Prediction and management of bleeding during endoscopic necrosectomy for pancreatic walled-off necrosis: results of a large retrospective cohort at a tertiary referral center

Post written by Ian Holmes, MD, from Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.  Over the last 10 years, the management of pancreatic walled-off necrosis (WON) has evolved with the development of minimally invasive endoscopic approaches to cystgastrostomy and necrosectomy. Endoscopic necrosectomy (EN) has become a widely favored strategy because of the low rates of …

Continue reading Prediction and management of bleeding during endoscopic necrosectomy for pancreatic walled-off necrosis: results of a large retrospective cohort at a tertiary referral center

Efficacy and factors affecting procedure results of short-type single-balloon enteroscopy–assisted ERCP for altered anatomy: a multicenter cohort in Japan

Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. ERCP is considered challenging in patients with surgically altered anatomy. Procedural outcomes using a conventional endoscope have not been satisfactory. A short-type single-balloon enteroscopy (short SBE)–assisted ERCP has been reported as useful in patients with …

Continue reading Efficacy and factors affecting procedure results of short-type single-balloon enteroscopy–assisted ERCP for altered anatomy: a multicenter cohort in Japan

Cost-effectiveness analysis of optimal diagnostic strategy for patients with symptomatic cholelithiasis with intermediate probability for choledocholithiasis

Post written by Faisal S. Ali, MD, from the Center for Interventional Gastroenterology at UTHealth (iGUT), University of Texas Health Science Center at Houston, Houston, Texas, USA. Our study aimed to provide further guidance on evaluating intermediate probability choledocholithiasis (IPC) in patients with cholelithiasis. The updated American Society for Gastrointestinal Endoscopy (ASGE) guideline recommends endoscopic …

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Performance of perioperative antibiotics against post–endoscopic submucosal dissection coagulation syndrome: a multicenter randomized controlled trial

Post written by Yoji Takeuchi, MD, FJGES, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Post—endoscopic submucosal dissection (ESD) coagulation syndrome (PECS) sometimes occurs after colorectal ESD and leads to extended hospitalization. Although the efficacy of perioperative antibiotics preventing PECS had been uncertain, perioperative antibiotics had been used to prevent PECS …

Continue reading Performance of perioperative antibiotics against post–endoscopic submucosal dissection coagulation syndrome: a multicenter randomized controlled trial

Top tips regarding EUS-guided liver biopsy

Post written by David L. Diehl, MD, FACP, FASGE, from the Department of Gastroenterology and Nutrition, Geisinger Medical Center, Danville, Pennsylvania, USA. The editors of GIE wanted a Top Tips section in the Journal in 2022, and I feel very honored to be asked to craft an article for this series on “Top tips regarding …

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Endoscopic full-thickness resection of colorectal lesions: a systematic review and meta-analysis

Post written by Russell D. Dolan, MD, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. As techniques have advanced to improve endoscopic removal of large lesions within the colon and rectum to serve as alternatives to surgery, endoscopic mucosal resection (EMR) and endoscopic submucosal dissection …

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Endoscopic vacuum therapy for the management of upper GI leaks and perforations: a multicenter retrospective study of factors associated with treatment failure (with video)

Post written by Jun Chul Park, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. Upper GI leaks and perforations lead to serious conditions associated with high morbidity and mortality. The optimal method for managing these patients remains controversial. Although surgery is a treatment option, it …

Continue reading Endoscopic vacuum therapy for the management of upper GI leaks and perforations: a multicenter retrospective study of factors associated with treatment failure (with video)

Classification, outcomes, and management of misdeployed stents during EUS-guided gastroenterostomy

Post written by Bachir Ghandour, MD, from Johns Hopkins Medicine, Baltimore, Maryland, USA. EUS-guided gastroenterostomy (EUS-GE) is a minimally invasive procedure that is increasingly performed for the management of patients with gastric outlet obstruction (GOO). Stent misdeployment (SM) during EUS-GE remains the most common cause for technical failure and adverse events, hindering its widespread dissemination. …

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Technological review: developments in innovative duodenoscopes

Post written by Mark A. Gromski, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA. The development of innovative duodenoscopes has recently been a dynamic area within interventional endoscopy. In this paper, we aimed to review the status of innovative duodenoscopes, first by putting into …

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Evaluation of polypectomy quality indicators of large, nonpedunculated colorectal polyps in a nonexpert, bowel cancer screening cohort

Post written by Lonne W.T. Meulen, MD, from the Department of Internal Medicine, Division of Gastroenterology and Hepatology, Maastricht University Medical Center, Maastricht, The NetherlandsGROW, School for Oncology and Developmental Biology, Maastricht University, Maastricht, The Netherlands. Our study aimed to provide insight into the quality of endoscopic treatment of large (≥20 mm), nonpedunculated colorectal polyps. …

Continue reading Evaluation of polypectomy quality indicators of large, nonpedunculated colorectal polyps in a nonexpert, bowel cancer screening cohort