Post written Masahiro Tsujimae, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Hyogo, and Yousuke Nakai, MD, PhD, from the Department of Internal Medicine, Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan. The aim of our study was to investigate associations of the use of endoscopic necrosectomy (EN) and …
Category: Investigations
Efficacy and safety of fully covered self-expandable metal stents in the management of postsphincterotomy bleeding: systematic review and meta-analysis
Post written by Aamir Saeed, MD, from the Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA. In this meta-analysis, we aimed to assess the efficacy and safety of fully covered self-expandable metal stents (FCSEMSs) in the management of postsphincterotomy bleeding. Endoscopic sphincterotomy is commonly performed during ERCP to assist in various therapeutic interventions such as …
Potential indications for peranal endoscopic myectomy in lower rectal cancer
Post written by Katsuro Ichimasa, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. We present a groundbreaking advancement in the management of early lower rectal cancer through peranal endoscopic myectomy (PAEM), also known as endoscopic intermuscular dissection, in our recent publication in GIE. Traditional endoscopic methods such as endoscopic submucosal dissection …
Continue reading Potential indications for peranal endoscopic myectomy in lower rectal cancer
Pilot randomized trial of efficacy and safety of yogic technique versus polyethylene glycol solution for bowel preparation in colonoscopy
Post written by Manas Kumar Panigrahi, MD, DM, FRCP (Edin), from the Department of Gastroenterology, All India Institute of Medical Sciences, Bhubaneswar, India. The focus of our study was to improve on existing methods of bowel preparation in colonoscopy. Bowel preparation is the most important determinant of a proper colonoscopy. Inadequate bowel preparation often leads to missed …
Digital single-operator cholangioscopy for difficult anastomotic biliary strictures in living donor liver transplant recipients after failure of standard ERCP: SPYPASS-2 study (with videos)
Post written by In Rae Cho, MD, and Sang Hyub Lee, MD, PhD, from the Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, South Korea. Anastomotic biliary strictures (ABSs) are a major adverse event after living donor liver transplantation (LDLT) and often difficult to treat with standard ERCP alone. The SPYPASS-2 study evaluated …
A convolutional neural network–based system for identifying neuroendocrine neoplasms and multiple types of lesions in the pancreas using EUS (with videos)
Post written by Zhen Li, MD, from the Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China. The focus of our study was to develop a convolutional neural network—based artificial intelligence (AI) system named iEUS to assist in diagnosing pancreatic neuroendocrine neoplasms (pNENs) and multiple types of pancreatic lesions (including pancreatic adenocarcinoma, autoimmune pancreatitis, and pancreatic …
Optimizing EUS-guided choledochoduodenostomy with lumen-apposing metal stents for primary drainage of malignant distal biliary obstruction (SCORPION-IIp): a prospective pilot study
Post written by Roy van Wanrooij, MD, PhD, from the Department of Gastroenterology and Hepatology, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands. EUS-guided choledochoduodenostomy (EUS-CDS) is increasingly used in management of malignant distal biliary obstruction, not only as a rescue strategy after failed ERCP, but also as the primary drainage strategy. Its growing adaptation is driven …
Evaluating the efficacy of a novel hemostatic powder compared with traditional treatments in nonvariceal upper GI bleeding: a multicenter, randomized, noninferiority study
Post written by Jun Chul Park, MD, PhD, from the Department of Internal Medicine, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, South Korea. This multicenter, randomized, noninferiority trial evaluated the efficacy and safety of CEGP-003 (CGBio, Seongnam, South Korea)—a novel hemostatic powder composed of hydroxyethylcellulose and epidermal growth factor—compared with that of conventional endoscopic treatments …
EUS-directed transduodenal ERCP in concomitant gastric outlet and biliary obstruction
Post written by William F. Abel, MD, from Carilion Clinic, Virginia Tech, Roanoke, Virginia, USA. Concomitant gastric outlet and biliary obstruction presents a unique challenge, as severe underlying illness often limits surgical treatment options. Our study details an observational experience to both relieve the gastric outlet obstruction and allow for biliary stenting as well as anticipated future …
Feasibility and safety of EUS-guided biliary drainage in inexperienced centers: a multicenter study in southwest Japan
Post written by Yusuke Ishida, MD, PhD, and Takehiko Koga, MD, PhD, from the Department of Gastroenterology and Medicine, Fukuoka University Faculty of Medicine, Fukuoka, Japan. This study aimed to evaluate the feasibility and safety of EUS-guided biliary drainage (EUS-BD) in inexperienced centers. Although EUS-BD has shown high success rates in high-volume centers, its outcomes in newly adopting centers …
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