Electrohydraulic lithotripsy through a fistula of EUS-guided hepaticogastrostomy

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Post written by Tatsuya Sato, MD, Yousuke Nakai, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. A 50-year-old man with a history of hepaticojejunostomy and Roux-en-Y reconstruction suffered from recurrent cholangitis due to bilateral intrahepatic stones. After failed double-balloon endoscope-assisted ERCP and percutaneous transhepatic biliary drainage, …

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Editor’s Choice: Differential risk of disease progression in CD

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GIE Associate Editor, Dr. Lisa L. Strate, MD, MPH, highlights this article from the August issue “Differential risk of disease progression between isolated anastomotic ulcers and mild ileal recurrence after ileocolonic resection in patients with Crohn’s disease” by Jacob E. Ollech, MD, et al.  Crohn's disease recurrence after ileocolonic resection is a common problem. It …

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Optimizing histopathologic evaluation of EMR specimens of Barrett’s esophagus–related neoplasia

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Post written by Anouk Overwater, MD, from the Department of Gastroenterology and Hepatology, St Antonius Hospital, Nieuwegein, and the Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands. The main question of this study is which specimen handling method results in an optimal histopathological evaluation of endoscopic resection specimens of …

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EUS-guided natural orifice transluminal endoscopic surgery for rescue of a fractured Jackson-Pratt drain

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Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA. We describe our experience rescuing a Jackson-Pratt drain that was inadvertently severed using transduodenal puncture into the peritoneum followed by passage of a linear echoendoscope into …

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Classification for invasion depth of esophageal squamous cell carcinoma

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Post written by Ryu Ishihara, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. The aim of this study was to develop a computerized image analysis system using deep learning to diagnose the invasion depth of superficial esophageal squamous cell carcinoma (SCC). Diagnosing cancer invasion depth of esophageal squamous cell carcinoma …

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Laser dissection for recalcitrant pancreaticojejunostomy anastomotic stricture

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Post written by Samuel Han, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. In this video case report, we describe the use of laser dissection to treat a refractory pancreaticojejunostomy anastomotic stricture. Using a holmium laser fiber (272 µm), we treated the stricture in 3 quadrants …

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Learning effect after e-learning training in endoscopic diagnosis

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Post written by Hisatomo Ikehara, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. We have developed an e-learning system to learn the magnifying endoscopic findings of early gastric cancer that can be taken on the web. And we have already reported the effectiveness of …

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Management of a refractory leak after sleeve gastrectomy: the endoscopic armamentarium

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Post written by Jessica X. Yu, MD, MS, and Allison R. Schulman, MD, MPH, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. We described the case of a 48-year-old woman with a history of a sleeve gastrectomy complicated by a refractory staple line leak. The patient presented 2 weeks …

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Chromoendoscopy versus white-light endoscopy in patients with IBD

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Post written by Joseph D. Feuerstein, MD, from the Center for Inflammatory Bowel Disease, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. The focus of this study was to assess the benefits of adding chromoendoscopy to enhance our ability to screen for colorectal cancer in patients with longstanding inflammatory bowel disease affecting …

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Comparison of endoscopic bilateral stent-in-stent vs stent-by-stent deployment

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Post written by Tae Hoon Lee, MD, PhD, and Jong Ho Moon, MD, PhD, from the Department of Internal Medicine, SoonChunHyang University College of Medicine, Cheonan, Republic of Korea. Although the efficacy of palliative bilateral biliary drainage using self-expandable metal stents (SEMS) has been demonstrated, it is unclear which bilateral deployment method using SEMS is …

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