Post written by Hassam Ali, MD, from Gastroenterology & Hepatology, East Carolina University/Brody School of Medicine, Greenville, North Carolina, USA. The present study investigates GI bleeding in patients with left ventricular assist devices (LVADs). We aimed to understand the risk factors associated with this condition and to develop a predictive model using machine learning. GI bleeding …
Category: Investigations
Efficacy of bougie versus balloon dilatation in children with benign esophageal stricture: a propensity score–matched retrospective cohort study
Post written by Ujjal Poddar, MD, DNB, DM, from the Department of Pediatric Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. We conducted this propensity score—matched retrospective study to compare bougie versus balloon dilatation for short esophageal strictures in children and assess the outcome of endoscopic dilatation on their growth. Although uncommon, …
Novel miniature transendoscopic telerobotic system for endoscopic submucosal dissection (with videos)
Post written by Xiuli Zuo, MD, PhD, from Qilu Hospital of Shandong University, Jinan, China. The focus of my study includes medical mechatronics, balloon enteroscopy, inflammatory bowel diseases, and early GI cancer diagnosis and endoscopic treatment. It is known that using a conventional endoscope to perform endoscopic submucosal dissection (ESD) is difficult because of the 1-handed …
EUS-guided coil injection therapy in the management of gastric varices: the first U.S. multicenter experience (with video)
Post written by Ahmad Najdat Bazarbashi, MD, from Washington University in St. Louis School, St. Louis, Missouri, USA. The focus of this study was to evaluate the efficacy and safety profile of EUS-guided coil therapy for the management of gastric varices through a multicenter retrospective collaborative effort in the United States—the first of its kind. There …
Long-term outcomes after EUS-guided antegrade intervention for benign bilioenteric anastomotic stricture
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 …
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 …