Post written by Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, from the Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. We present a case of a 22-year-old obese woman with a history of laparoscopic sleeve gastrectomy. The surgery was uncomplicated; however, the patient was slow in advancing her diet. For the first …
Endoscopic closure of the defect after ESD with metal clips and surgical sutures
Post written by Zhendong Jin, MD, from the Department of Gastroenterology, Changhai Hospital Affiliated to the Second Military Medical University, Shanghai, China. A patient accepted ESD for a SMT originated from the muscularis propria layer, which was located at the anterior wall of the gastric body. In consideration of muscular injury, the large defect was …
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Endoscopic full thickness resection of a long intussuscepted appendix using a colonoscope
Post written by Ghassan M. Hammoud, MD, MPH, from the Division of Gastroenterology and Hepatology, University of Missouri School of Medicine, Columbia, Missouri, USA. The cecum is cleansed and irrigated with water thoroughly. The inverted appendix is captured at its base with endoscopic detachable snares. We used 3detachable snares to ensure sufficient closure of the …
Blue laser imaging-bright improves the real-time detection rate of early gastric cancer
Post written by Osamu Dohi, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, and the Department of Gastroenterology and Hepatology, North Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan. Blue laser imaging (BLI) is one of the image-enhanced endoscopic techniques with a combination of 2 narrow lasers. …
Endoscopic Removal of Silastic Gastric Band
Post written by Saurabh Chawla, MD, from the Emory University School of Medicine, Atlanta, Georgia, USA. We present a case of a patient presenting with abdominal pain who had a sleeve gastrectomy with silastic band placement several years prior to his presentation. Upon further investigation, the silastic band was noted to be eroding into the …
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Index colonoscopy-related risk factors for postcolonoscopy colorectal cancers
Post written by Theodore A. Tollivoro, MD, from the Division of Research, Kaiser Permanente Northern California, Oakland, California, USA. Over the last 20 years, we have realized the importance of quality metrics as they apply to colonoscopic exam. We track physician adenoma detection rates, cecal intubation rates, and ensure our patients undergo exams with optimal …
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ESD of a large rectal lesion by use of a novel tissue retractor system
Post written by Salmaan Jawaid, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida, USA. We presented a case of successful endoscopic submucosal dissection of a large rectal lesion using a novel tissue retractor system. This unique platform allowed us to generate constant tissue tension and permitted frequent manipulation of the …
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Editor’s Choice: Quality assurance of colonoscopy within the Dutch national colorectal cancer screening program
GIE Associate Editor, Dr. Lyndon V. Hernandez, MD MPH, highlights this article from the January issue “Quality assurance of colonoscopy within the Dutch national colorectal cancer screening program” by Maxime E.S. Bronzwaer, MD, et al. In 2006, Barclay et al showed in their landmark study in The New England Journal of Medicine the association between …
EUS-guided placement of coils and glue for the management of large bleeding fundic varices
Post written by Victoria Gómez, MD, from the Mayo Clinic, Jacksonville, Florida, USA. We present a case of a 58-year-old woman in whom challenging gastric fundic varices were managed successfully with endoscopic variceal obturation using EUS-guided coil placement with subsequent glue injection. Treatment options were limited in this patient due to radiographic findings of liver …
Impact of water exchange colonoscopy on endoscopy room efficiency
Post written by Sergio Cadoni, MD, from the Digestive Endoscopy Unit, CTO Hospital, Iglesias, Italy. Water exchange colonoscopy (WE) has been consistently shown to be the least painful insertion technique, decreasing the need for sedation and significantly increasing colon cleanliness and lesion detection. However, the wide adoption of WE has been hindered by the misconception …
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