Use of diphenhydramine as an adjunctive sedative for colonoscopy

Post written by Salman Nusrat, MD, from the University of Oklahoma Health Sciences Center and the Veterans Affairs Medical Center, Oklahoma City, Oklahoma, USA. The primary aim of our study was to evaluate if the addition of diphenhydramine to routinely used sedatives will decrease the amount of fentanyl and midazolam used during colonoscopy in patients …

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ESD of a large cecal polyp using a scissor-type knife

Post written by Hiroyuki Aihara, MD, PhD, from the Developmental Endoscopy Laboratory, Harvard Medical School, Brigham and Women’s Hospital, and the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. In this video, we present a case of a large flat lesion in the cecum that was removed by ESD using …

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Liquid nitrogen spray cryotherapy for dysphagia palliation in patients with inoperable esophageal cancer

Post written by Toufic Kachaamy, MD, from the Cancer Treatment Centers of America, Boca Raton, Florida, USA. Dysphagia palliation in non-operable esophageal cancer patients is dependent on local expertise with no clear modality favored over others. The National Comprehensive Cancer Network guidelines considers multiple modalities such as stenting, external beam radiation, brachytherapy, photodynamic therapy, cryotherapy, …

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Excavation of a fossilized biliary stent

Post written by Brian S. Lim, MD, MCR, FASGE, from the School of Medicine, University of California, and the Department of Gastroenterology, Kaiser Permanente Riverside Medical Center, Riverside, California, USA. A 60-year-old male presented with right lower-quadrant pain and fever. CT (computed tomography) abdomen showed acute appendicitis, but also an incidental biliary stent. The atient …

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Screening for esophageal squamous cell carcinoma: recent advances

Post written by Don C. Codipilly, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Esophageal squamous cell carcinoma is well known worldwide for causing substantial morbidity and mortality. Our aim was to highlight recent advances in both endoscopic and non-endoscopic screening and surveillance strategies. We felt clinicians would appreciate a …

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Endoscopic drainage of pancreatic fluid collections by use of a novel biflanged stent

Post written by D. Nageshwar Reddy, MD, DM, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video case series, we described 5 cases with pancreatic fluid collections (4 walled-off necrosis and 1 pseudocyst) that underwent endoscopic ultrasound-guided drainage using a new biflanged metal stent with electrocautery-enhanced delivery system (Hot Nagi, Taewoong Medical, Gyenoggi- …

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Immunohistologic analysis of the duodenal bulb

Post written by Tarcisio Not, MD, from the Institute for Maternal and Child Health–IRCCS “Burlo Garofolo” Trieste, Trieste, Italy. This prospective study investigates whether histological analysis of the duodenal bulb combined with intestinal IgA anti-tissue transglutamonase deposit immunoassay makes celiac disease diagnosis possible in at-risk children with low concentrations of serum anti-tissue transglutaminase. Anti-tissue transglutaminase …

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