Post written by Kazumasa Nagai, MD, PhD, from Tokyo Medical University, Tokyo, Japan. Bilioenteric anastomotic stricture (BES) is a significant adverse event after hepaticojejunostomy. Recently, EUS-guided antegrade intervention (EUS-AI) has been developed in cases of balloon enteroscopy–assisted ERCP failure. Several reports have demonstrated the efficacy and safety of EUS-AI. However, the results of these studies were …
Category: Investigations
Ultrathin endoscope equipped with ultrasonic miniprobe for upper GI US in a porcine model
Post written by Hanchao Pan, MM, from the Department of Gastroenterology, First Affiliated Hospital of Soochow University, Suzhou, China. A 1.4-mm diameter EUS miniprobe catheter system (20 MHz and 30 MHz) was designed and fabricated. This system can be compatible with the existing ultrathin gastroscope working channel. Miniprobe ultrasonography through the ultrathin gastroscope can be realized …
Prophylactic stenting to decrease the incidence of esophageal strictures after extensive endoscopic submucosal dissection: the first U.S. experience
Post written by Antonio Mendoza Ladd, MD, FACG, FASGE, from the University of California, Davis, Davis, California, USA. This case series focused on the effect of prophylactic placement of fully covered self-expandable metal stents after esophageal endoscopic submucosal dissection (ESD). ESD of esophageal lesions has increased significantly over the last 10 years in the United States. …
Management of small subepithelial tumors by endoscopic banding without resection and single-incision needle-knife–assisted biopsy sampling: a prospective multicenter study
Post written by Francesc Bas-Cutrina, MD, and Joan B. Gornals, MD, PhD, from the Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de Bellvitge, Bellvitge Biomedical Research Institute (IDIBELL), Universitat de Barcelona, Catalonia, Spain. Endoscopic band ligation (EBL) without resection has been described in ablative treatment for Barrett’s esophagus or eradication of esophageal varices. Few …
Long-term outcomes (≥3 years) after gastric peroral endoscopic myotomy for refractory gastroparesis: a systematic review and meta-analysis
Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. Refractory gastroparesis is a chronic debilitating condition that results in decreased quality of life, weight loss/malnutrition, and increased healthcare costs. Medical options with prokinetic agents are often limited, and intrapyloric botulinum toxin injection has …
Comparison of the efficacy and safety of an oral sulfate solution and 3-L polyethylene glycol on bowel preparation before colonoscopy: a phase III multicenter randomized controlled trial
Post written by Peng Pan, MD, from the Department of Gastroenterology, Changhai Hospital, Naval Military Medical University, Shanghai, China. The oral sulfate solution (OSS) split-dose regimen has been evaluated in several trials by comparing 2-L polyethylene glycol (PEG) plus ascorbic acid or 4-L PEG using the split-dose or same-day method. These studies showed that OSS was …
Location and appearance of dysplastic Barrett’s esophagus recurrence after endoscopic eradication therapy: no additional yield from random biopsy sampling neosquamous mucosa
Post written by Tony He, MBBS, FRACP, and Andrew C.F. Taylor, MD, FRACP, from the Department of Gastroenterology, St Vincent’s Hospital, and the University of Melbourne, Melbourne, Victoria, Australia. We aimed to help inform surveillance guidelines in patients who had successful complete eradication of dysplastic Barrett’s esophagus (BE) by identifying the anatomic location, appearance, and histology …
Randomized controlled trial of procedural sequence for same-day bidirectional endoscopy under monitored anesthesia care (RECoVER Trial)
Post written by Ali El Mokahal, MD, from the American University of Beirut, Beirut, Lebanon. In this study, we investigated the impact of procedural sequence during same-day bidirectional endoscopy conducted with the patient under monitored anesthesia care. Our primary outcome was the time to recovery from sedation. We also evaluated the amount of sedation administered, time …
Endoscopic sleeve gastroplasty reintervention score using supervised machine learning
Post written by Hassam Ali, MD, from the Department of Gastroenterology, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA. This study aimed to develop a predictive model for 30-day reintervention rates following endoscopic sleeve gastroplasty (ESG) procedures. Using supervised machine learning techniques, the model incorporates factors such as patient demographics, clinical variables, and …
EUS-guided gallbladder drainage using a lumen-apposing metal stent as rescue treatment for malignant distal biliary obstruction: a large multicenter experience
Post written by Cecilia Binda, MD, from the Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, Forlì-Cesena, Italy. Our study focused on EUS-guided gallbladder drainage (EUS-GBD) as an option for jaundice treatment that may be reserved for patients affected by distal malignant biliary obstruction (DMBO) after ERCP failure and EUS-guided biliary drainage (hepaticogastrostomy or choledochoduodenostomy) …
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