Gastric injury secondary to button battery ingestions

Post written by Racha T. Khalaf, MD, from the Digestive Health Institute & Section of Pediatric Gastroenterology, Hepatology and Nutrition, Children’s Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA. Through our study, we wanted to better define the spectrum of injury and understand which clinical factors are associated with injury from retained …

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Permanent endoscopic reversal of Roux-en-Y gastric bypass for diagnosis and long-term palliation of pancreatic cancer

Post written by Seifeldin Hakim, MD, and Phillip S. Ge, MD, from the Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. Patients with Roux-en-Y gastric bypass (RYGB) anatomy face unique technical challenges in the management of pancreaticobiliary malignancy. EUS-guided RYGB reversal (known as EDGE or GATE …

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EUS-guided rendezvous with a steerable access needle in choledocholithiasis

Post written by Sundeep Lakhtakia, MD, DM, from the Asian Institute of Gastroenterology, AIG Hosiptals, Telangana, India. A patient with past cholecystectomy presented with symptomatic CBD stones. He had unsuccessful ERCPs due to duodenal deformity and non-visualized papilla located within a large duodenal diverticulum. This video case has 2 interesting segments. In first part, EUS …

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Impact of direct-acting oral anticoagulants and warfarin on postendoscopic GI bleeding and thromboembolic events

Post written by Andy Tien, MD, MS, from the Department of Internal Medicine, Kaiser Permanente Los Angeles Medical Center, Los Angeles, California. The focus of our study was to compare the risk of GI bleeding (GIB) and thromboembolic events among patients undergoing GI endoscopic procedures who are prescribed direct-acting oral anticoagulants (DOACs) versus warfarin. Endoscopists …

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Novel combination of a 0.018-inch guidewire, dedicated thin dilator, and 22-gauge needle for EUS-guided hepaticogastrostomy

Post written by Yoshihide Kanno, MD, from the Department of Gastroenterology, Sendai City Medical Center, Sendai, Japan. We presented a case of a patient with a surgically altered gastrointestinal anatomy who underwent EUS-guided hepaticogastrostomy (EUS-HGS) using a combination of a newly developed 0.018-inch guidewire, a dedicated thin dilator, and a 22-gauge needle. We often encounter …

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Management of a COVID-19 patient in the endoscopy suite

Post written by Joseph D. Feuerstein, MD, from the Division of Gastroenterology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA. This video is a training video to assist gastroenterologists with how to properly protect themselves with PPE equipment when performing endoscopy in patients with COVID-19. The video reviews different aspects of proper …

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Feasibility of a new ligation using the double-loop clips technique without an adhesive agent for ulceration after ESD of the colon

Post written by Satoshi Abiko, MD, PhD, from the Department of Gastroenterology, Kushiro Rosai Hospital, Kushiro, Japan. Several ligation techniques for ulceration after endoscopic submucosal dissection (ESD) have been reported, but none have been established for clinical use because of technical complexity and the need for expensive equipment. Therefore, the technical feasibility of a new …

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Endoscopic submucosal dissection of early gastric cancer in a patient with situs inversus totalis

Post written by Yohei Koyama, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Situs inversus totalis (SIT) is defined as the complete mirror-image transposition of the thoracic and abdominal viscera. It is a relatively rare congenital anomaly with an incidence of approximately 1 per 4,000 to 8,000 persons. Endoscopic submucosal …

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Fibrous-membrane resection for hepaticojejunostomy anastomosis obstruction under enteroscopic and cholangioscopic double views

Post written by Mitsuru Okuno, MD, PhD, from the Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan. We describe the case of occluded hepaticojejunostomy anastomosis (HJA) with a thick and hard fibrous membrane which was able to be safely resected under direct double-endoscopic views using a cholangioscope and enteroscope (short-type double balloon endoscope). This technique …

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Evaluating the practice of canceling colonoscopies for presumed inadequate bowel preparation

Post written by Brian C. Jacobson, MD, MPH, from the Boston Medical Center and the Boston University School of Medicine, Boston, Massachusetts, USA. We sought to better understand how often endoscopists cancel a colonoscopy during the triage phase (ie, before colonoscope insertion) because of concern that the patient’s bowel preparation will be inadequate. An important …

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