Post written by Jonathan Makar, BSc, from The University of Melbourne, Melbourne, Victoria, Australia. Our study focuses on the impact of computer-aided detection (CADe) systems and their role in improving adenoma detection during colonoscopy. These novel artificial intelligence (AI) systems aim to address endoscopist recognition failure and improve colonoscopy performance, as they are not subject to human …
Pancreatoscopy-assisted removal of Ascaris from main pancreatic duct
Post written by Vikas Sengar, MD, DM, Alok Gupta, MD, DM, and Arun Khanduri, MD, DM, from the Department of Gastroenterology, Medihelp Hospital, Kanpur, India. As gastroenterologists practicing in India, we frequently encounter patients with worms in the gut. They may be as tiny as pinworms and as huge as Taenia (tapeworms). They suck blood and food materials and sometimes block the …
Continue reading Pancreatoscopy-assisted removal of Ascaris from main pancreatic duct
Repeated endoscopic dilation and needle-knife stricturotomy for Crohn’s disease strictures
Post written by Julien D. Schulberg, MBBS, PhD, and Michael A. Kamm, MBBS, PhD, from the Department of Gastroenterology, St Vincent’s Hospital, and the Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia. The focus of this study was to evaluate the safety, feasibility, and efficacy of intensive endoscopic therapy for treating symptomatic Crohn’s disease—related strictures. It compares standard …
Endoscopic resection of a giant pedunculated colonic polyp using a detachable snare and scissors-type knife
Post written by Sukit Pattarajierapan, MD, from the Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. A 60-year-old man presented with intermittent abdominal pain. An abdominal CT scan showed colocolonic intussusception of the sigmoid with a 50-mm polypoid mass as the leading point. We performed a colonoscopy and found a giant …
Prospective, single-arm multicenter, international, observational postmarket study to assess the safety and efficacy of a triangulation platform for treating patients requiring endoscopic gastroplasty
Post written by Maria Valeria Matteo, MD, from Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy. This study is a prospective, multicenter, international, observational postmarket registry aimed at assessing the safety and efficacy of the Endomina triangulation platform (Endo Tools Therapeutics, Gosselies, Belgium) for endoscopic gastroplasty in treating obesity. It specifically evaluates …
Lost ampullary opening post endoscopic submucosal dissection: EUS-guided rendezvous shows the path
Post written by Darshan Parekh, MS, from Mumbai Institute of Gastroenterology, Mumbai, India, and Ken Ohata, MD, PhD, from NTT Medical Center Tokyo, Tokyo, Japan. An 80-year-old man underwent resection of an approximately 30-mm ampullary tumor by endoscopic submucosal dissection (ESD). Post-ESD biliary and pancreatic diversion was attempted, but the ampullary opening could not be visualized in the post-ESD ulcer. Hence, …
Contaminated duodenoscopes in ERCP: sensitivity of detection and risk of underdetection
Post written by Koen van der Ploeg, MD, MSc, from the Department of Gastroenterology and Hepatology and the Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands. Endoscopes are exposed to a high load of GI flora during endoscopic procedures. Consequently, an extensive reprocessing protocol, including high-level disinfection, is performed after each …
Long-term outcomes of EUS-guided balloon-occluded gastrojejunostomy bypass for malignant gastric outlet obstruction (with video)
Post written by Takayoshi Tsuchiya, MD, PhD, FJGES, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. This study focuses on the long-term outcomes of the EUS-guided balloon-occluded gastrojejunostomy bypass (EPASS) technique for malignant gastric outlet obstruction (GOO). EPASS is a novel procedure developed by our team at Tokyo Medical University that combines a …
Peroral endoscopic myotomy plus natural orifice transluminal endoscopic wrap release for dysphagia after laparoscopic Heller myotomy and Dor fundoplication
Post written by Amol Bapaye, MD (MS), FASGE, FJGES, FISG, MSGEI, from the Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune, India. Our patient had a tight wrap after laparoscopic Heller myotomy and fundoplication for achalasia cardia. Repeat balloon dilatation of the lower esophageal sphincter had failed to provide adequate symptom response. …
Efficacy of cold piecemeal EMR of medium to large adenomas compared with sessile serrated lesions
Post written by Jeevithan Sabanathan, MBBS, from Griffith University, Brisbane, Queensland, Australia, and Logan Hospital, Brisbane, and Thomas J. Williams, MBBS, from the University of Queensland, Brisbane, and Logan Hospital. Cold piecemeal EMR (C-EMR) has continued to gain popularity because of its simplicity and exceptional safety profile. The near-zero risk of perforation and clinically significant postpolypectomy bleeding …
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