Revisiting code status in patients undergoing GI endoscopy with a “do not resuscitate” order

Post written by Kyoko Wada, MD, MA, PhD, and Michael J. Szego, MHSc, PhD, from the Centre for Clinical Ethics, Providence Healthcare, St. Joseph’s Health Centre, St. Michael’s Hospital Network, and the Department of Family and Community Medicine, Dalla Lana School of Public Health, Joint Centre for Bioethics, University of Toronto, Toronto, Canada. Based on …

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Treatment of an epiphrenic diverticulum

Post written by Vincent Huberty, MD, from the Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. This video case shows the treatment of an epiphrenic diverticulum with a new suturing and cutting technique. The treatment is done in 2 phases. First we placed suture anchors between the bottom …

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Increasing prevalence of high-grade dysplasia and adenocarcinoma on index endoscopy in Barrett’s esophagus

Post written by Madhav Desai, MD, MPH, from the Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, Kansas, USA. Barrett’s esophagus (BE) is a known precursor lesion for esophageal adenocarcinoma (EAC), and we know that incidence of the latter is rising in last 30 years thereby necessitating early detection and management of this …

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Tissue retractor system–assisted ESD of a large rectal tumor with significant fibrosis

Post written by Salmaan Jawaid, MD, from the Division of Gastroenterology, Hepatology and Nutrition, University of Florida Health, Gainesville, Florida, USA. With the assistance of a novel tissue retractor system, we successfully performed endoscopic submucosal dissection (ESD) of a large rectal lesion that had developed significant fibrosis from direct tattoo material. Typically, performing ESD of …

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A trial comparing a 25-gauge EUS-FNA device with a 20-gauge EUS-FNB device

Post written by Priscilla A. van Riet, MD, from the Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands. Our study focused on the optimization of EUS-guided tissue sampling. For this, we compared the diagnostic performance of a newly designed FNB needle, the 20G ProCore needle with a forward-facing bevel, to …

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Recalcitrant embedded biliary self-expanding metal stents

Post written by Marc Bernon, MB, ChB, FCS, from the Surgical Gastroenterology Unit, Division of General Surgery, University of Cape Town Health Sciences Faculty and Groote Schuur Hospital, Cape Town, South Africa. Endoscopic placement of self-expanding metal stents (SEMS) is the palliative treatment of choice for obstructive jaundice due to malignant biliary obstruction. However, a …

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Editor’s Choice: Role of interventional inflammatory bowel disease in the era of biologic therapy

GIE Senior Associate Editor, Dr. John R. Saltzman, MD, highlights this article from the February issue “Role of interventional inflammatory bowel disease in the era of biologic therapy: a position statement from the Global Interventional IBD Group” by Bo Shen, MD, et al.  There is an increasing recognition that Interventional (or therapeutic) inflammatory bowel disease …

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