Adenoma recurrence after piecemeal colonic EMR is predictable

Post written by David J. Tate, MA (Cantab), MBBS, MRCP, from Westmead Hospital, Department of Gastroenterology and Hepatology, and Westmead Campus, University of Sydney Medical School, Sydney, Australia. Recurrence is the main limitation of wide-field endoscopic mucosal resection (EMR) for large laterally spreading colonic lesions (LSL). We aimed to derive a set of clinically useful …

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Migrated surgical clips in bile duct stone suspected on EUS and verified on ERCP

Post written by Mehul Choksi, MD, DM, from S. L. Raheja Hospital in Mumbai, India. This video describes a patient who presented with primary bile duct stone formation 10 years after laparoscopic cholecystectomy. EUS showed presence of migrated surgical clips within the body of the bile duct stone. The migrated surgical clips actually act as a nidus …

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Migrated stent retrieved via oral double-balloon enteroscopy

Post written by Laith H. Jamil, MD, FASGE, FACG from Cedars Sinai Medical Center in Los Angeles, California, USA. An 18 mm X 12 cm covered esophageal stent migrated into the mid-distal jejunum and did not migrate further for 4 weeks. The patient remained asymptomatic thus it was felt safe to attempt to remove the stent …

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Endoscopic band ligation in diverticular bleeding

Post written by Daniela G. Vinsard, MD and Victoria Gómez, MD, from the Division of Gastroenterology and Hepatology at the Mayo Clinic in Jacksonville, Florida, USA. Our video case report describes a 90-year-old man with acute painless hematochezia and diverticular bleeding in the sigmoid colon, which was detected on a same day colonoscopy after a …

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A standardized imaging protocol is accurate in detecting recurrence after EMR

Post written by Lobke Desomer, MD, from Westmead Hospital, Department of Gastroenterology and Hepatology, Sydney, NSW, Australia. Endoscopic mucosal resection (EMR) is an increasingly used, safe, and effective technique for the removal of large laterally spreading colorectal lesions ≥20 mm. At present, EMR is seen as a 2-stage procedure with the first surveillance colonoscopy at …

Continue reading A standardized imaging protocol is accurate in detecting recurrence after EMR

Classification of nuclear morphology in endocytoscopy of colorectal neoplasms

Post written by Toyoki Kudo, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. Endoscopic diagnosis makes it possible to differentiate between colorectal carcinomas with slight submucosal invasion (SM-s), defined as carcinomas with a vertical invasion depth of less than 1000 µm in the submucosal layer, and massive submucosal invasion …

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Efficacy and safety outcomes of multimodal endoscopic eradication therapy

Post written by Madhav Desai, MD, MPH, and Prateek Sharma, MD, from the University of Kansas Medical Center. Barrett’s esophagus increases your risk for dysplastic changes that can turn into cancer. This subject has drawn our attention in last 2 decades with its rising prevalence, and now, we are in an era in which we …

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Conflict of Interest: 2 Case Studies for Reviewers

Written by Lyndon Hernandez, MD, MPH, FASGE, Chair of the GIE Editorial Review Board Conflict of interest is not always clear cut and could pull us in the opposite direction, but thankfully we have guidelines to follow that will help. We have 2 practical cases that illustrate norms and behaviors we expect from our reviewers. …

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Rectal polyp reaching the dentate line: underwater EMR without submucosal lift

Post written by Sauid Ishaq, FRCP from the Gastroenterology Department, Dudley Group Hospitals, Birmingham City University in Birmingham, United Kingdom and St George's University in Grenada, West Indies. In this video we demonstrate a novel technique of underwater endoscopic mucosal resection (UEMR) without submucosal lift of a low rectal recurrent polyp (90 mm) reaching the dentate line. …

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