Post written by Sundeep Lakhtakia, MD, MNAMS, DM, FASGE, from the Department of Medical Gastroenterology, AIG Hospitals and Asian Institute of Gastroenterology, Hyderabad, Telangana, India. A young woman who had surgical choledocho-duodenostomy 5 years ago for biliary adverse events soon after cholecystectomy presented with biliary obstruction. MRCP revealed a smooth mid-CBD stricture, intra-hepatic stone with …
Author: GIEjournal
Prevalence of Barrett’s esophagus and performance of societal screening guidelines in an unreferred primary care population of U.S. veterans
Post written by Theresa H. Nguyen, MD, from the Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, and the Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA. The focus of our study was to examine the prevalence of Barrett’s esophagus …
EUS diagnosis of asymptomatic type III choledochal cyst
Post written by Mohannad Abou Saleh, MD, Catherine Vozzo, DO, and Prabhleen Chahal, MD, from the Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio. We describe the EUS diagnosis of a type IIIA choledochal cyst in an 81-year-old woman with a history of diabetes mellitus type II, hypertension, hyperlipidemia, GERD, and irritable bowel …
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Barrett’s esophagus after sleeve gastrectomy: a systematic review and meta-analysis
Post written by Bashar J. Qumseya, MD, MPH, from the Division of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, Florida, USA. The study focused on the rate of Barrett’s esophagus (BE) in patients who undergo endoscopic sleeve gastrectomy (SG) for weight loss. My dentist informed me that he was seeing cases of very severe GERD …
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Endoscopic negative pressure therapy for upper gastrointestinal leaks
Post written by Rami Archid, MD, from the Department of General, Visceral and Transplant Surgery, Eberhard-Karls-University Hospital, Tuebingen, Germany. A 61-year-old male patient was treated for Siewert type I gastroesophageal junction adenocarcinoma. Neoadjuvant chemotherapy using FLOT regimen (5-fluorouracil, leucovorin, oxaliplatin, docetaxel) with Trastuzumab was followed by esophagectomy with cervical esophagogastrostomy. On postoperative day 3, he …
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Early precut versus primary precut sphincterotomy to reduce post-ERCP pancreatitis
Post written by Sudhir Maharshi, MD, DM, and Shyam Sunder Sharma, DNB, DM, from the Department of Gastroenterology, SMS Medical College and Hospitals, Jaipur, India. The focus of our study was to assess the safety and efficacy of primary precut. It is well known that precut sphincterotomy, usually considered after repeated and failed cannulation, is …
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Single-step EUS-guided drainage of a pancreatic pseudocyst with a modified guidewire as a cystotome
Post written by Wei An, MD, Dan Wang, MD, and Liang-Hao Hu, MD, from the Department of Gastroenterology, ChangHai Hospital, The Second Military Medical University, Shanghai, China. A 69-year-old man with a history of chronic pancreatitis was referred to our hospital for severe abdominal distention and vomiting. Computed tomography revealed multiple pancreatic calcifications and a …
Editor’s Choice: Core curriculum for endoscopic mucosal resection
GIE Senior Associate Editor, Dr. John R. Saltzman, MD, FASGE, highlights this article from the February issue “Core curriculum for endoscopic mucosal resection” by the ASGE Training Committee. This article provides a framework for teaching the skills needed to perform endoscopic mucosal resection (EMR). It provides an outstanding overview of the technical, nontechnical, and cognitive …
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Quality assessment for systematic reviews and meta-analyses of cohort studies
Post written by Bashar J. Qumseya, MD, MPH, FASGE, from the Division of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, Florida, USA. I have been involved in many systematic reviews and meta-analyses. Several scales used for rating cohort studies were available but were either to difficult to use or interpret. I wanted to create …
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EUS diagnosis of rectal endometriosis
Post written by Bo Sun, MD, from the Department of Gastroenterology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China. This case was a 40-year-old woman with a 2-month history of increased bowel movements and feelings of incomplete evacuation. Her colonoscopy detected a rectal submucosal elevation with unrevealing biopsy results. Pelvic MRI suggested a rectal …
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