Post written by Akira Teramoto, MD, from the Gastrointestinal Center, Sano Hospital, Kobe, Japan. We believe that all endoscopists are very familiar with this situation; small polyps are identified during insertion phase of colonoscopy without having any intention to search for them. The clinical question, whether we should resect now or later, seems to be …
Category: Investigations
Introducing computer-aided detection to the endoscopy suite
Post written by Jeremy R. Glissen Brown, MD, from the Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. In this issue of VideoGIE, we are excited to present a video primer that outlines a computer-aided detection (CADe) system that we have applied prospectively during screening …
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Effect of individualized feedback on learning curves in EGD and colonoscopy
Post written by Samuel Han, MD, MSCS, and Sachin Wani, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. In this study, we aimed to perform a multicenter, randomized, controlled trial examining the effect of individualized feedback on learning curves in EGD and colonoscopy among GI fellows. …
Continue reading Effect of individualized feedback on learning curves in EGD and colonoscopy
Peroral endoscopic myotomy in a patient with failed Heller’s myotomy by use of a novel bipolar radiofrequency device
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video, we demonstrated the use of a new bipolar knife for peroral endoscopic myotomy (POEM) in a case with previous Heller’s myotomy. This knife uses radiofrequency energy for dissection and microwave energy for coagulation. The technique of POEM …
Comparison of smear cytology and liquid-based cytology in EUS-guided FNA of pancreatic lesions
Post written by Kai-xuan Wang, MD, PhD, from the Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China. The objective of this article was to compare the diagnostic efficacy of liquid-based cytology (LBC) and smear cytology (SC) in diagnosing solid pancreatic lesions. The diagnostic efficacy of SC and LBC for cytological samples obtained …
Underwater EMR of a colonic adenoma surrounded by diverticula
Post written by Satoki Shichijo, MD, PhD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. A 15-mm diameter laterally spreading tumor surrounded by multiple diverticula was pointed out at the ascending colon. The lesion was considered to be an indication for endoscopic resection. However, conventional endoscopic mucosal resection (EMR) of the …
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Double-channel double-grasper technique in over-the-scope clip deployment
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. Endoscopic management of gastrointestinal fistula and leak is increasingly utilized. One of the options is to apply over-the-scope (OTS) clipping devices to close the defect. During pulling the grasped walls into the …
Continue reading Double-channel double-grasper technique in over-the-scope clip deployment
Comparison of liquid-based cytology with conventional smear cytology for EUS-guided FNA of solid pancreatic masses
Post written by Sang Hyub Lee, MD, PhD, and Haeryoung Kim, MD, PhD, from the Department of Internal Medicine and Liver Research Institute, and the Department of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. The purpose of this study was to evaluate the diagnostic …
Endoscopic clipping closure for preventing coagulation syndrome after colorectal ESD
Post written by Takaya Shimura, MD, PhD, from the Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan. The aim of this RCT (CliPEC study) is to assess the usefulness of endoscopic clipping closure to prevent Post-ESD coagulation syndrome (PECS) and delayed perforation. In …
Efficacy of rapid bowel preparation with new 1 L polyethylene glycol ascorbate solution in severe acute lower GI bleeding
Post written by Mauro Manno, MD, from the Gastroenterology and Digestive Endoscopy Unit, Azienda USL, Modena, Italy. A 70–year-old man with history of chronic atrial fibrillation ongoing anticoagulant therapy was hospitalized for hemorrhagic shock and severe anemia, secondary to massive LGIB. Resuscitation with fluids and blood transfusions was performed. The novel 1-liter PEG+ASC solution (Plenvu, …
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