Post written by Satoshi Abiko, MD, PhD, from the Department of Gastroenterology, Kushiro Rosai Hospital, Kushiro, Japan. Several ligation techniques for ulceration after endoscopic submucosal dissection (ESD) have been reported, but none have been established for clinical use because of technical complexity and the need for expensive equipment. Therefore, the technical feasibility of a new …
Category: Investigations
Endoscopic submucosal dissection of early gastric cancer in a patient with situs inversus totalis
Post written by Yohei Koyama, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Situs inversus totalis (SIT) is defined as the complete mirror-image transposition of the thoracic and abdominal viscera. It is a relatively rare congenital anomaly with an incidence of approximately 1 per 4,000 to 8,000 persons. Endoscopic submucosal …
Fibrous-membrane resection for hepaticojejunostomy anastomosis obstruction under enteroscopic and cholangioscopic double views
Post written by Mitsuru Okuno, MD, PhD, from the Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan. We describe the case of occluded hepaticojejunostomy anastomosis (HJA) with a thick and hard fibrous membrane which was able to be safely resected under direct double-endoscopic views using a cholangioscope and enteroscope (short-type double balloon endoscope). This technique …
Evaluating the practice of canceling colonoscopies for presumed inadequate bowel preparation
Post written by Brian C. Jacobson, MD, MPH, from the Boston Medical Center and the Boston University School of Medicine, Boston, Massachusetts, USA. We sought to better understand how often endoscopists cancel a colonoscopy during the triage phase (ie, before colonoscope insertion) because of concern that the patient’s bowel preparation will be inadequate. An important …
Increased risk of metachronous large serrated polyps in individuals with 5- to 9-mm proximal hyperplastic polyps
Post written by Joseph C. Anderson, MD, from the Department of Medicine, Geisel School of Medicine at Dartmouth, Hanover, and the New Hampshire Colonoscopy Registry, Lebanon, New Hampshire, USA. The goal of our study was to examine the risk of metachronous large serrated polyps (SPs) and advanced adenomas in patients with 5- to 9-mm proximal …
Usefulness of a thin-endoscope ESD using the traction device for early gastric cancer in a patient with esophageal stricture
Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. The video describes the usefulness of a thin-endoscope endoscopic submucosal dissection (ESD) using the traction device for early gastric cancer in a patient with an esophageal stricture. A 72-year-old man was referred to our hospital for …
Novel suture placement to affix overlapping metal stents in the treatment of an acute leak after sleeve gastrectomy
Post written by Jessica Yu, MD, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan. We present a case of a 45-year-old woman who presented with a leak and peri-gastric fluid collection 6 weeks after a vertical sleeve gastrectomy (VSG). This was initially treated with percutaneous drainage and placement of a …
Efficacy of EUS-guided celiac plexus neurolysis compared with medication alone for unresectable pancreatic cancer in the oxycodone/fentanyl era
Post written by Yoshihide Kanno, MD, from the Department of Gastroenterology, Sendai City Medical Center, Miyagi, Japan. The focus of our study was to evaluate the value of routine performance of EUS-guided celiac plexus neurolysis (EUS-CPN) at an early cancer-pain stage. EUS-CPN has been reported to be effective for patients with upper abdominal pain due …
A simple and cost-effective method: piecemeal cold snare polypectomy without injection for a large sessile serrated lesion ≥20 mm
Post written by Yoshiaki Kimoto, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. A flat and fold-over 25-mm lesion covered with rich mucus was pointed out at the ascending colon. We diagnosed the lesion as SSL without dysplasia. Using a 10-mm oval-type snare (SnareMaster Plus; Olympus, Tokyo, Japan), the near …
Nonvariceal upper GI hemorrhage after percutaneous coronary intervention for acute myocardial infarction
Post written by Mohammad Bilal, MD, from the Division of Gastroenterology & Hepatology, The University of Texas Medical Branch, Galveston, Texas, and the Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. Coronary artery disease is the leading cause of mortality in the United States, and acute myocardial …
