system in clinical …
