Category: GIE

Patients undergoing covered and uncovered self-expandable metal stent placement

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Post written by Yasuki Hori, MD, PhD, from the Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. We focused on predictors for solid food intake after self-expandable metal stent (SEMS) placement for malignant gastric outlet obstruction, not only patient-related factors but also stent-related factors. We consider the identification …

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Risk of infection transmission in curvilinear array echoendoscopes

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Post written by Christopher G. Chapman, MD, from the Center for Endoscopic Research and Therapeutics (CERT) at University of Chicago Medicine. The focus of this study was to determine the yield of routine bacterial surveillance cultures of post-high-level disinfection (HLD) reprocessed curvilinear array (CLA) echoendoscopes. The impetus for this study was the relative lack of …

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Distance from hospital impacts adverse event detection

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Post written by Rajesh N. Keswani, MD, MS, from the Northwestern University Feinberg School of Medicine. The objective of this study was to determine the hospital utilization patterns of patients with endoscopy-related adverse events (AEs), including death, after ambulatory endoscopy at 5 Chicago-area medical centers. We specifically aimed to investigate whether care fragmentation, which is …

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Small-bowel capsule endoscopy with panoramic view

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Post written by Gian Eugenio Tontini, MD, PhD from IRCCS Policlinico San Donato, Gastroenterology & Digestive Endoscopy Unit, San Donato Milanese, Milano, Italy. CapsoCam SV is a new small bowel capsule with “panoramic view,” wire-free technology, and a long-lasting battery life. It is equipped with 4 high-frame rate cameras, resulting in a high number of …

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“Underwater” ESD for superficial esophageal neoplasms

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Post written by Tomofumi Akasaka from the Department of Gastrointestinal Oncology at Osaka Medical Center for Cancer and Cardiovascular Disease. In this study, we used a bipolar needle-knife with a water jet function (Jet B-knife; Zeon Medical, Tokyo, Japan). After a circumferential incision, as performed for conventional ESD, esophageal lumen was filled and submucosal injection with …

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Comparison of prognosis between gastric ESD and surgery

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Post written by Shusei Fukunaga, MD, PhD and  Yasuaki Nagami, MD, PhD from the Department of Gastroenterology at Osaka City University Graduate School of Medicine in Osaka. Our study focused on the long-term outcomes, risk factors for mortality, and adverse events for patients with expanded-indication lesions of differentiated-type early gastric cancer (EGC) who underwent endoscopic …

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Clinical Utility of Rapid On-site Cytopathology

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Post written by Dr. Harry Aslanian from the Section of Digestive Diseases at Yale University. We thought it would be interesting for non-endosonographers to see how easily and quickly ROSE can provide diagnostic information. Among endosonographers, there is local variation in cytopathologists’ comfort level with pancreas cytology and variable interest in ROSE. While some centers have …

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Impact of carbon dioxide insufflation and water exchange on postcolonoscopy outcomes

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Post written by Sergio Cadoni from the Digestive Endoscopy Unit at St. Barbara Hospital in Iglesias, Italy. Water exchange (WE) is the least painful insertion method during colonoscopy. However, its impact on postcolonoscopy discomfort has not been well-described. Carbon dioxide (CO2) insufflation has been consistently shown to decrease postcolonoscopy discomfort. We compared postcolonoscopy outcomes of various combinations …

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Completely obstructed bile duct? Let cholangioscopy guide the way

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Gabriel D. Lang, MD, from the Division of Gastroenterology, Washington University, Saint Louis, Missouri, presents this video case. A 67-year-old female with locally advanced duodenal adenocarcinoma with previous metal biliary and enteral stents presented with jaundice. The cholangiogram demonstrated a complete obstruction at the proximal end of the stent. Multiple attempts to advance a variety …

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EUS-guided fine needle biopsy sampling using a novel fork-tip needle

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Post written by Pujan Kandel, MD, from the Division of Gastroenterology, Mayo Clinic, Jacksonville, Florida. This was a single center retrospective case control study. All the consecutive samples from EUS-FNB-SCs were matched in a 1:3 ratio by the lesion site (e.g. pancreatic head) and needle gauge (i.e. 19, 22, and 25 gauge) to recent random …

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