Post written by Ujjal Poddar, MD, DNB, DM, from the Department of Pediatric Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. We conducted this propensity score—matched retrospective study to compare bougie versus balloon dilatation for short esophageal strictures in children and assess the outcome of endoscopic dilatation on their growth. Although uncommon, …
Category: iGIE
Endoscopic management of colorectal anastomosis refractory leaks: a journey from conventional to inventive approaches
Post written by iGIE iNTERNATIONAL Associate Editor Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, from the Gastrointestinal Endoscopy Division, Hospital Vila Nova Star, Instituto D’Or de Pesquisa e Ensino, and the Gastrointestinal Endoscopy Unit, Gastroenterology Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. The goal of …
Novel approach to endoluminal antral gastroplasty using a modified gastrostomy tube and laparoscopic stapler
Post written by Mark Hanscom, MD, from Weill Cornell Medicine, New York, New York, USA. The focus of our study was exploring the feasibility of a novel intraluminal technique for the treatment of obesity. Over the last decade, the field of bariatric endoscopy has continued to grow with the introduction of new technologies and refinement of …
Implementation of an Enhanced Recovery After Surgical Endoscopy protocol to improve outcomes following endoscopic sleeve gastroplasty
Post written by Chelsea D’Ascanio, DNP, MS, CRNA, from Bariendo Inc and Brigham and Women’s Hospital, Boston, Massachusetts, USA. The focus of this pilot project was to implement an enhanced recovery perioperative protocol to reduce postoperative emergency department (ED) visits and readmissions because of postoperative nausea and vomiting (PONV) after endoscopic sleeve gastroplasty (ESG). One …
Small-bowel transection after peroral motorized spiral enteroscopy
Post written by Partha Pal, MD, DNB, MRCP (UK), from the Asian Institute of Gastroenterology, Hyderabad, India. This case describes a very rare instance of small-bowel transection (<1:1400 in our experience) after antegrade motorized spiral enteroscopy (MSE). The unpredictable adverse event was encountered during withdrawal of the enteroscope with the spiral overtube because of impaction …
Continue reading Small-bowel transection after peroral motorized spiral enteroscopy
Long-term outcomes (≥3 years) after gastric peroral endoscopic myotomy for refractory gastroparesis: a systematic review and meta-analysis
Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. Refractory gastroparesis is a chronic debilitating condition that results in decreased quality of life, weight loss/malnutrition, and increased healthcare costs. Medical options with prokinetic agents are often limited, and intrapyloric botulinum toxin injection has …
Randomized controlled trial of procedural sequence for same-day bidirectional endoscopy under monitored anesthesia care (RECoVER Trial)
Post written by Ali El Mokahal, MD, from the American University of Beirut, Beirut, Lebanon. In this study, we investigated the impact of procedural sequence during same-day bidirectional endoscopy conducted with the patient under monitored anesthesia care. Our primary outcome was the time to recovery from sedation. We also evaluated the amount of sedation administered, time …
Artificial intelligence–assisted colonoscopy for adenoma and polyp detection: an updated systematic review and meta-analysis
Post written by Mohamed Shiha, MRCP, from the Academic Unit of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, UK. Adenoma detection rate (ADR) is the main quality indicator for the effectiveness of colonoscopy in preventing colorectal cancer. However, it is estimated that 1 in 4 adenomas are missed during colonoscopy. Recently, advances in artificial intelligence (AI) have enabled …
Successful small-diameter endoscopic hemostasis using a self-assembling peptide matrix for Mallory-Weiss syndrome in a patient with a severe esophageal stricture
Post written by Shinya Kawaguchi, MD, from the Department of Gastroenterology, Shizuoka General Hospital, Shizuoka, Japan. A bedridden woman with a history of repeated reflux esophagitis presented to the emergency department with a chief symptom of hematemesis. An urgent endoscopic examination was conducted. Insertion of a conventional endoscope (GIF-H290T; Olympus Corporation, Tokyo, Japan) revealed scar stenosis in …
Exposed versus nonexposed endoscopic full-thickness resection for duodenal subepithelial lesions: a tertiary care center experience (with videos)
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this study, the feasibility and safety of exposed versus nonexposed endoscopic full-thickness resection (EFTR) in patients with large (≥10 mm) duodenal subepithelial lesions were evaluated. Exposed EFTR was performed using a conventional electrosurgical knife, and the ensuing full-thickness defect was …
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