Post written by Wen-Lun Wang, MD, PhD, and Ching-Tai Lee, MD, from the Department of Gastroenterology and Hepatology, E-Da Hospital, Kaohsiung, Taiwan. Endoscopic radiofrequency ablation (RFA) has shown good efficacy and safety in eradicating Barrett’s neoplasia as well as flat-type early esophageal squamous cell neoplasia (ESCN). However, a post-RFA stricture is still a major concern, especially …
Category: Investigations
Marijuana and endoscopy: the effects of marijuana on sedation
Post written by Christopher Adam Bouvette, MD, and Mohammad Madhoun, MD, MS, FACP, from the University of Oklahoma College of Medicine and the Oklahoma City Veterans Health Administration Medical Center, Oklahoma City, Oklahoma, USA. Our patients are more frequently using marijuana amid varying degrees of legality and medical indication. We set out to describe any potential …
Continue reading Marijuana and endoscopy: the effects of marijuana on sedation
Endoscopic treatment of nonoperable large postsurgical esophageal fistulas: retrospective analysis of a single tertiary center cohort
Post written by Sebastian Petruzzella, MSc, from the Department of Gastroenterology and Hepatology, CHUV, Lausanne’s University Hospital, Lausanne, and the Department of Surgery, Hôpital Riviera-Chablais, Rennaz, Switzerland. Our study focused on the efficacy of endoluminal treatment of postsurgical fistulas after esophagectomy. Not all patients are fit to be reoperated on after an anastomotic leak, and surgical …
The use of a self-assembling peptide gel for stricture prevention in the esophagus after endoscopic submucosal dissection: a U.S. multicenter prospective study (with video)
Post written by Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Endoscopic submucosal dissection (ESD) has become an increasingly endorsed technique for the management of superficial neoplasia in the esophagus. The main limitation with ESD in the esophagus is the high rate of stricture formation. The aim of this multicenter …
Feasibility of esophageal endoscopic submucosal dissection after radiofrequency ablation treatment in patients with Barrett’s esophagus
Post written by Mako Koseki, MD, from the Gastroenterology, Hepatology, and Nutrition Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA, and the Department of Medicine, Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, New York, and Makoto Nishimura, MD, from the Gastroenterology, Hepatology, and Nutrition Service, Memorial Sloan Kettering …
A novel artificial intelligence–assisted “vascular healing” diagnosis for prediction of future clinical relapse in patients with ulcerative colitis: a prospective cohort study (with video)
Post written by Yasuharu Maeda, MD, PhD, and Takanori Kuroki, MD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Kanagawa, Japan. In the assessment of inflammation and prediction of outcomes in ulcerative colitis (UC), artificial intelligence (AI)—assisted image-enhanced endoscopy offers objective and more precise predictions. We developed an AI-assisted narrow-band imaging system called …
Fixation of the proximal flange of a lumen-apposing metal stent using a through-the-scope endoscopic suturing system to prevent stent migration in single-session EUS-directed transgastric ERCP: a pilot study
Post written by Hafiz Muzaffar Akbar Khan, MD, from the Division of Gastroenterology and Azhar Hussain, MBBS, from the Division of Medicine, State University of New York Upstate Medical University, Syracuse, New York, USA. The aim of our study was to evaluate and describe safe and effective use of a through-the-scope endoscopic suturing system for anchoring …
Learning curve of EUS-guided biliary duct drainage: systematic review and meta-analysis
Post written by Ishaan Vohra, MD, from the Division of Gastroenterology, Hepatology and Nutrition, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA. This study is a systematic review and meta-analysis to determine the number of procedures required to achieve proficiency in EUS-guided biliary drainage (EUS-BD). In addition, we assessed the clinical and technical …
Safety and efficacy of direct percutaneous endoscopic jejunostomy tube placement compared with surgical jejunostomy: a tertiary care analysis
Post written by Shajan Peter, MD, from the Division of Gastroenterology and Hepatology, Basil Hirschowitz Center of Advanced Endoscopy, University of Alabama at Birmingham, Birmingham, Alabama, USA. We examined cases over 5 years of enteral tube feeding placement. We further divided the patients into cohorts for the traditional open laparotomy approach, laparoscopic jejunostomy, and direct percutaneous endoscopic …
Successful EUS-guided pancreatic cyst chemoablation safely allows reduction in the frequency of radiographic surveillance: long-term follow-up of randomized prospective data
Post written by J. Westley Heinle, MPH, from the the Division of Gastroenterology and Hepatology, Penn State College of Medicine and Penn State Hershey Medical Center, Hershey, Pennsylvania, USA. The 2 randomized prospective Chemotherapy for Ablation and Resolution of Mucinous Pancreatic Cysts (ChARM) clinical trials investigate and develop alcohol-free EUS-guided pancreatic cyst chemoablation. The current investigation …