Endoscopic full-thickness resection of gastric ulceration with persistent low-grade dysplasia using full-thickness resection device

Post written by Natalie Wilson, MD, from the Department of Internal Medicine, University of Minnesota Medical Center, and Mohammad Bilal, MD, from the Division of Gastroenterology and Hepatology, University of Minnesota Medical Center, and Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota, USA. In this case, we describe the successful resection of a 15-mm partially healed …

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Endoscopic submucosal dissection with reinforcement using a laparoscopic approach for a duodenal cavernous hemangioma

Post written by Yoriaki Komeda, MD, PhD, from the Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka, Japan. We performed endoscopic submucosal dissection (ESD) with reinforcement using a laparoscopic approach (duodenal-laparoscopic and endoscopic coordinated surgery [D-LECS] with ESD) for a duodenal cavernous hemangioma. Cavernous hemangiomas including duodenum are derived from the submucosa. Even …

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Endoscopic rescue of anastomotic dehiscence after urgent gastric bypass revision

Post written by Steven R. Siegal, MD, from AdventHealth, Orlando, Florida, USA. We demonstrate a case of a Roux-en-Y anastomotic dehiscence that was rescued via total endoscopic means over various sessions. It is important to know the available endoscopic tools and how they can be used in a complementary fashion to essentially perform surgical procedures. It …

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Aerosol and droplet generation in upper and lower GI endoscopy: whole procedure and event-based analysis

Post written by Adolfo Parra-Blanco, MD, PhD, from the Department of Gastroenterology, NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and University of Nottingham, and Nottingham Digestive Diseases Centre, and George S.D. Gordon, PhD, from the Optics and Photonics Group, Faculty of Engineering, University of Nottingham, Nottingham, UK. The aim of this prospective study …

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Submucosal tunneling endoscopic septum division for esophageal diverticulum with a median follow-up of 39 months: a multicenter cohort study

Post written by Ping-Hong Zhou, MD, FASGE, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, and Shanghai Collaborative Innovation Center of Endoscopy, Shanghai, China. In this study, we primarily focused on the safety and efficacy of submucosal tunneling endoscopic septum division (STESD) for patients with esophageal diverticulum and STESD’s impact on patients’ …

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Improving diagnostic accuracy and appropriate indications for surgery in pancreatic cystic neoplasms: the role of EUS

Post written by Stefano Crippa, MD, PhD, from the Division of Pancreatic Surgery, IRCCS San Raffaele Scientific Institute, and Vita Salute San Raffaele University, Milan, Italy, Fabio Giannone, MD, from the Division of Pancreatic Surgery, IRCCS San Raffaele Scientific Institute, and the Department of General, Digestive and Endocrine Surgery, University Hospital of Strasbourg, Strasbourg, France, and …

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Novel articulating through-the-scope traction device

Post written by Hiroyuki Aihara, MD, PhD, Director, Endoscopic Tissue Resection Program, Brigham and Women’s Hospital, and Associate Professor of Medicine, Harvard Medical School, Boston, Massachusetts, USA. Current techniques and devices for traction in endoscopic submucosal dissection (ESD) own inherent limitations such as technical complexity, lack of adjustability, or demanding preparation. Recently, a single-operator, through-the-scope, articulating …

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Successful minimally invasive management of adverse events following EUS-guided gallbladder drainage in a suboptimal surgical patient

Post written by Bianca L. Di Cocco, MD, from the Division of Internal Medicine, New York Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, USA. In this video case report, we show how endoscopic techniques can be used to treat adverse events during EUS-guided gallbladder drainage (EUS-GB). The patient was a 44-year-old woman with cholelithiasis …

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Top tips for endoscopic drainage and debridement of walled-off pancreatic necrosis (with videos)

Post written by Douglas G. Adler, MD, FACG, AGAF, FASGE, Director of the Center for Advanced Therapeutic Endoscopy (CATE), Porter Adventist Hospital, PEAK Gastroenterology, Centura Health, Denver, Colorado, USA. This Top Tips article is designed to give readers a lot of really useful and practical information in a very short amount of text. Access, drainage, and …

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Possibility of ultrathin endoscopy in radial incision and cutting for esophageal strictures

Post written by Mako Koseki, MD, and Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. In this video, we present a case of a refractory esophageal stricture caused by anastomosis of gastric tube reconstruction for advanced esophageal carcinoma. We treated the stricture with radial incision and cutting (RIC) using ultrathin endoscopy. …

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