Post written by Pichamol Jirapinyo, MD, MPH, from the Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts. The current treatment for nonalcoholic steatohepatitis (NASH) remains limited to weight loss via lifestyle modification. While bariatric surgery can be considered in otherwise eligible patients who suffer from obesity with concomitant NASH, less than 2% of …
Author: GIEjournal
Freestyle endoscopic submucosal dissection using a multifunctional snare
Post written by Jun Arimoto, MD, PhD, from the Department of Gastroenterology, Omori Red Cross Hospital, Tokyo, Japan. A novel multifunctional snare (SOUTEN; Kaneka Medics, Tokyo, Japan) was introduced to enable successful hybrid ESD procedures. Although this multifunctional snare was introduced for hybrid ESD, hybrid ESD involves partial submucosal dissection, and we have previously reported …
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POEM: 10-year outcomes from a large, single-center U.S. series with high follow-up completion and comprehensive analysis of long-term efficacy, safety, objective GERD, and endoscopic functional luminal assessment
Post written by Stavros N. Stavropoulos, MD, from the Division of Gastroenterology, Hepatology & Nutrition, NYU-Winthrop Hospital, Mineola, New York, USA. Our study aimed to provide a comprehensive, in-depth analysis of long-term POEM outcomes from the largest prospective database of POEM procedures in the U.S. (currently at ~800 POEMs, with the longest and most complete …
The use of double-pigtailed stents to relieve obstruction of a previous endoscopic gastrojejunal lumen-apposing metal stent
Post written by Corey O’Brien, MD, from the Department of Hospital Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania. The case involved an elderly woman with locally advanced pancreatic adenocarcinoma. She was recently admitted for malignant gastric outlet obstruction and underwent successful placement of a gastrojejunal LAMS. She was readmitted shortly thereafter with occlusion of the …
Linked color imaging, mucosal exposure device, their combination, and standard colonoscopy for adenoma detection
Post written by Satimai Aniwan, MD, from the Gastrointestinal Endoscopy Excellence Center, Division of Gastroenterology, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. Colonoscopy primarily aims to detect and remove colorectal adenomas, which is a precancerous lesion. Most postcolonoscopy colorectal cancer is attributed to the missed lesion at the previous …
An effective method for removing surgical staples during endoscopic submucosal dissection for early gastric cancer on the suture line of remnant stomach
Post written by Yugo Suzuki, MD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. This is the first report to show the utility and feasibility of removing surgical staples during endoscopic submucosal dissection (ESD) for residual gastric cancer in the remnant stomach. The surgical staples were removed using the Dual Knife, and we electrified …
EUS-guided blood patch delivery during liver biopsy: nature’s gel foam
Post written by Kenneth J. Chang, MD, from the Digestive Health Institute, Chao Family Comprehensive Digestive Disease Center, University of California, Irvine. These are 2 cases of EUS-guided liver biopsy where there was active blood flow within the needle tract prior to needle withdrawal. After waiting 2-3 minutes, we saw persistent flow, raising concerns that …
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Switching the switch: endoscopic reversal of a biliopancreatic diversion
Post written by Manol Jovani, MD, MPH, from the Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland. Biliopancreatic diversion (also known as duodenal switch) is a complex bariatric surgery that includes a sleeve gastrectomy and long Roux-en-Y intestinal bypass. This is a very effective surgery for weight loss, but it can be complicated …
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Extracorporeal rendezvous technique combining endoscopic retrograde pancreatography with endoscopic ultrasound for main pancreatic duct disconnection arising from acute necrotizing pancreatitis
Post written by Toshiyasu Shiratori, MD, from the Department of Gastroenterology, Kameda Medical Center, Kamogawa City, Japan. This video shows an endoscopic pancreatic duct drainage technique combining ERCP with EUS using a percutaneous drainage route for main pancreatic duct disconnection that was difficult to traverse through the disconnected segment using either ERCP- or EUS-guided approaches. …
Use of peroral cholangioscopy to screen for neoplastic bile duct lesions in patients with bile duct stones
Post written by Il Sang Shin, MD Jong Ho Moon, MD, PhD Yun Nah Lee, MD, PhD, from the Digestive Disease Center and Research Institute, Departments of Internal Medicine, SoonChunHyang University School of Medicine, Bucheon, Korea. Although cholangiocarcinoma (CCA) has very high mortality rates due to its late detection, satisfactory screening methods of CCA have …
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