Duration or etiology of gastroparesis and clinical response after gastric per-oral endoscopic pyloromyotomy

Post written by Parit Mekaroonkamol, MD, Vaishali Patel, MD, MHS, and Qiang Cai, MD, PhD, from the Veterans Affairs Pittsburgh HealthCare System, and the Division of Digestive Diseases, Emory University School of Medicine, Atlanta, Georgia, USA. Gastric per-oral endoscopic pyloromyotomy (GPOEM) is an emerging endoscopic procedure for treatment of gastroparesis. Although multiple studies have demonstrated …

Continue reading Duration or etiology of gastroparesis and clinical response after gastric per-oral endoscopic pyloromyotomy

Why did the sham-treated EPISOD study subjects do so well?

Post written by Peter B. Cotton, MD, FRCS, FRCP, from the Digestive Disease Center, Medical University of South Carolina, Charleston, South Carolina, USA. The EPISOD study showed that sphincterotomy was not helpful for patients with post-cholecystectomy pain and little or no evidence for biliary obstruction (“SOD type III”). The conclusion was surprising; especially to those …

Continue reading Why did the sham-treated EPISOD study subjects do so well?

Safety of endoscopy in cancer patients with thrombocytopenia and neutropenia

          Post written by Hamzah Abu-Sbeih, MD, and Yinghong Wang, MD, PhD, from the Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. The purpose of this study was to assess the safety of endoscopic procedures in patients with underlying thrombocytopenia or neutropenia …

Continue reading Safety of endoscopy in cancer patients with thrombocytopenia and neutropenia

Risk of bacterial exposure to the endoscopist’s face during endoscopy

Post written by Asif Khalid, MD, from the Veterans Affairs Pittsburgh HealthCare System, and the University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. Gastroenterologists will don a gown and gloves prior to performing GI endoscopy almost as a reflex, but the use of a face shield is not considered standard practice. This is in spite …

Continue reading Risk of bacterial exposure to the endoscopist’s face during endoscopy

Endotracheal anesthesia vs monitored anesthesia care and sedation-related adverse events during ERCP

Post written by Zachary L. Smith, DO, from the Division of Gastroenterology, Washington University School of Medicine, St Louis, Missouri, USA. The focus of this study was to evaluate the use of general endotracheal anesthesia (GEA) versus monitored anesthesia care (MAC) during ERCP in high-risk patients. Historically, our institution sedated the vast majority of patients …

Continue reading Endotracheal anesthesia vs monitored anesthesia care and sedation-related adverse events during ERCP

Comparison of monopolar hemostatic forceps with soft coagulation versus hemoclip for peptic ulcer bleeding

Post written by Bilal Toka, MD, from the Department of Gastroenterology, Sakarya University Faculty of Medicine, Sakarya, Turkey. Mechanical and thermal endoscopic methods are the most commonly used methods for the treatment of gastrointestinal (GI) bleeding. The hemoclip is one of the most common mechanical methods used. Monopolar hemostatic forceps soft coagulation (MHFSC) is a …

Continue reading Comparison of monopolar hemostatic forceps with soft coagulation versus hemoclip for peptic ulcer bleeding

Outcome of EMR in Barrett’s esophagus determined by systematic quantification of epithelial glands using VLE

Post written by Amrit K. Kamboj, MD, and Cadman L. Leggett, MD, from the Department of Internal Medicine and Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Volumetric laser endomicroscopy (VLE) is an advanced imaging modality that uses optical coherence tomography to capture real-time, high-resolution, cross-sectional images of the esophagus. Epithelial glands are …

Continue reading Outcome of EMR in Barrett’s esophagus determined by systematic quantification of epithelial glands using VLE