Post written by Omar M. Ghanem, MD, from the Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA. The video describes a case of a patient suffering from weight regain after open Roux-en-Y gastric bypass (RYGB) in 2003. The patient’s presenting BMI was 59. We elected to perform a novel staged endo-laparoscopic approach with transoral outlet …
Author: GIEjournal
Gauze extension method for specimens resected by endoscopic submucosal dissection
Post written by Satoshi Ono, MD, PhD, from the Department of Gastroenterology, Chiba-Nishi General Hospital, Matsudo, Chiba, Department of Gastroenterology, Tokyo Metropolitan Geriatric Medical Center, and Department of Gastroenterology, The University of Tokyo Hospital, Tokyo, Japan. Nowadays, endoscopic resection has been accepted as a reliable choice for gastrointestinal neoplasms. Many endoscopists perform endoscopic resections, including …
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Real-time use of artificial intelligence for diagnosing early gastric cancer by magnifying image-enhanced endoscopy: a multicenter diagnostic study (with videos)
Post written by Honggang Yu, MD, from the Department of Gastroenterology, Key Laboratory of Hubei Province for Digestive System Disease, and Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, China. In this study, we used deep learning models to develop an artificial intelligence system called ENDOANGEL-ME …
Incremental benefit of dye-based chromoendoscopy to predict the risk of submucosal invasive cancer in large nonpedunculated colorectal polyps
Post written by Mayenaaz Sidhu, MBBS, from the Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia. This study was conducted to evaluate the incremental benefit of dye-based chromoendoscopy (DBC) to predict the risk of submucosal invasive cancer (SMIC) for large nonpedunculated colorectal polyps (LNPCPs) among independent observers. Real-time optical evaluation of the lesion’s surface …
Over-the-wire snare-assisted stent exchange in endoscopic retrograde cholangiopancreatography
Post written by Fateh Bazerbachi, MD, from CentraCare, Interventional Endoscopy Program, St. Cloud Hospital, St. Cloud, Minnesota, USA. Endoscopic retrograde cholangiopancreatography allows ductal stenting to alleviate symptomatic biliary or pancreatic duct strictures, and this is achieved through prosthesis placement over a guidewire. There may be a need for stent exchange during future procedures and, in …
Endoscopic submucosal dissection using traction by a spring-and-loop with clip for a laterally spreading tumor in the inferior aspect of the cecum: a nonreferral center experience
Post written by Yohei Koyama, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Tokyo, Japan. Endoscopic submucosal dissection (ESD) has been widely accepted as a minimally invasive treatment for early colorectal neoplasms. However, cecal ESD remains a challenging treatment owing to the anatomical features of the cecum, such as the thin …
Artificial intelligence for the assessment of bowel preparation
Post written by Ji Young Lee, MD, PhD, from the Health Screening and Promotion Center, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea. This study demonstrated objective assessment of bowel preparation adequacy using an artificial intelligence (AI)/convolutional neural network algorithm developed from colonoscopy videos. An adequate bowel preparation impacts quality indicators …
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Technique of straightening the guidewire using a balloon catheter for successful endoscopic transpapillary gallbladder stenting
Post written by Kazunari Nakahara, MD, PhD, from the Department of Gastroenterology and Hepatology, St. Marianna University, School of Medicine, Kawasaki, Japan. We present a case of successful endoscopic transpapillary gallbladder stenting (EGBS) via straightening of the guidewire that looped in the neck of the gallbladder using a stone retrieval balloon catheter. A 76-year-old woman …
Endoscopic ultrasound-guided ileosigmoidostomy using a lumen-apposing metal stent for palliation of malignant small-bowel obstruction
Post written by Donevan Westerveld, MD, from the Division of Gastroenterology & Hepatology, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York, New York, USA. A high-grade malignant small-bowel obstruction (SBO) is typically managed with surgical diversion (ileostomy) or palliative decompression via nasogastric tube or venting gastrostomy. These approaches have a significant impact on a patient’s quality of …
EUS-guided transhepatic biliary drainage: a large single-center U.S. experience
Post written by Todd H. Baron, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. This study focused on transhepatic biliary drainage using endoscopic ultrasound for management of benign and malignant biliary obstruction. Although EUS-guided hepaticogastrostomy was first described nearly 20 years ago, almost …
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