Post written by Neal Mahajan, ScB, from the Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, and Indiana University School of Medicine, Indianapolis, Indiana, USA. Our team has worked for several years on the use of machine learning (ML) in endoscopy and helped validate its additive effect in the endoscopy suite. We have noticed …
Category: VideoGIE
Full-thickness resection closure using reopenable-clip over-the-line method inside a submucosal pocket
Post written by Tatsuma Nomura, MD, from Mie Prefectural Shima Hospital, Shima, Mie, Japan. We recently developed a new procedure known as full-thickness resection closure using a reopenable-clip over-the-line method inside a submucosal pocket (ROLM-SP) procedure. During this procedure, the first mucosal incision was made at 20 mm from the center, and a calibrated, small-caliber tip, …
EUS-guided choledochoantrostomy as an alternative for biliary decompression in malignant distal biliary obstruction with duodenal invasion
Post written by Ahmed Altonbary, MD, FRCP, from Mansoura Specialized Medical Hospital, Mansoura University, Mansoura, Egypt. We describe a case of unresectable pancreatic cancer with extrahepatic biliary obstruction and duodenal invasion that was successfully treated with a variant of EUS-guided biliary drainage by performing EUS-guided choledochoantrostomy (EUS-CAS). EUS-guided choledochoduodenostomy (EUS-CDS) is commonly performed for biliary decompression …
Ex vivo nonbiomaterial gel-based model for endoscopic training
Post written by Ameya Deshmukh, DO, from the Department of Internal Medicine, Saint Louis University – SOM, St. Louis, Missouri, USA. EndoGel (Sunnarow Limited, Tokyo, Japan) is an ex vivo gel-based simulator that is designed to behave similarly to intestinal mucosa. It uses polyvinyl alcohol hydrogel materials, enabling this gel-based model to accurately mimic en vivo …
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Precut papillotomy on a minor papilla followed by balloon papilloplasty to provide a complete pancreatic-duct drainage in tropical pancreatitis with reverse pancreas divisum
Post written by Rungsun Rerknimitr, MD, FRCP (London), FASGE, from Chulalongkorn University, Bangkok, Thailand. Our case is about a 10-year-old girl with known tropical chronic pancreatitis with mutation at the transition c.206C>T in exon 4 of the SPINK1 gene who underwent pancreatic sphincterotomy via major papilla with pancreatic stone extraction 6 months prior. The patient presented with a new episode of epigastric pain and elevation …
Transjejunal ERCP, EUS-guided gallbladder drainage, and cholecystoscopy with direct electrohydraulic lithotripsy with large gallstone removal in Roux-en-Y anatomy
Post written by Arjun Chatterjee, MD, from the Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA. A 61-year-old man presented with intermittent right-upper-quadrant pain, nausea, and vomiting. A CT scan of his abdomen revealed choledocholithiasis and large cholelithiasis. His medical and surgical history included severe obesity, Roux-en-Y gastric bypass, bowel perforation with extensive resection, …
Definitive nonsurgical management of stump cholecystitis with EUS-guided lumen-apposing metal stent placement and electrohydraulic lithotripsy
Post written by Rishi Pawa, MD, from the Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. A 31-year-old woman presented with right-upper-quadrant pain and imaging findings of acute cholecystitis. She underwent an open subtotal cholecystectomy because of extensive adhesive disease involving the gallbladder. Initially, the patient did well postoperatively but started having recurrent symptoms …
“Loop-10” line-assisted clip closure method: closure of perforation in re-do peroral endoscopic myotomy
Post written by Marc Julius Navarro, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan, and the Institute of Digestive and Liver Diseases, St. Luke’s Medical Center, Quezon City, Philippines. In this video, we highlight how the “Loop-10” line-assisted clip closure method presented to be a feasible and effective method in achieving …
2023 GIE, VideoGIE, and iGIE top reviewers honored at DDW
Congratulations to the 2023 GIE, VideoGIE, and iGIE Reviewer Award Winners, who will be recognized at the Editors’ Reception on May 8 at Digestive Disease Week in Chicago, Illinois, USA. These distinguished reviewers are being honored for their superior contributions to the journals through completing high numbers of reviews and submitting the highest quality of …
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Usefulness of the ultrathin endoscope with a newly developed knife for complex esophageal endoscopic submucosal dissection
Post written by Satoki Shichijo, MD, PhD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. A 62-year-old woman underwent subtotal esophagectomy for esophageal cancer, local resection of pharyngeal cancer with postoperative radiotherapy, and bilateral cervical lymph node dissection because of pharyngeal cancer metastasis. Follow-up endoscopy revealed a 10-mm brownish area in the …