Content contributed by Peter B. Cotton, MD, FRCS, FRCP, from the Digestive Disease Center, Medical University of South Carolina, Charleston, South Carolina, USA. The focus of this article is on how endoscopic retrograde cholangiopancreatography (ERCP) started, how it has evolved over a 50-year period, and the current challenges related to it. Writing this article …
Category: Investigations
Endoscopic fistulotomy in inflammatory bowel disease
Post written by Gursimran Kochhar, MD, from the Mayo Clinic, Jacksonville, Florida. Fistulas indicate one advanced disease phenotype in patients with IBD. Currently, there is no definitive therapy for management of fistulas. Medical therapy is not adequate, and surgical therapy forms the cornerstone of management of fistulas in patients with IBD. Although surgical therapy is …
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Outcomes of endoscopic intervention for overt GI bleeding in severe thrombocytopenia
Post written by Guilherme Piovezani Ramos, MD, from the Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA. We aimed to assess safety and effectiveness of endoscopic intervention for management of gastrointestinal bleeding in the setting of thrombocytopenia. Thrombocytopenia is frequently seen in populations at higher risk of gastrointestinal bleeding, such as patients with liver …
Pocket ESD with countertraction and partial full-thickness excision as salvage therapy for advanced colonic adenoma
Post written by Georgios Mavrogenis, MD, from the Mediterraneo Hospital, Athens, Greece. This video presents a complex ESD in the setting of postradiation stenosis and fibrosis. It illustrates several techniques that are useful in the management of severe fibrosis such as pocket ESD, clip and snare countertraction, and full-thickness resection. ESD is a non-predictable procedure …
Gastric mucosal devitalization is safe and effective in reducing body weight and visceral adiposity in a porcine model
Post written by Vivek Kumbhari, MD, from the Department of Medicine and Division of Gastroenterology and Hepatology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. The metabolic improvements seen in bariatric surgery are out of proportion to what one would expect from weight loss alone. The underlying mechanisms that result in these changes are largely …
Colorectal ESD for a lesion on the dentate line area resected with a scissor-type knife
Post written by Naohisa Yoshida, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan. A lesion on the dental line area is challenging for ESD because it has lots of vessels, and the anal duct is narrow for approach. We described how …
Systematic review and meta-analysis in GI endoscopy
Post written by Fauze Maluf-Filho, MD, PhD, from the Department of Gastroenterology of University of São Paulo, Institute of Cancer of University of São Paulo (ICESP-FMUSP), São Paulo, Brazil. The focus of the study was to clarify the methodology involved in conducting a systematic review with meta-analysis (SRMA), trying to help the GIE audience to …
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Balloon overtube-assisted cholangioscopy and laser lithotripsy of large bile duct stones
Post written by Jaehoon Cho, MD, and Ara B. Sahakian, MD, from the Department of Internal Medicine, Los Angeles County Hospital and University of Southern California Medical Center, and the Division of Gastrointestinal and Liver Diseases, University of Southern California Keck School of Medicine, Los Angeles, California, USA. In this video, we describe successful balloon …
Enteral nutrition and quality of life in patients undergoing chemoradiotherapy for esophageal carcinoma
Post written by I-Chen Wu, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. This study prospectively evaluated esophageal squamous cell carcinoma (ESCC) patients who received chemoradiation therapy (CRT) to compare the efficacy, safety, and quality of life among patients using different methods to maintain enteral nutrition. …
EUS-guided cystesophagostomy using a LAMS for drainage of a pancreatic fluid collection in a pediatric patient
Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. An 8-year-old boy was referred for abdominal pain of unclear etiology, dysphagia, and failure to thrive. He had multiple visits to the emergency room over a 5-year period for abdominal pain of unclear etiology. After routine evaluation …
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