Post written by Osamu Dohi, MD, PhD, from Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan. We performed endoscopic submucosal dissection (ESD) for a laterally spreading ampullary carcinoma 3 cm in size because it was expected to be difficult to completely resect the lesion by endoscopic papillectomy …
Continue reading Endoscopic submucosal dissection for a laterally spreading ampullary carcinoma
Post written by Yoji Takeuchi, MD, FJGES, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Post—endoscopic submucosal dissection (ESD) coagulation syndrome (PECS) sometimes occurs after colorectal ESD and leads to extended hospitalization. Although the efficacy of perioperative antibiotics preventing PECS had been uncertain, perioperative antibiotics had been used to prevent PECS …
Post written by Michael Lajin, MD, from SHARP Health, San Diego, California, USA. A 51-year-old male presented with abdominal pain due to recurrent pyogenic cholangitis. MRCP showed severe intrahepatic ductal dilatation involving the lateral segment of the left liver lobe with multiple intraductal stones. A transpapillary cholangioscope was unable to reach the targeted peripheral ducts. …
Post written by David L. Diehl, MD, FACP, FASGE, from the Department of Gastroenterology and Nutrition, Geisinger Medical Center, Danville, Pennsylvania, USA. The editors of GIE wanted a Top Tips section in the Journal in 2022, and I feel very honored to be asked to craft an article for this series on “Top tips regarding …
Post written by Russell D. Dolan, MD, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. As techniques have advanced to improve endoscopic removal of large lesions within the colon and rectum to serve as alternatives to surgery, endoscopic mucosal resection (EMR) and endoscopic submucosal dissection …
Post written by Andrew Canakis, DO, from the Division of Gastroenterology & Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. A young woman who had undergone endoscopic sleeve gastroplasty (ESG) was referred due to persistent symptoms of delayed gastric emptying and resulting malnutrition. Endoscopic reversal of the sleeve was recommended to avoid a …
GIE Senior Associate Editor John R. Saltzman, MD, highlights this article from the February issue: “Initial multicenter experience using a novel endoscopic tack and suture system for challenging GI defect closure and stent fixation (with video)” by Tala Mahmoud, MD, et al. Large mucosal defects that occur after snare resection, EMR, or ESD can be …
Post written by Jun Chul Park, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. Upper GI leaks and perforations lead to serious conditions associated with high morbidity and mortality. The optimal method for managing these patients remains controversial. Although surgery is a treatment option, it …
Post written by Robert Bechara, MD, from Hotel Dieu Hospital, Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. Chromoendoscopy with Lugol’s is a valuable technique for the detection of esophageal squamous cell carcinoma (ESCC). The sensitivity and specificity of a “pink color sign” for high-grade dysplasia or worse after Lugol’s staining is reported to …
Post written by Margaret G. Keane, MBBS, MSc, from the Department of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA. A 77-year-old man presented to our institution with jaundice, right upper quadrant pain, loss of appetite, and weight loss. Blood tests confirmed a raised Bilirubin (8.6 mg/dl), abnormal LFTs (Alkaline phosphatase 320 IU/L, AST …
endoscopedia.com 