Post written by Sergio Cadoni from the Digestive Endoscopy Unit at St. Barbara Hospital in Iglesias, Italy. Water exchange (WE) is the least painful insertion method during colonoscopy. However, its impact on postcolonoscopy discomfort has not been well-described. Carbon dioxide (CO2) insufflation has been consistently shown to decrease postcolonoscopy discomfort. We compared postcolonoscopy outcomes of various combinations …
Category: Investigations
EUS-guided coiling for bleeding duodenal collateral vessel
Dr. Roy J Mukkada, MD, DNB, from the Department of Gastroenterology & Hepatology, VPS Lakeshore Hospital, Kochi, Kerala, India, presents this video case. A 65-year-old man (an alcoholic and a smoker) presented with recurrent abdominal pain, weight loss, and loss of appetite. He was known to have had chronic calcific pancreatitis since 2014. CT of …
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EUS-guided fine needle biopsy sampling using a novel fork-tip needle
Post written by Pujan Kandel, MD, from the Division of Gastroenterology, Mayo Clinic, Jacksonville, Florida. This was a single center retrospective case control study. All the consecutive samples from EUS-FNB-SCs were matched in a 1:3 ratio by the lesion site (e.g. pancreatic head) and needle gauge (i.e. 19, 22, and 25 gauge) to recent random …
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The use of hemostatic spray as an adjunct to conventional hemostatic measures
Post written by Rohit Sinha, MBBS, MRCP, PgDip, from the Royal Infirmary and The University of Edinburgh, Edinburgh, United Kingdom. We wanted to evaluate the efficacy of Hemospray in conjunction with established hemostatic endo-therapy in a high-risk nonvariceal upper GI bleeding setting. There was no evidence about the efficacy and outcome of combination therapy (Hemospray …
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Mating Ancylostoma Duodenale under Magnifying Endoscopy
Ming-Yan Cai, MD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China, presents this video case. During a regular EGD exam, using a magnifying scope with narrow-band imaging (NBI) function, we observed a very interesting pattern of Ancylostoma duodenale. A male worm was coiled around a female one and the …
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Molecular cytology genotyping of primary and metastatic GI stromal tumors
Post written by Ferga C. Gleeson, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota. In patients with either primary or metastatic sporadic GI stromal tumors, we sought to determine the frequency of KIT and PDGFRA pathogenic alterations within paired endoscopic ultrasound cytology smears and surgical pathology specimens, Imatinib sensitivity, and the …
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Extended EMR does not reduce recurrence compared with standard EMR
Post written by Farzan Bahin, MBBS (Hons), MPhil, FRACP, from the Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia. This study evaluates the concept of reducing the rate of recurrence by extending the EMR to include a large normal mucosal margin beyond the visible extent of the lesion. Residual or recurrent adenoma (RRA) is …
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Differential diagnosis of small solid pancreatic lesions
Post written by Christoph Frank Dietrich, MD, PhD, from the Medical Department at Caritas Krankenhaus, Bad Mergentheim, Germany With the ever growing number of cross sectional imaging, the incidental detection of small solid pancreatic tumors also increases. Until now, the general rule for the management of such pancreatic tumors has been radical surgery if considered …
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Editor’s Choice: The use of hemostatic spray as an adjunct to conventional hemostatic measures
Editor-in-Chief Mike Wallace, MD, MPH, highlights this article from the December issue “The use of hemostatic spray as an adjunct to conventional hemostatic measures in high-risk nonvariceal upper GI bleeding (with video)” by Ryota Niikura, MD, PhD, Hideo Yasunaga, MD, PhD, Atsuo Yamada, MD, PhD, Hiroki Matsui, PhD, Kiyohide Fushimi, MD, PhD, Yoshihiro Hirata, MD, …
Predicting adverse events associated with therapeutic colonoscopy
Post written by Ryota Niikura , MD, PhD from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo Our study focused on a large sample size of various therapeutic colonoscopies and data on the use of drugs that might increase the risk of bleeding, such as anticoagulants and antithrombotics, NSAIDs, and steroids. …
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