Risk of progression in Barrett’s esophagus indefinite for dysplasia

Post written by Rajesh Krishnamoorthi, MD, from the Digestive Diseases Institute, Virginia Mason Medical Center, Seattle, Washington, USA. The current study is systematic review and meta-analysis to estimate the risk of progression to high-grade dysplasia and/or esophageal adenocarcinoma in patients with Barrett's esophagus indefinite for dysplasia. Barrett’s esophagus (BE) is a precursor lesion for esophageal …

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Transient hypotension during endoscopic resection of gangliocytic paraganglioma with ampullary involvement

Post written by Tadashi Katayama, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, and the Department of Internal Medicine, Tokyo Dental College, Ichikawa General Hospital, Chiba, Japan. Gangliocytic paraganglioma with ampullary involvement was resected endoscopically with a 15-mm snare. During resection of the tumor, the …

Continue reading Transient hypotension during endoscopic resection of gangliocytic paraganglioma with ampullary involvement

Initial clinical experience of a steerable access device for EUS-guided biliary drainage

Post written by Vivek Kumbhari, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. EUS-guided biliary drainage (EUS-BD) is an accepted method to treat biliary pathology in those that have failed ERCP. A recent consensus statement recommended that of the 4 major EUS-BD techniques, EUS-guided rendezvous should be the …

Continue reading Initial clinical experience of a steerable access device for EUS-guided biliary drainage

Editor’s Choice: Trends in EMR for nonmalignant colorectal polyps in the United States

GIE Associate Editor, Dr. Lyndon Hernandez, MD, MPH, highlights this article from the January issue “Trends in EMR for nonmalignant colorectal polyps in the United States” by Jessica X. Yu, MD, MS, et al.  Using a large health insurance claims database, the authors observed an increase in the performance of EMR for colorectal lesions. However, …

Continue reading Editor’s Choice: Trends in EMR for nonmalignant colorectal polyps in the United States

Biliary reintervention with inversion technique in the duodenum with short-type double-balloon endoscope

Post written by Naminatsu Takahara, MD, PhD, and Yousuke Nakai, MD, PhD, from the Department of Endoscopy and Endoscopic Surgery, The University of Tokyo, Tokyo, Japan. A 51-year-old man was referred for the management of malignant biliary obstruction (MBO) and gastric outlet obstruction (GOO) due to pancreatic head cancer. A biliary covered metallic stent and …

Continue reading Biliary reintervention with inversion technique in the duodenum with short-type double-balloon endoscope

Failure of over-the-scope clip to control duodenal ulcer bleeding despite successful application

Post written by Calvin J. Koh, MBBS, from the Division of Gastroenterology and Hepatology, Medicine, National University Hospital, and Faculty of Medicine, National University of Singapore, Singapore. This case shows a patient with a large, oozing (Forrest 1b) duodenal ulcer for which an over-the-scope clip was deployed successfully to the ulcer base with the bleeding …

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Comparison between fine-needle biopsy and fine-needle aspiration for EUS-guided sampling of subepithelial lesions

Post written by Antonio Facciorusso, MD, PhD, from the Gastroenterology Unit, University of Foggia, Foggia, Italy. Endoscopic ultrasound (EUS) fine-needle aspiration (FNA) did not prove to outperform bite-on-bite biopsy in patients with subepithelial lesions (SELs) showing a pooled diagnostic yield as high as 60%. Based on this evidence, current guidelines recommend EUS-guided sampling only in …

Continue reading Comparison between fine-needle biopsy and fine-needle aspiration for EUS-guided sampling of subepithelial lesions