Classification for invasion depth of esophageal squamous cell carcinoma

Post written by Ryu Ishihara, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. The aim of this study was to develop a computerized image analysis system using deep learning to diagnose the invasion depth of superficial esophageal squamous cell carcinoma (SCC). Diagnosing cancer invasion depth of esophageal squamous cell carcinoma …

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Laser dissection for recalcitrant pancreaticojejunostomy anastomotic stricture

Post written by Samuel Han, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. In this video case report, we describe the use of laser dissection to treat a refractory pancreaticojejunostomy anastomotic stricture. Using a holmium laser fiber (272 µm), we treated the stricture in 3 quadrants …

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Learning effect after e-learning training in endoscopic diagnosis

Post written by Hisatomo Ikehara, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. We have developed an e-learning system to learn the magnifying endoscopic findings of early gastric cancer that can be taken on the web. And we have already reported the effectiveness of …

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Management of a refractory leak after sleeve gastrectomy: the endoscopic armamentarium

Post written by Jessica X. Yu, MD, MS, and Allison R. Schulman, MD, MPH, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. We described the case of a 48-year-old woman with a history of a sleeve gastrectomy complicated by a refractory staple line leak. The patient presented 2 weeks …

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Chromoendoscopy versus white-light endoscopy in patients with IBD

Post written by Joseph D. Feuerstein, MD, from the Center for Inflammatory Bowel Disease, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. The focus of this study was to assess the benefits of adding chromoendoscopy to enhance our ability to screen for colorectal cancer in patients with longstanding inflammatory bowel disease affecting …

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Comparison of endoscopic bilateral stent-in-stent vs stent-by-stent deployment

Post written by Tae Hoon Lee, MD, PhD, and Jong Ho Moon, MD, PhD, from the Department of Internal Medicine, SoonChunHyang University College of Medicine, Cheonan, Republic of Korea. Although the efficacy of palliative bilateral biliary drainage using self-expandable metal stents (SEMS) has been demonstrated, it is unclear which bilateral deployment method using SEMS is …

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Editor’s Choice: Endoscopic focal cryoballoon ablation for esophageal squamous cell neoplasia

GIE Associate Editor, Dr. Fauze Maluf-Filho, highlights this article from the August issue “Prospective study of endoscopic focal cryoballoon ablation for esophageal squamous cell neoplasia in China” by Yan Ke, MD, et al.  This is one of the first and probably the largest clinical trial reporting on the treatment of moderate- and high-grade dysplasia of …

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Effect of video monitor size on polyp detection

Post written by Manol Jovani, MD, MPH, from the Division of Gastroenterology, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA. The focus of this study was to ascertain whether larger monitors could improve the quality of colonoscopies, and whether this could be quantified objectively by an improvement of adenoma detection rates. Many endoscopists and …

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Alternative approach to hemostatic particle spraying for treatment of GI bleeding

Post written by Stuart K. Amateau, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Gastrointestinal bleeding is a leading cause of morbidity and mortality in the United States and occasionally patients exhibit refractory bleeding despite standard endoscopic therapy. Although used internationally for the …

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Differential risk of disease progression in CD

Post written by Jacob E. Ollech, MD, from the Inflammatory Bowel Disease Center, University of Chicago Medicine, Chicago, Illinois, USA. This studied determined whether isolated anastomotic ulcers (Rutgeerts score i2a), or 5 or more aphthous ulcers within the neoterminal ileum (i2b) predict an increased risk of endoscopic disease progression. Endoscopic recurrence occurs frequently after ileocolic …

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