Post written by Kazuyuki Matsumoto, MD, PhD, from Okayama University Hospital, Okayama, Japan. Radiographic confirmation of the presence of stones remains a challenge in the treatment of intrahepatic bile duct stones in patients after hepaticojejunostomy (HJ). Peroral direct cholangioscopy (PDCS) enables direct observation of the bile duct and is useful for detecting and removing residual stones. However, its …
Category: GIE
Establishment of standards for the referral of large nonpedunculated colorectal polyps: an international expert consensus using a modified Delphi process
Post written by Samir C. Grover, MD, MEd, FRCPC, FASGE, from Scarborough Health Network and the University of Toronto, Toronto, Ontario, Canada. This study aimed to establish consensus-based standards for the referral of large nonpedunculated colorectal polyps (LNPCPs) for endoscopic resection. Given the complexity and risks associated with resecting LNPCPs, especially those exceeding 20 mm, comprehensive and …
Novel self-expandable stent–based endobiliary radiofrequency ablation for unresectable malignant biliary obstruction
Post written by Yubeen Park, MS, Jung-Hoon Park, PhD, and Sang Soo Lee, MD, PhD, from Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. Endobiliary radiofrequency ablation (RFA) was introduced as a promising therapeutic option for unresectable malignant biliary obstruction. However, insufficient contact between the traditional catheter-type electrode and bile duct wall because of irregular …
EUS- versus ERCP-guided biliary drainage for malignant biliary obstruction: a systematic review and meta-analysis of randomized controlled trials
Post written by Eduardo Cerchi Barbosa from the Department of Medicine, Evangelical University of Goiás, Anápolis, Brazil, and Gilmara Coelho Meine, MD, MSc, from the Division of Gastroenterology, Department of Internal Medicine, Feevale University, Novo Hamburgo, Brazil. Periampullary cancers carry a poor prognosis and often result in malignant biliary obstruction (MBO). Despite technological advances, few cases are resectable at the …
Editor’s Choice: EUS-guided thrombin injection and coil implantation for gastric varices: feasibility, safety, and outcomes
GIE Senior Associate Editor David L. Diehl, MD, highlights this article from the September issue: “EUS-guided thrombin injection and coil implantation for gastric varices: feasibility, safety, and outcomes” by Joanne O’Rourke, MBChB, et al. One of the pillars of endohepatology is EUS-guided treatment of gastric varices. Although endoscopic glue injection with cyanoacrylate (CYA) has been a standard approach for …
EUS-guided FNA and biopsy for cytohistologic diagnosis of gallbladder cancer: a multicenter retrospective study
Post written by Jae Hee Cho, MD, PhD, and Seungmin Bang, MD, PhD, from the Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea. Gallbladder (GB) cancer (GBC) is a rare but highly aggressive malignancy, often diagnosed at an advanced stage. Because most patients have unresectable diseases, accurate nonsurgical diagnosis is crucial for …
Novel endoscopic scoring system for immune mediated colitis: a multicenter retrospective study of 674 patients
Post written by Yinghong Wang, MD, PhD, from the Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. To our knowledge, this is the largest multicenter study to develop an endoscopic scoring system for guiding management of immune-mediated colitis (IMC) in cancer care. This scoring system has demonstrated …
Administration of oral prednisolone to prevent esophageal stricture after balloon-type radiofrequency ablation for ultralong-segment esophageal neoplasia
Post written by Wen-Lun Wang, MD, PhD, and Ching-Tai Lee, MD, from the Department of Gastroenterology and Hepatology, E-Da Hospital, Kaohsiung, Taiwan. Endoscopic radiofrequency ablation (RFA) has shown good efficacy and safety in eradicating Barrett’s neoplasia as well as flat-type early esophageal squamous cell neoplasia (ESCN). However, a post-RFA stricture is still a major concern, especially …
Marijuana and endoscopy: the effects of marijuana on sedation
Post written by Christopher Adam Bouvette, MD, and Mohammad Madhoun, MD, MS, FACP, from the University of Oklahoma College of Medicine and the Oklahoma City Veterans Health Administration Medical Center, Oklahoma City, Oklahoma, USA. Our patients are more frequently using marijuana amid varying degrees of legality and medical indication. We set out to describe any potential …
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The use of a self-assembling peptide gel for stricture prevention in the esophagus after endoscopic submucosal dissection: a U.S. multicenter prospective study (with video)
Post written by Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Endoscopic submucosal dissection (ESD) has become an increasingly endorsed technique for the management of superficial neoplasia in the esophagus. The main limitation with ESD in the esophagus is the high rate of stricture formation. The aim of this multicenter …
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