Post written by Aamir Saeed, MD, from the Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA. In this meta-analysis, we aimed to assess the efficacy and safety of fully covered self-expandable metal stents (FCSEMSs) in the management of postsphincterotomy bleeding. Endoscopic sphincterotomy is commonly performed during ERCP to assist in various therapeutic interventions such as …
Advanced endoscopic techniques for esophageal duplication cyst treatment: beyond surgery
Post written by Radhika Chavan, MD, DNB, from the Department of Gastroenterology and Endoscopy, Ansh Clinic, Ahmedabad, India. Esophageal duplication cysts are rare congenital anomalies usually managed by surgery. We present cases of 3 patients with symptomatic cysts, each managed using a tailored endoscopic approach. In the first case, a small mid-esophageal cyst was treated using submucosal …
Editor’s Choice: Endoscopic background mucosal resurfacing to prevent metachronous recurrence of superficial esophageal squamous cell cancer after curative endoscopic submucosal dissection: randomized pilot study with 5-year follow-up (with video)
GIE Associate Editor Seiichiro Abe, MD, highlights this article from the June issue: “Endoscopic background mucosal resurfacing to prevent metachronous recurrence of superficial esophageal squamous cell cancer after curative endoscopic submucosal dissection: randomized pilot study with 5-year follow-up (with video)” by Wen-Lun Wang, MD, PhD, et al. Endoscopic submucosal dissection (ESD) has become the standard curative treatment option for …
Treatment of duodenal fistula with combined endoscopic therapy: modified endoscopic vacuum, endoscopic internal drainage, and the over-the-scope clip
Post written by Gustavo de Carvalho Bertaccini Guriam, MD, MSc, from the Department of Endoscopy, São Francisco Hapvida Hospital, São Paulo, Brazil. This case describes successful closure of a complex duodenal fistula that failed to respond to 2 surgical attempts at local suture after major abdominal surgery. Definitive treatment was achieved through a multimodal endoscopic approach, including …
Potential indications for peranal endoscopic myectomy in lower rectal cancer
Post written by Katsuro Ichimasa, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. We present a groundbreaking advancement in the management of early lower rectal cancer through peranal endoscopic myectomy (PAEM), also known as endoscopic intermuscular dissection, in our recent publication in GIE. Traditional endoscopic methods such as endoscopic submucosal dissection …
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Transoral incisionless fundoplication as rescue therapy for gastroesophageal reflux in a lung transplant recipient
Post written by William King, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Florida, Gainesville, Florida, USA. This patient had a history of lung transplant for pulmonary sarcoidosis and a Toupet fundoplication for severe GERD. His Toupet wrap became loose and slipped into a small hiatal hernia, resulting in severe reflux and recurrent episodes …
Pilot randomized trial of efficacy and safety of yogic technique versus polyethylene glycol solution for bowel preparation in colonoscopy
Post written by Manas Kumar Panigrahi, MD, DM, FRCP (Edin), from the Department of Gastroenterology, All India Institute of Medical Sciences, Bhubaneswar, India. The focus of our study was to improve on existing methods of bowel preparation in colonoscopy. Bowel preparation is the most important determinant of a proper colonoscopy. Inadequate bowel preparation often leads to missed …
Pancreas cystic lesion with surprise findings on confocal laser endomicroscopy
Post written by Samer El-Dika, MD, FASGE, from Stanford University, Stanford, California, USA. This video case involves a 74-year-old woman with a pancreatic tail cyst identified incidentally. Initial imaging and fluid analysis suggested a nonmucinous cyst, but amylase levels hinted at possible duct communication. To better characterize the lesion, we used EUS-guided needle-based confocal laser endomicroscopy (EUS-nCLE). …
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Digital single-operator cholangioscopy for difficult anastomotic biliary strictures in living donor liver transplant recipients after failure of standard ERCP: SPYPASS-2 study (with videos)
Post written by In Rae Cho, MD, and Sang Hyub Lee, MD, PhD, from the Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, South Korea. Anastomotic biliary strictures (ABSs) are a major adverse event after living donor liver transplantation (LDLT) and often difficult to treat with standard ERCP alone. The SPYPASS-2 study evaluated …
Eversion of an inverted papilla via EUS-guided rendezvous
Post written by Rishad Khan, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, Thomas M. Runge, MD, MPH, from the Division of Gastroenterology, Central Ohio VA, Columbus, Ohio, and Samuel Han, MD, MS, the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. A 45-year-old patient with cholecystitis and choledocholithiasis with a prohibitively high surgical risk …
Continue reading Eversion of an inverted papilla via EUS-guided rendezvous
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