Post written by Pankaj Singh, DM Gastroenterology, Vikas Singla, DM Gastroenterology, and Akash Goel, DNB Gastroenterology, from the Centre of Gastroenterology, Hepatology and Endoscopy, Max Super Specialty Hospital, New Delhi, India. Postliver transplant anastomotic site strictures are one of the common adverse events following liver transplants. It is imperative to achieve adequate biliary drainage in such cases to preserve graft function. …
Author: GIEjournal
The evolution of single-use duodenoscope utilization at a large-volume endoscopic retrograde cholangiopancreatography tertiary care center
Post written by Yervant Ichkhanian, MD, and Mark A. Gromski, MD, from the Indiana University School of Medicine, Indianapolis, Indiana, USA. Duodenoscope-related infections—especially those involving multidrug-resistant organisms—have driven innovation in endoscopic technology. This study, conducted at a high-volume tertiary care center, explores the evolving integration of single-use duodenoscopes into routine endoscopic retrograde cholangiopancreatography (ERCP) practice. The goal was to examine, over …
Tip palpation of the intraduodenal biliary segment for needle-knife fistulotomy
Post written by Allison Franz, MD, and David Liu, MD, from the Department of Gastroenterology, Hepatology and Nutrition, University of Louisville, Louisville, Kentucky, USA. We highlight cases in which tip palpation of the bile duct prior to needle-knife fistulotomy was effectively performed to achieve successful cannulation. To our knowledge, this case series is the first demonstration of this technique. Our …
Continue reading Tip palpation of the intraduodenal biliary segment for needle-knife fistulotomy
Single-session endoscopic retrograde cholangiopancreatography and endoscopic ultrasound—guided gallbladder drainage for management of biliary obstruction and gallbladder disease
Post written by Christina Gainey, MD, from the University of North Carolina, Chapel Hill, North Carolina, USA. We wanted to study the feasibility, safety, and effectiveness of performing endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS)—guided gallbladder drainage (EUS-GBD) in a single session to provide definitive management of biliary obstruction and prevent future biliary adverse events without …
Endoscopic submucosal dissection of a giant gastric polyp
Post written by Fatih Aslan, MD, from Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. This video demonstrates en bloc endoscopic submucosal dissection (ESD) of a giant gastric polyp extending from the cardia to the antrum in a 36-year-old woman presenting with alarm symptoms including nausea, vomiting, weight loss, and iron deficiency anemia requiring monthly parenteral …
Continue reading Endoscopic submucosal dissection of a giant gastric polyp
Editor’s Choice: Improvement in obesity-related comorbidities 5 years after endoscopic sleeve gastroplasty: a prospective cohort study
GIE Associate Editor Thiruvengadam Muniraj, MD, highlights this article from the July issue: “Improvement in obesity-related comorbidities 5 years after endoscopic sleeve gastroplasty: a prospective cohort study” by Ali Lahooti, BS, et al. As the global obesity epidemic intensifies, the demand for durable, effective, and less-invasive interventions continues to rise. Although bariatric surgery remains the reference standard, its uptake …
Creating a standardized tool for the evaluation and comparison of artificial intelligence–based computer-aided detection programs in colonoscopy: a modified Delphi approach
Post written by Sanjay Gadi, MD, and Jeremy Glissen Brown, MD, from Duke University Medical Center, Durham, North Carolina, USA. Artificial intelligence—based computer-aided detection (CADe) software may improve colorectal cancer outcomes by increasing adenoma detection while reducing miss rates during colonoscopy. CADe has had promising results in controlled environments but mixed results when evaluated in …
Endoscopic ultrasound–guided drainage of intra-abdominal abscess using 15-mm versus 10-mm lumen-apposing metal stents: an international case-matched study
Post written by Yervant Ichkhanian, MD, from the Department of Internal Medicine, Henry Ford Hospital, Detroit, Michigan, and Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, USA, and Tobias Zuchelli, MD, from Division of Gastroenterology and Hepatology, Henry Ford Hospital. This multicenter study evaluates whether 15-mm lumen-apposing metal stents (LAMSs) outperform 10-mm LAMSs for EUS-guided drainage …
Tips on pre-emptive hemostasis of large vessels during endoscopic full-thickness resection of a large gastrointestinal stromal tumor
Post written by Abdullah Abbasi, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Exposed endoscopic full-thickness resection (EFTR) is often necessary for management of large subepithelial lesions or those extending deep into the GI wall. This video demonstrates successful removal of a large GI stromal tumor in the fundus, with a focus on …
Closure of gastric mucosal defects using the reopenable-clip over-the-line method to decrease the risk of bleeding after endoscopic submucosal dissection: a multicenter propensity score–matched case-control study (with video)
Post written by Tatsuma Nomura, MD, from the Department of Gastroenterology, Suzuka General Hospital, Suzuka, and Shinya Sugimoto, MD, from the Department of Gastroenterology, Ise Red Cross Hospital, Ise, Japan. A retrospective study was conducted to analyze endoscopic submucosal dissection (ESD) procedures performed between January 2012 and March 2024. Patients were classified into 2 groups: a nonclosure group, where …
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