Post written by Mohan Ramchandani, MD, DM, from the Department of Gastroenterology, Asian Institute of Gastroenterology Hospitals, Hyderabad, India. The small bowel is long mobile organ in the peritoneum, which makes it difficult to be evaluated by conventional endoscopy. Deep enteroscopy (DE) is a cumbersome procedure; there are many shortcomings of balloon-assisted enteroscopy (BAE), which …
Author: GIEjournal
Endoscopic suturing of a jejunal feeding tube extension to prevent recurrent gastric coiling
Post written by Nicholas M. McDonald, MD, from the Division of Gastroenterology and Hepatology, University of Minnesota, Minneapolis, Minnesota. A 23-year-old woman with a history of nausea, vomiting, and a 40-lb weight loss resulting in a BMI of 14.5 was referred for evaluation. Her symptoms were attributed to gastroparesis. Prior to referral, she had undergone …
EUS-guided jejunojejunostomy to facilitate ERCP in a patient with unique Roux-en-Y gastric bypass anatomy
Post written by Ryan Law, DO, from the University of Michigan, Ann Arbor, Michigan. In our case presentation we describe a patient who presented to our institution with concern for biliary pathology in the setting of prior Roux-en-Y gastric bypass with an indwelling percutaneous biliary drain. Importantly, this patient underwent a sleeve gastrectomy prior to …
Modified double-guidewire technique using a unique double-lumen sphincterotome for difficult biliary cannulation
Post written by Hideyuki Shiomi, PhD, MD, from the Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan. The double-guidewire technique (DGT) is considered as a promising salvage approach in difficult biliary cannulation cases. Nevertheless, with the interference of the pancreatic duct guidewire (P-GW) against cannulation devices, this technique …
Closure of a chronic complex tracheoesophageal fistula by using endoscopic suturing
Post written by Ariel A. Benson, MD, from the Faculty of Medicine, Hebrew University of Jerusalem, and the Institute of Gastroenterology and Hepatology, Hadassah University Medical Center, Jerusalem, Israel. In this video we describe the evaluation and treatment of a chronic, symptomatic tracheoesophageal (TE) fistula in an adult patient. The etiology of the patient’s TE …
Continue reading Closure of a chronic complex tracheoesophageal fistula by using endoscopic suturing
The National Polyp Study at 40: challenges then and now
Post written by Sidney J. Winawer, MD, and Ann G. Zauber, PhD, from the Gastroenterology, Hepatology and Nutrition Service, Department of Medicine, and the Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York, USA. Colonoscopy was introduced in the 1970s, making it possible for the first time to directly examine …
Continue reading The National Polyp Study at 40: challenges then and now
Continuous saliva suction tube to prevent aspiration pneumonia during upper GI endoscopy
Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. We introduce a continuous saliva suction tube that can be used during endoscopy (Salsuction; Fujifilm Medical Co, Ltd, Tokyo, Japan). Not only is this device disposable and easy to set up with a mouthpiece, it also …
Clip band ligation ablation
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi. The author reports a 56-year-old woman with an 11-mm biopsy-proven duodenal bulb low-grade neuroendocrine tumor (NET) or carcinoid tumor. She was referred by surgery for endoscopic ablation. Using a multi-band ligator device (Saeed …
Bilateral balloon expandable biodegradable stent (Y-stent) for postcholecystectomy perihilar biliary stricture
Post written by Sundeep Lakhtakia, MD, DM, and Harsh Vardhan Tevethia, MD, DM, from the Department of Medical Gastroenterology, AIG Hospitals and Asian Institute of Gastroenterology, Hyderabad, Telangana, India. Following complicated laparoscopic cholecystectomy, a young woman developed a biliary stricture that required several ERCP sessions. She presented with recurrent jaundice. MRCP revealed a perihilar stricture …
Postpolypectomy bleeding of colorectal polyps in patients with continuous warfarin and short-term interruption of direct oral anticoagulants
Post written by Hideaki Harada, MD, from the Department of Gastroenterology, New Tokyo Hospital, Chiba, Japan. Our study aimed to clarify the risk of postpolypectomy bleeding (PPB) after endoscopic snare resection of colorectal polyps in patients receiving continuous warfarin and 1-day cessation of direct oral anticoagulants (O-DOACs) because the evidence for use of continuous anticoagulants …
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