Post written by Fernando Lander Mota, MD, from the Department of Digestive Endoscopy, Hospital Sírio-Libanês, São Paulo, Brazil. Here we describe 4 cases where the use of cap and underwater technique was decisive in the management of gastrointestinal bleeding of different etiologies. The attachment of a simple transparent plastic cap allowed us to push aside …
Category: Investigations
Usefulness of a newly designed laser-cut metal stent with an anchoring hook and thin delivery system for EUS-guided hepaticogastrostomy in experimental settings
Post written by Masayuki Kitano, MD, PhD, from the Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan. We developed a partially covered self-expandable metal stent with a thin delivery system (7.2 Fr) that has 2 advantages for EUS-guided hepaticogastrostomy (EUS-HGS). First, using a thin delivery system with a tapered tip, the stent can …
POEM: 10-year outcomes from a large, single-center U.S. series with high follow-up completion and comprehensive analysis of long-term efficacy, safety, objective GERD, and endoscopic functional luminal assessment
Post written by Stavros N. Stavropoulos, MD, from the Division of Gastroenterology, Hepatology & Nutrition, NYU-Winthrop Hospital, Mineola, New York, USA. Our study aimed to provide a comprehensive, in-depth analysis of long-term POEM outcomes from the largest prospective database of POEM procedures in the U.S. (currently at ~800 POEMs, with the longest and most complete …
Use of peroral cholangioscopy to screen for neoplastic bile duct lesions in patients with bile duct stones
Post written by Il Sang Shin, MD Jong Ho Moon, MD, PhD Yun Nah Lee, MD, PhD, from the Digestive Disease Center and Research Institute, Departments of Internal Medicine, SoonChunHyang University School of Medicine, Bucheon, Korea. Although cholangiocarcinoma (CCA) has very high mortality rates due to its late detection, satisfactory screening methods of CCA have …
Expert consensus on endoscopic papillectomy using a Delphi process
Post written by Jeska A. Fritzsche, MD, from the Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, Amsterdam Gastroenterology Endocrinology & Metabolism, Amsterdam, the Netherlands. The focus of our study was to assess the expected wide variety in daily practice of endoscopic papillectomy and to achieve further consensus among international experts by using a …
Continue reading Expert consensus on endoscopic papillectomy using a Delphi process
My one and only eye (still the one)
Post written by Jacobo Dib Jr., MD, FASGE, from Hospital “Dr. Jesús Yerena” de Lidice, Caracas, Venezuela. I felt the need to share with the rest of the world the conditions in which we perform endoscopy at a public setting in my country, Venezuela. I am sure that colleagues from many other countries will find …
Trends in performance of ERCP among patients with surgically unresectable pancreatic cancer
Post written by Patrick Yachimski, MD, MPH, from the Division of Gastroenterology, Hepatology & Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee, USA. This study was conducted to assess whether there has been a change over time in the use of ERCP among patients with surgically unresectable pancreas cancer, and if so, if there was any …
Guidance for setting easy-to-adopt competence criteria for optical diagnosis of diminutive colorectal polyps: a simulation approach
Post written by Britt B.S.L. Houwen, MD, from the Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, location Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. Implementation of the optical diagnosis strategy for diminutive colorectal polyps by endoscopists and computer-aided diagnosis (CADx) systems is hampered as the current competence criteria [PIVI] are impractical …
Transpapillary gallbladder stent placement for long-term therapy of acute cholecystitis
Post written by Andrew C. Storm, MD, from the Division of Gastroenterology & Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Acute cholecystitis (AC) is a common disease, and while gallbladder removal surgery is one of the most commonly performed operations, some patients are not candidates for surgery. Left untreated, patients with AC can develop gangrene and gallbladder perforation, …
Artificial intelligence in the diagnosis of gastric precancerous conditions by image-enhanced endoscopy
Post written by Honggang Yu, MD, from the Department of Gastroenterology, the Key Laboratory of Hubei Province for Digestive System Disease, and the Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, China. In this study, we conducted a deep convolutional neural network (DCNN) system to detect …
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