Post written by Parit Mekaroonkamol, MD, Vaishali Patel, MD, MHS, and Qiang Cai, MD, PhD, from the Emory University School of Medicine, Atlanta, Georgia, and the King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailand. Gastric per-oral endoscopic pyloromyotomy (GPOEM) is an emerging endoscopic procedure for treatment of gastroparesis. Although multiple studies have demonstrated impressive clinical …
Category: GIE
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 …
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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 …
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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 …
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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 …
Comparison of monopolar hemostatic forceps with soft coagulation versus hemostatic clip 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 hemostatic clip is one of the most common mechanical methods used. Monopolar hemostatic forceps soft coagulation (MHFSC) is …
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 …
Successful hemostasis of active lower GI bleeding using a hemostatic powder as mono-, combination, or rescue therapy
Post written by Lawrence Hookey, MD, from the Hotel Dieu Hospital, Kingston, Ontario, Canada. This study is the largest to prospectively evaluate the hemostatic powder TC-325 in lower GI bleeding. We included 50 patients with bleeding from different sources, and performed extensive efficacy and safety follow-up. TC-325 is a newer product (having just received regulatory …
Editor’s Choice: GEA vs MAC in high-risk patients undergoing ERCP
GIE Associate Editor, Dr. Sharmila Anandasabapathy, highlights this article from the April issue “A randomized controlled trial evaluating general endotracheal anesthesia versus monitored anesthesia care and the incidence of sedation-related adverse events during ERCP in high-risk patients” by Zachary L. Smith, DO, et al. This is one of the few studies which compare, via a randomized …
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Clinical and endoscopic predictors for intraprocedural mucosal injury during per-oral endoscopic myotomy
Post written by Ping-Hong Zhou, MD, PhD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China. We aimed to explore the characteristics, predictors, and management approaches of intraprocedural mucosal injury. As the mucosal flap is the only barrier between the mediastinum and esophageal lumen during per-oral endoscopic myotomy (POEM), mucosal …
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