Metal versus plastic stent for drainage of malignant biliary obstruction

Post written by Tae Jun Song, MD, PhD and Sang Soo Lee, MD, PhD from the Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea Preoperative biliary drainage (PBD) with stent placement has been commonly used for patients with malignant biliary obstruction. In PBD, the placement of fully-covered …

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Successful hemostasis using a covered self-expandable metallic stent for spurting hemobilia

Jae Hee Cho, MD, PhD from the Division of Gastroenterology, Department of Internal Medicine, Gachon University, Gil Medical Center, Incheon, Republic of Korea presents this video case. A patient who underwent biliary plastic stent placement for pancreatic head cancer with central bile duct (CBD) invasion was admitted for hematochezia. Abdominal enhanced computed tomography (CT) showed …

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Through one tunnel, POEM, STER, and STED simultaneously operated

Enqiang Linghu from the Department of Gastroenterology, Hepatology and Endoscopy at Chinese PLA General Hospital, Beijing, China presents this video case. The video demonstrated 3 kinds of submucosal tunneling techniques that were simultaneously performed through 1 tunnel in a 53-year-old female patient, namely submucosal tunneling endoscopic resection (STER), submucosal tunneling endoscopic diverticulotomy (STED), and per-oral …

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Incidence and impact of scheduled endoscopic surveillance on recurrence after curative endoscopic resection for early gastric cancer

Post written by Kyu Yeon Hahn and Jun Chul Park from the Division of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea The focus of our study was to identify the incidence of recurrent lesions after endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) and to determine whether …

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Histologic intestinal metaplasia and endoscopic atrophy are predictors of gastric cancer development after Helicobacter pylori eradication

Satoki Shichijo and Yoshihiro Hirata from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, describe this Original Article published in GIE. We reported a retrospective, endoscopy-based, long-term cohort study to elucidate the risk factors for gastric cancer development after Helicobacter pylori (H. pylori) eradication.  We assessed histologic and endoscopic findings of gastritis …

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Rendezvous endoscopic access and treatment of esophagopleural fistula

Post written by Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, New York, USA This case describes a patient with obstructive esophageal cancer dependent on PEG feeding for nutrition who developed an esophagopleural fistula at the level of the malignant stenosis with resultant hydropneumothorax requiring chest tube …

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Tip-in EMR for R0 resection

Post written by Hsiyuan Chien,¹ MD, and Kenichiro Imai,² MD ¹Division of Gastroenterology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan ²Division of Endoscopy, Shizuoka Cancer Center, Shizuoka Japan In this video case, colonoscopy in a 42-year-old-female showed a lateral spreading tumor granular homogeneous type, 30mm in diameter at the ascending …

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EMR of large and giant lateral spreading lesions of the duodenum

Post written by Amir Klein, MD, from the Endoscopy Unit, Westmead Hospital, in Westmead, New South Wales, Australia This study investigates the short and long term outcomes of endoscopic mucosal resection (EMR) of large duodenal adenomas. Large sporadic duodenal adenomas are uncommon, but harbor a malignant potential, which requires consideration of definitive treatment. EMR may …

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ERCP development in the largest developing country: a national survey from China in 2013

Lei Xin, Liang-Hao Hu, and Zhao-Shen Li from Changhai Hospital, The Second Military Medical University, Shanghai, China describe their article published in the October issue of GIE. This study evaluated the ERCP development in the largest developing country, China, between 2006 and 2012, when the ERCP volume in developed countries decreased. In developed countries, the …

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The first European family with gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS)

Post written by Darina Kohoutova from the 2nd Department of Internal Medicine - Gastroenterology, Charles University in Praha, Faculty of Medicine at Hradec Kralove, University Teaching Hospital, Hradec Kralove, Czech Republic Gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS) has to date been recognized in only 8 families worldwide. Recently, different point mutations within …

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