Endoscopically inserted biodegradable biliary stents

Post written by Antti Siiki, MD, PhD, from the Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland. Our group (Siiki, Rinta-Kiikka, Sand, and Laukkarinen) reported the first long-term results of endoscopically inserted biodegradable stents in human bile duct. The novel stents were used in 2 indications in ERCP with a standard …

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Electroincision and extraction of a gallstone from the duodenal wall for the prevention of gallstone ileus

Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. We describe a case of an 80-year-old female who was referred for management of persistent choledocholithiasis. She had a past history of carcinoid. The patient presented with symptomatic choledocholithiasis 2 years prior and underwent ERCP with plastic …

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Tools and Techniques

Post written by Stephanie Kinnan, ASGE Assistant Managing Editor of Clinical Publications Videos can be an excellent resource for education and the discovery of new things. How often have you googled “how-to” videos or searched YouTube for assistance with home or car repair, a computer problem, or cooking tips? Videos on the internet can teach …

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Endoscopic full-thickness resection of a gastric subepithelial tumor

Post written by Shashideep Singhal, MD, from the Division of Gastroenterology, Hepatology & Nutrition, University of Texas Health Science Center at Houston, Houston, Texas, USA. An 81-year-old man was complaining of GERD. An EGD showed an incidental gastric body nodule. An EUS revealed a 1.5-cm by 1.4-cm submucosal tumor extending into the muscularis propria. Cytology from FNA showed spindle cells, suggestive …

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A prospective comparison of live and video-based assessments of colonoscopy performance

Post written by Michael A. Scaffidi, BSc(Hon), MEd, and Catharine M. Walsh, MD, MEd, PhD, from the Division of Gastroenterology, St. Michael’s Hospital and the Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, University of Toronto, Toronto, Canada. Assessment is a critical process to determine endoscopic competence. Real-time, or “live” assessment, involves an …

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Endoscopic treatment of large impacted pancreatic ductal stone

Post written by Hitoshi Shibuya, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. This video is a case of a large main pancreatic duct stone treated endoscopically using digital pancreatoscopy and electrohydraulic lithotripsy (EHL). Acute exacerbation of chronic pancreatitis occurred with an impacted stone in …

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Impact of experience on self-assessment accuracy of clinical colonoscopy competence

Post written by Michael A. Scaffidi, BSc(Hon) MEd, and Catharine M. Walsh, MD, MEd, PhD, FRCPC, from the Division of Gastroenterology, St. Michael’s Hospital and the Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, University of Toronto, Toronto, Canada. Assessment of gastrointestinal endoscopy competence is integral to delivering high-quality patient care. Endoscopic competence …

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Feasibility and efficacy of double over-the-scope clipping for colonic iatrogenic perforation

Post written by Paola Soriani, MD, from the Digestive Endoscopy Unit, Azienda USL Modena, Ramazzini Hospital, Carpi, Italy. An 89-year-old woman underwent colonoscopy. In a setting of severe diverticular disease, a perforation of 20-25 mm occurred in the sigmoi-rectal juntion. The leakage was completely closed after the deployment of 2 over-the-scope clips, tightly adjacent to …

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Editor’s Choice: Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia

Associate Editor, Dr. Seth Gross, highlights this article from the March issue “Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia on the next colonoscopy” by Matthew A. Kluge, MD, et al.  This article further supports the notion of the importance of bowel preparation and its impact on adenoma detection. The study demonstrates …

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Cold snare polypectomy for polyp adjacent to colonic diverticulum

Post written by Yoko Kubosawa, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, and the Department of Gastroenterology, Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. We report 2 cases of cold snare polypectomy for polyp …

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