Utility of video capsule endoscopy for longitudinal monitoring of Crohn’s disease activity in the small bowel

Post written by Gil Y. Melmed, MD, from the F Widjaja Inflammatory Bowel and Immunobiology Research Institute, Cedars Sinai Medical Center, Los Angeles, California, USA. We aimed to determine the utility of using video capsule endoscopy for serial evaluations of Crohn’s disease activity. While the literature has demonstrated good correlation between WCE and colonoscopy at …

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A case of hemobilia secondary to cancer of the gallbladder confirmed by cholangioscopy

Post written by Linda Zhang, MBBS, from the Department of Gastroenterology and Hepatology, St George Hospital, Kogarah, Australia. This article discusses the management of hemobilia due to gallbladder malignancy in a frail, elderly patient with multiple comorbidities, which limited the available therapies. Our patient was a 90-year-old female who presented with biliary obstruction and melaena. …

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Polyloop anchor technique to close large gastric fistula

Post written by Tarun Kaura, MD, from the Aurora St Luke’s Medical Center, Milwaukee, Wisconsin, USA. A 60-year-old female presented with acute pancreatitis complicated by large acute pancreatic fluid collection, which later formed a symptomatic pseudocyst. This was drained endoscopically by placing a lumen-apposing metal stent. Unfortunately, she developed gastric perforation requiring surgery. The patient …

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Editor’s Choice: The emerging role of histologic disease activity assessment in ulcerative colitis

GIE Editor-in-Chief, Dr. Michael Wallace, highlights this article from the December issue “The emerging role of histologic disease activity assessment in ulcerative colitis” by Rish K. Pai, MD, PhD, et al.  The decision about when to start and stop therapy for ulcerative colitis is increasingly made based on colonoscopy and histological assessment of activity ("treat …

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Underwater ESD in saline solution using a bent-type knife for duodenal tumor

Post written by Mitsuru Nagata, MD, from the Department of Endoscopy, Shonan Fujisawa Tokushukai Hospital, Kanagawa, Japan. We present a case of a duodenal tumor that was treated by underwater ESD using a bent-type knife (Hook Knife J) and discuss potential advantages of underwater ESD. Most studies on underwater ESD involved the use of only …

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Reusing an electrocautery-enhanced stent deployment catheter to place additional pigtail stents

Post written by Andrew C. Storm, MD, from the Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA. We have presented the novel reuse of the electrocautery-enhanced lumen-apposing metal stent deployment catheter to permit transduodenal wire access and stent placement to create a dual AXIOS cystgastrostomy and double pigtail cystduodenostomy. Management of disconnected pancreatic …

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Fully covered SEMSs to dilate persistent pancreatic strictures in chronic pancreatitis

Post written by Andrea Tringali, MD, PhD, from the Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli - IRCCS, Catholic University, and CERTT, Centre for Endoscopic Research, Therapeutics and Training - Catholic University, Rome, Italy. Pancreatic duct drainage by ERCP and insertion of plastic stents is effective in the treatment of pain related to chronic …

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