Post written by Shashideep Singhal from the University of Texas Health Science Center at Houston. A 63-year-old man with a long-standing history of achalasia presented for pneumatic dilation. Several technical problems were associated with pneumatic balloo dilation in this case, which had resulted in failure of an earlier attempt. Because of a tortuous megaesophagus with …
Continue reading Overtube-assisted pneumatic dilation for achalasia in megaesophagus
Post written by Louis M. Wong Kee Song from the Mayo Clinic. The aim of the study was to evaluate the efficacy and safety of over-the-scope clip-assisted endoscopic full-thickness resection (EFTR) technique for removal of epithelial and subepithelial lesions in the GI tract. EFTR allows for definitive diagnosis and treatment of select subepithelial and epithelial …
Continue reading Over-the-scope clip-assisted endoscopic full-thickness resection
Post written by Debdeep Banerjee, Saikiran Raghavapuram, and Benjamin Tharian from the Division of Gastroenterology, Department of Internal Medicine, University of Arkansas for Medical Sciences and the School of Medicine, Texas Tech University Health Sciences Center. In this video submission, we describe a woman with a past history of breast cancer who had undergone mastectomy …
Continue reading Linitis plastica: a harbinger of an unusual cause of gastric wall thickening
Post written by Folasade P. May, MD, PhD, from the Greater Los Angeles Veterans Affairs Network and UCLA Vatche and Tamar Manoukian Division of Digestive Diseases. African Americans see several disparities in healthcare utilization and healthcare outcomes. These disparities also occur in utilization of common gastroenterological procedures. African Americans are less likely than white Americans …
Post written by Shinji Tanaka, MD, PhD, from Endoscopy and Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Japan. By JNET classification using magnifying observation, it will be possible to characterize the lesions of NICE Type 2 more in detail. NICE Type 2 includes various lesion such as dysplasia, superficial submucosal carcinoma, and …
Post written by Bing Hu, MB, from the Department of Gastroenterology, West China Hospital of Sichuan University, Chengdu, Sichuan, China. Our video case report describes a 34-year-old woman with refractory esophageal stricture that resulted from scar formation after endoscopic submucosal dissection of a fibroma. Esophagography showed the stricture located at the level of T6 with a …
Continue reading Endoscopic incision method to treat refractory esophageal stricture
Post written by Tae Hoon Lee, MD, PhD, and Jong Jin Hyun, MD, PhD, from the SoonChunHyang University School of Medicine and Korea University College of Medicine. In technical aspects of endoscopic papillectomy, whether submucosal injection papillectomy should be performed is still debatable. Injecting saline solution or a diluted epinephrine solution into the submucosal layer …
Continue reading A prospective multicenter study of submucosal injection
Post written by Young Koog Cheon, MD, PhD, from the Digestive Disease Center, Department of Internal Medicine, Konkuk University School of Medicine in South Korea. Endoscopic papillary balloon dilation (EPBD) using balloons with a diameter of less than 8mm is considered to preserve papillary function. However, it is still unknown whether papillary function is preserved …
Continue reading Impact of endoscopic papillary large-balloon dilation
Post written by Jennifer L. Horsley-Silva, MD, and David E. Fleischer, MD from the Division of Gastroenterology and Hepatology, Mayo Clinic, in Phoenix, Arizona, USA. Our video is of a surveillance colonoscopy that demonstrated a 12 mm elongated, pedunculated polyp that was “wormlike” in appearance and found in the ascending colon. An EndoLoop detachable ligating device …
Post written by Vivek Kumbhari, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology, at the Johns Hopkins Medical Institutions in Baltimore, Maryland, USA. Endoscopic sleeve gastroplasty (ESG) is an emerging weight loss technique. However, it is highly operator dependent and there is some variability in technique. In ESG, the volume of the stomach …
Continue reading Technical aspects of endoscopic sleeve gastroplasty
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