Post written by Bilal Toka, MD, from the Department of Gastroenterology, Sakarya University Faculty of Medicine, Sakarya, Turkey. Mechanical and thermal endoscopic methods are the most commonly used methods for the treatment of gastrointestinal (GI) bleeding. The hemostatic clip is one of the most common mechanical methods used. Monopolar hemostatic forceps soft coagulation (MHFSC) is …
Category: Investigations
Rescue of a delayed spontaneously migrated lumen-apposing metal stent placed to facilitate transluminal ERCP
Post written by Prabhleen Chahal, MD, FACG, FASGE, and C. Roberto Simons-Linares, MD, MSc, from the Gastroenterology and Hepatology Department, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA. We present a case of a delayed spontaneously migrated lumen-apposing metal stent (LAMS) that was placed in a patient with a history of Roux-en-Y gastric bypass …
Outcome of EMR in Barrett’s esophagus determined by systematic quantification of epithelial glands using VLE
Post written by Amrit K. Kamboj, MD, and Cadman L. Leggett, MD, from the Department of Internal Medicine and Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Volumetric laser endomicroscopy (VLE) is an advanced imaging modality that uses optical coherence tomography to capture real-time, high-resolution, cross-sectional images of the esophagus. Epithelial glands are …
Modified attachment method using an S-O clip for gastric ESD
Post written by Mitsuru Nagata, MD, from the Department of Endoscopy, Shonan Fujisawa Tokushukai Hospital, Kanagawa, Japan. In this report, we present 2 cases of gastric neoplasm treated using S-O clip-assisted endoscopic submucosal dissection (ESD) and discuss the use of the S-O clip for gastric ESD. The S-O clip (Zeon Medical, Tokyo, Japan) is a …
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Successful hemostasis of active lower GI bleeding using a hemostatic powder as mono-, combination, or rescue therapy
Post written by Lawrence Hookey, MD, from the Hotel Dieu Hospital, Kingston, Ontario, Canada. This study is the largest to prospectively evaluate the hemostatic powder TC-325 in lower GI bleeding. We included 50 patients with bleeding from different sources, and performed extensive efficacy and safety follow-up. TC-325 is a newer product (having just received regulatory …
Editor’s Choice: GEA vs MAC in high-risk patients undergoing ERCP
GIE Associate Editor, Dr. Sharmila Anandasabapathy, highlights this article from the April issue “A randomized controlled trial evaluating general endotracheal anesthesia versus monitored anesthesia care and the incidence of sedation-related adverse events during ERCP in high-risk patients” by Zachary L. Smith, DO, et al. This is one of the few studies which compare, via a randomized …
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Clinical and endoscopic predictors for intraprocedural mucosal injury during per-oral endoscopic myotomy
Post written by Ping-Hong Zhou, MD, PhD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China. We aimed to explore the characteristics, predictors, and management approaches of intraprocedural mucosal injury. As the mucosal flap is the only barrier between the mediastinum and esophageal lumen during per-oral endoscopic myotomy (POEM), mucosal …
Conscious transnasal hybrid ESD enables safe and painless en bloc resection
Post written by Yohei Minato, MD, from the NTT Medical Center, Tokyo, Japan. With the transnasal endoscopy, we successfully performed hybrid endoscopic submucosal dissection (ESD) of an early gastric cancer without sedation. Endoscopic Submucosal Dissection (ESD) is a technically demanding and time-consuming procedure, which is usually performed under sedation. Recently, hybrid ESD was developed as …
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Endoscopic sleeve gastroplasty versus laparoscopic sleeve gastrectomy
Post written by Vivek Kumbhari, MD, and Lea Fayad, MD, from the Division of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. Our study compared 2 weight-loss procedures, the commonly performed laparoscopic sleeve gastrectomy (LSG) and the newly introduced, minimally invasive endoscopic sleeve gastroplasty (ESG). The LSG has excellent weight-loss outcomes but, as an elective …
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Endoclip-assisted giant colon lipoma resection
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. We reported a case of a symptomatic giant sigmoid colon lipoma (7 cm × 6 cm) that was successfully removed with endoclip assisted dissection. Considering its size, thick stalk, and the possibility …
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