Digital single-operator pancreatoscopy for evaluation of IPMN

Post written by David Albers, MD, from the Department of Gastroenterology, Elisabeth-Krankenhaus Essen, academic teaching hospital of the University of Duisburg-Essen. Main-duct-IPMN and mixed-type-IPMN are frequently associated with malignancy and usually leaded to surgery; however, branch-duct-IPMNs biologically behave more indolent. Prediction of malignancy is a crucial point to distinguish between surgical therapy and conservative management …

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Diagnostic accuracy of probe-based confocal laser endomicroscopy

Post written by Adriana Vaz Safatle-Ribeiro from the Cancer Institute, Department of Gastroenterology, University of São Paulo, Brazil. The focus was to evaluate the accuracy of probe-based confocal laser endomicroscopy (pCLE) for the diagnostic differentiation of non-neoplastic and neoplastic Lugol-unstained esophageal lesions in patients with head and neck cancer (HNC) under surveillance for a second …

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History of Diminutive and Small Colorectal Polyps

Post written by Jasper L.A. Vleugels from the Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. This study explored the natural history of diminutive polyps that were left without resection and were followed up. At a certain point, I was in the endoscopy room, and the patient undergoing colonoscopy asked why these diminutive polyps …

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Salvage therapy for colonic mechanical obstruction

Post written by Georgios Mavrogenis, MD, from the Endoscopy Department, Mediterraneo Hospital, Athens, Greece. This case illustrates the endoscopic management of a 7-cm-long obstruction of the distal colon that was not amenable to stenting, dilation, or surgery. The patient suffered from pseudo-diarrhea and gas retention. His abdomen was very distended and painful. CT scan and …

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CO2 and air insufflation during consecutive EGD and colonoscopy

Post written by Jun-Won Chung from the Divison of Gastroenterology, Department of Internal Medicine, Gachon University, Gil Medical Center, Incheon, South Korea. Endoscopy is performed with air insufflation and is usually associated with abdominal pain. It is well recognized that carbon dioxide (CO2) is absorbed more quickly into the body than air; however, to date, …

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Endoscopic therapy for Crohn’s fistula and abscess

Post written by Bo Shen, MD, FASGE, from the Interventional IBD Unit, the Cleveland Clinic Foundation, Cleveland, Ohio. Treatment of disease-related or surgery-related Crohn’s fistula, abscess, and surgical anastomotic leaks with endoscopy-guided fistulotomy and sinusotomy with electroincision, seton placement, through-the-scope or over-the-scope clipping, suturing, incision and drainage. Crohn’s disease has 3 phenotypes: inflammatory, structuring, and …

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Lactated Ringer’s Solution in Combination with Rectal Indomethacin

Post written by Shaffer R. S. Mok, MD, MBS, from Cooper University Hospital. The present fund of knowledge available for the prevention of pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP) is growing. With available data evaluating rectal indomethacin and early studies assessing lactated ringer’s (LR) infusion, we felt it necessary to study the combination of these …

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