Post written by Samuel Han, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. In this Tools and Techniques video, we describe a formalized technique to close defects created by ESD using endoscopic suturing. Essentially, we suggest proceeding from the site most distal to the scope insertion …
Continue reading Endoscopic suturing for closure of ESD defects
Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina. We demonstrated that not only does the gastric body shorten during endoscopic sleeve gastroplasty, but the gastric fundus descends as well. This often brings the fundus below the GE junction and increases the …
Continue reading The descending gastric fundus in endoscopic sleeve gastroplasty
Post written by Yuzuru Tamaru, MD, PhD, from the Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Kure, Japan. In this report, we present 2 cases of precutting endoscopic mucosal resection (EMR)/hybrid endoscopic submucosal dissection (ESD) with a circumferential incision and partial dissection followed by snare resection via SOUTEN. We also …
Post written by Seiichiro Abe, MD, PhD, from the Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. Endoscopic resection (ER) is a minimally invasive treatment option for superficial adenocarcinoma (EA). We recently demonstrated that lymphovascular involvement, a poorly differentiated histology, and lesion size were independent risk factors for metastasis in patients with esophageal adenocarcinoma. Patients …
Post written by Allison R. Schulman, MD, MPH, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA. The case described here is a 71-year-old woman with a history of laparoscopic sleeve gastrectomy performed 1 year prior who presented with nausea, vomiting, reflux, and inability to tolerate …
Post written by Wladyslaw Januszewicz, MD, from the Department of Gastroenterological Oncology, The Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, and the Department of Gastroenterology, Hepatology and Clinical Oncology, Medical Centre for Postgraduate Education, Warsaw, Poland, and the MRC Cancer Unit, University of Cambridge, Cambridge, United Kingdom. The focus of our study was …
Continue reading Endoscopist biopsy rate as a quality indicator for outpatient gastroscopy
Post written by Ryan Law, DO, from the Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA. A 41-year-old woman presented with a 2-year history of nausea, post-prandial pain, dysphagia to solid food, and intermittent regurgitation. During her evaluation, she was found to have a 4-cm long outpouching suggestive of an epiphrenic diverticulum as …
Post written by Aayed Alqahtani, MD, FRCSC, FACS, from the Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia. For many patients with obesity, bariatric surgery is not a suitable option. Some patients are not eligible for weight-loss surgery under current conventional criteria. Additionally, many patients who are eligible for bariatric surgery …
Continue reading Short-term outcomes of endoscopic sleeve gastroplasty in 1000 consecutive patients
Post written by Mayu Nishiyama, MD, Shigeto Ishii, MD, Toshio Fujisawa, MD, PhD, Hiroaki Saito, MD, PhD, and Hiroyuki Isayama, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan. This is a case of unresectable hilar cholangiocarcinoma in a 74-year-old man. He developed acute cholecystitis after biliary stent placement …
Post written by Ignacio Fernández-Urién, MD, PhD, from the Gastroenterology Department, Complejo Hospitalario de Navarra, Navarra, Spain. We presented the case of a 50-year-old woman with an 8-cm pelvic abscess secondary to an acute diverticulitis that was drained guided by EUS. First, we punctured the lesion with a 19-gauge needle, and 5 mL of purulent …
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