Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 65-year-old woman was found to have a flat-elevated tumor measuring approximately 55 mm in diameter in the second part of the duodenum by endoscopy. The preoperative histological diagnosis by biopsy sampling was high-grade intraepithelial neoplasia. …
Performance indicators in colonoscopy after certification for independent practice
Post written by Keith Siau, MBChB, MRCP, and Paul Dunckley, MBChB, FRCP, DPhil, from the Joint Advisory Group, Royal College of Physicians, London, the Department of Gastroenterology, Dudley Group Hospitals NHSFT, Dudley, and the Department of Gastroenterology, Gloucestershire Royal Hospital, Gloucester, United Kingdom. This prospective UK-wide observational study focused on the following: Quality of colonoscopy …
Continue reading Performance indicators in colonoscopy after certification for independent practice
Efficacy of autofluorescence imaging for flat neoplasm detection
Post written by Yoji Takeuchi, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Updated autofluorescence imaging (AFI) could show superior detection of flat colorectal neoplasms in the right-sided colon compared with conventional white-light imaging (WLI) in this prospective multicenter randomized controlled trial. Since flat (non-polypoid) neoplasms have a greater association …
Continue reading Efficacy of autofluorescence imaging for flat neoplasm detection
A small adenocarcinoma in the cervical esophagus
Post written by Kyosuke Tanaka, MD, PhD, from the Department of Endoscopy, Mie University Hospital, Tsu, Japan. This article presents a rare case of cervical esophageal adenocarcinoma. In this case, image-enhanced magnifying endoscopy showed clear diagnosis of adenocarcinoma, and the endoscopic resection was successful. Careful observation of the cervical esophagus could lead to the detection …
Continue reading A small adenocarcinoma in the cervical esophagus
Pine-cone and villi patterns are signs suggestive of ulcerative colitis-associated colorectal cancer and dysplasia
Post written by Takahide Shinagawa, MD, from the Department of Surgical Oncology, The University of Tokyo, Tokyo, Japan. How to survey colorectal cancer is one of the main problems in managing patients with ulcerative colitis (UC). Currently, colonoscopic surveillance is the gold standard and targeted biopsy for the suspicious lesions has become the focus of …
Bite-on-bite technique for removal of a gastric subepithelial lipoma
Post written by Dean Ehrlich, MD, from the Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California, USA. This video showcases the bite-on-bite technique as an approach for the diagnosis and removal of gastric subepithelial lesions. A patient was referred for evaluation of a gastric subepithelial lesion. Using the bite-on-bite technique …
Continue reading Bite-on-bite technique for removal of a gastric subepithelial lipoma
Successful endoscopic management of a malignant gastroretroperitoneal fistula
Post written by Ali Alshati, MD, from the Department of Internal Medicine, Maricopa Integrated Health System, Creighton University, Phoenix, Arizona, USA. This is a case of a gastric fistula due to involvement with lymphoma that was successfully managed endoscopically and then with systemic therapy. Endoscopic closure consisted of ablation of the fistula track with argon …
Continue reading Successful endoscopic management of a malignant gastroretroperitoneal fistula
Increasing adenoma detection rates in the right side of the colon
Post written by Madhav Desai, MD, MPH, from the Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, Kansas, USA. Colonoscopy prevents colon cancer and, therefore, has become a widely used screening modality. Right-sided lesions are often missed during standard colonoscopy and could account for interval colon cancer. As gastroenterologists and endoscopists, our keen …
Continue reading Increasing adenoma detection rates in the right side of the colon
Hemospray hemostasis in bleeding diffusely ulcerated esophagus
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. The authors present 3 consecutive cases of diffusely ulcerated esophagus with clinically significant bleeding. The first 2 cases failed conventional hemostatic treatment including clipping and injection therapy. In the third case, hemospray …
Continue reading Hemospray hemostasis in bleeding diffusely ulcerated esophagus
Revisiting code status in patients undergoing GI endoscopy with a “do not resuscitate” order
Post written by Kyoko Wada, MD, MA, PhD, and Michael J. Szego, MHSc, PhD, from the Centre for Clinical Ethics, Providence Healthcare, St. Joseph’s Health Centre, St. Michael’s Hospital Network, and the Department of Family and Community Medicine, Dalla Lana School of Public Health, Joint Centre for Bioethics, University of Toronto, Toronto, Canada. Based on …
endoscopedia.com 