EUS-guided cystesophagostomy using a LAMS for drainage of a pancreatic fluid collection in a pediatric patient

Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. An 8-year-old boy was referred for abdominal pain of unclear etiology, dysphagia, and failure to thrive. He had multiple visits to the emergency room over a 5-year period for abdominal pain of unclear etiology. After routine evaluation …

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Secondary tumors of the GI tract: origin, histology, and endoscopic findings

Post written by Cord Langner, MD, and Magdalena M. Gilg, MD, from the Institute of Pathology, Medical University Graz, Graz, Austria. Secondary tumors of the gastrointestinal tract (GIT) are a rare finding with a dismal prognosis because they are only found with advanced cancers. This study aimed to investigate clinical, endoscopic, and pathological features of …

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EUS-directed transgastric ERCP

Post written by Antonio Mendoza Ladd, MD, from the Department of Medicine, Division of Gastroenterology, Texas Tech University Health Sciences Center at El Paso, El Paso, Texas, USA. This is a case of a patient with impending ascending cholangitis secondary to choledocolithiasis in the setting of a Roux-en-Y anatomy. Given her surgical anatomy, we discussed …

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Prediction of clinical outcomes in Crohn’s disease by using confocal laser endomicroscopy

Post written by Gian Eugenio Tontini, MD, PhD, and Helmut Neumann, MD, PhD, from the Gastroenterology and Digestive Endoscopy Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy, and the Department of Interdisciplinary Endoscopy, I. Medizinische Klinik und Poliklinik, University Hospital, Mainz, Germany. Our study focuses on the value of Confocal Laser Endomicroscopy (CLE) …

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ESD with scissor-type knife for pedunculated polyp with short and thick stalk

Post written by Shunsuke Yamamoto, MD, PhD, and Morteza Shafazand, MD, from the Department of Gastroenterology, Sahlgrenska University Hospital, Östra, Sweden. This is a case of a pedunculated polyp in the sigmoid colon whose stalk is short and thick, and we resected it using a scissor-type endoscopic knife. We wanted to demonstrate how to maneuver …

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Endoscopic submucosal dissection for early Barrett’s neoplasia

Post written by Justin J. Forde, MD, from the Department of Medicine, University of Florida, Gainesville, Florida, USA. The role of endoscopic submucosal dissection (ESD) in Barrett's esophagus (BE) is not well established. This meta-analysis aimed to evaluate the safety and efficacy of ESD for the management of early BE neoplasia. ESD is an advanced technique that …

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Bleeding at Roux-en-Y jejunojejunal anastomosis after orthotopic liver transplantation

Post written by Chaitanya Allamneni, MD, from the Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. A young woman with a medical history of primary sclerosing cholangitis/autoimmune hepatitis overlap syndrome diagnosed at age 2, complicated by decompensated cirrhosis, underwent orthotopic liver transplantation (OLT). During OLT she underwent a standard Roux-en-Y hepaticojejunostomy. Twenty-four …

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