Endoscopic submucosal dissection using a new super-soft hood and the multipoint traction technique

Post written by Yusuke Fujiyoshi, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This video shows an endoscopic submucosal dissection of a 25-mm 0-IIa+Is lesion in the gastric cardia. A newly developed super-soft hood (Space Adjuster, TOP Corp, Tokyo, Japan) was used as a distal attachment of the endoscope. A …

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Accuracy of artificial intelligence on histology prediction and detection of colorectal polyps

Post written by Wai K. Leung, MD, from the Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong. This study reviewed and summarized the latest data on the use of artificial intelligence on histology prediction and detection of colorectal polyps. With the rapid development and increasing application of artificial intelligence (AI) in …

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Gastric overtube use to prevent duodenoscope loop formation during EUS-directed transgastric ERCP procedure

Post written by Shelini Sooklal, MD, from the Division of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic Foundation, Cleveland, Ohio, USA. This video case demonstrates the technique of using a disposable gastric overtube device to aid passage of the duodenoscope through a previously placed lumen apposing metal stent (LAMS), from the roux limb to the remnant …

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Automatic detection and classification of protruding lesions in wireless capsule endoscopy images

Post written by Hiroaki Saito, MD, from the Department of Gastroenterology, Sendai Kousei Hospital, Miyagi, Japan. We constructed artificial intelligence to detect protruding lesions of the small bowel in wireless capsule endoscopy images and validated its ability. The results show that the system is able to analyze large amounts of images quickly and accurately. Small …

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Importance of endoscopy during permanent gastric stimulator placement

Post written by Gregg Wendorf, MD, from the University of Louisville, Louisville, Kentucky. Our case highlights a patient undergoing permanent gastric electrical stimulator (GES) placement. Part of this surgical procedure involves the surgeon attaching electrical leads from the GES to serosa of the stomach and inserting to the muscularis propria. Several adverse events related to …

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Preventing clogging of hemostatic powder during control of bleeding

Post written by Eula Plana Tetangco, MPH, MD, from the Digestive Health Center, Augusta University, Augusta, Georgia, USA. Our video demonstrates successful hemostasis of bleeding gastric fundus varices in a 71-year-old male. This was achieved with hemostatic powder TC-325 (Hemospray) using a novel technique that employs continuous flow of carbon dioxide through the catheter before …

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Argon plasma coagulation alone vs argon plasma coagulation plus full-thickness endoscopic suturing to treat weight regain after Roux-en-Y gastric bypass

Post written by Vitor Ottoboni Brunaldi, MD, MSc, from the Gastrointestinal Endoscopy Unit, Gastroenterology Department, University of São Paulo Medical School, São Paulo, Brazil, and the Center for Gastrointestinal Endoscopy, Surgery and Anatomy Department, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil. We aimed to compare APC alone to APC plus endoscopic …

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Recanalization of the bile duct by using percutaneous and endoscopic methods after iatrogenic injury

Post written by Arjun R. Sondhi, MD, from the Department of Internal Medicine, Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan. An 87-year-old man who suffered a complete common bile duct (CBD) transection after a cholecystectomy presented to our institution for care. To treat his bile leak, we used a combined interventional radiology approach …

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Endoscopic ampullectomy of a large neuroendocrine tumor using underwater EMR technique

Post written by Anand R. Kumar, MPH, MD, from the Division of Gastroenterology, Thomas Jefferson University, Philadelphia, Pennsylvania. A young man presented with an incidental 35-mm ampullary neuroendocrine tumor detected on upper endoscopy. We chose to do an underwater ampullectomy and obtained negative margins. Endoscopic ampullectomy is an advanced procedure with variable techniques. The underwater …

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GIE Reviewer Tips

Jeanin E. van Hooft, MD, PhD, MBA, FASGE, from the Department of Gastroenterology and Hepatology, LUMC Leiden University, offers advice to new reviewers after participating in GIE’s Reviewer Mentorship Program. What might happen when you start to do reviews is that the names of the authors or the quality of the language will unconsciously impact …

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