Fracture of basket within the bile duct during lithotripsy

Suryaprakash Bhandari, MD, from the Baldota Institute of Digestive Sciences, Global Hospitals, in Mumbai, India shares this video case "Fracture of basket within the bile duct during Soehendra rescue lithotripsy, extracted after cholangioscope-guided laser lithotripsy." An 80-year-old female diagnosed with a large common bile duct (CBD) stone (2.2 X 1.5 cm) underwent ERCP and failed …

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Transpapillary drainage of pancreatic pseudocysts

Christopher J. DiMaio, MD, from the Icahn School of Medicine at Mount Sinai in New York, New York discusses this Original Article, "Transpapillary drainage has no added benefit on treatment outcomes in patients undergoing EUS-guided transmural drainage of pancreatic pseudocysts: a large multicenter study." Over the past 15 years, there has been a marked paradigm …

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Novel technique for over-the-scope stent

Sami Almaskeen, MD, from the Division of Gastroenterology, Cedars-Sinai Medical Center, Los Angeles, California, USA shares this VideoGIE case "Over-the-scope stent: a novel technique for stent elongation and deployment." Migration of a fully covered self-expandable metal stent (SEMS) interferes with its effectiveness in closing GI leaks. We report a case of gastric leak that failed …

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Prediction of adverse events after esophageal stent placement

Lorenzo Fuccio, MD, from the Department of Medical and Surgical Sciences, S.Orsola-Malpighi University Hospital, in Bologna, Italy discusses this Original Article, "Development of a prediction model of adverse events after stent placement for esophageal cancer." We conducted a retrospective analysis of a large database including 267 patients with dysphagia owing to esophageal cancer and treated …

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Prognostic variables for successful septotomy of Zenker’s diverticulum

Federico Iacopini, MD, from Gastroenterology and Digestive Endoscopy, Ospedale San Giuseppe, in Rome, Italy discusses this Original Article "Prognostic variables for the clinical success of flexible endoscopic septotomy of Zenker’s diverticulum." Flexible endoscopic septotomy for Zenker’s diverticulum has a large popularity due to its mini-invasiveness compared to endostapling and surgery but strong long-term clinical data …

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Propofol sedation during complex upper endoscopy in elderly

Keisuke Hori, MD, PhD, from the Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, in Okayama, Japan discusses this Original Article, "Propofol sedation with a target-controlled infusion pump and bispectral index monitoring system in elderly patients during a complex upper endoscopy procedure." The focus of our study was …

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Learning curve of assessing mucosal barrier defects on eCLE

Rupert W. Leong, MBBS, FRACP, MD, AGAF, from the Gastroenterology and Liver Services, Bankstown-Lidcombe and Concord Hospital, in Concord, New South Wales, Australia discusses this Original Article "The learning curve, interobserver, and intraobserver agreement of endoscopic confocal laser endomicroscopy in the assessment of mucosal barrier defects." Mucosal barrier defects lead to abnormal intestinal permeability which …

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Editor’s Choice: Management of Barrett’s high-grade dysplasia

This month’s Editor’s Choice article comes from Sharmila Anandasabapathy, MD, FASGE. She highlights the Original Article, "Management of Barrett’s high-grade dysplasia: initial results from a population-based national audit" by Georgina Chadwick, MRCP,  Oliver Groene, PhD, Angelina Taylor, MSc, et al. This is the first study to use patient level data, rather than self-reported clinical practice, …

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The influence of clips on scars after EMR

Maria Pellisé, MD, PhD, from the Department of Gastroenterology and Hepatology, at the University of Sydney in New South Wales, Australia shares this Original Article, "The influence of clips on scars after EMR: clip artifact." In this study, we aimed to describe the influence of clips on the EMR scar. Endoscopic clips are increasingly used …

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Quality indicators for pediatric colonoscopy

Kalpesh Thakkar, MD, MSCR from the Section of Pediatric Gastroenterology, Hepatology and Nutrition at Baylor College of Medicine in Houston, Texas, USA discusses this Original Article, "Quality indicators for pediatric colonoscopy: results from a multicenter consortium." The focus of our study was to investigate key characteristics and quality indicators associated with the current practice of …

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