Post written by Baha Fawwaz, MD, from Gastroenterology and Hepatology, AdventHealth, Orlando, Florida, USA. Opioids have become one of the most widely prescribed medications in the United States. Chronic opioid use has been associated with esophageal dysmotility. The focus of our study was to evaluate and compare the clinical outcomes of peroral endoscopic myotomy (POEM) for …
Safety of EUS latex balloon use in patients with a latex allergy
Post written by Eric J. Vargas, MD, MS, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. The focus of our study was to explore and report on our experience with EUS latex balloon use in patients with a self-reported latex allergy. The use of a fluid-filled balloon improves acoustic coupling and visualization …
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A novel method of bilateral biliary decompression by EUS-guided hepaticogastrostomy with bridging stenting using the partial stent-in-stent method for reintervention of multiple metal stent failure
Post written by Hidenobu Hara, MD, from the Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan. EUS-guided hepaticogastrostomy (EUS-HGS) has become an effective method for biliary drainage, particularly in cases of hilar bile duct obstruction. This report presents the case of an 84-year-old woman with unresectable perihilar cholangiocarcinoma of bismuth type IV. …
Deconstructing the steps of pull-type PEG tube insertion
Post written by Carlos Paolo D. Francisco, MD, FPCP, DPSG, DPSDE, from Singapore General Hospital, Singapore, and St. Luke’s Medical Center, Global City, Philippines. PEG is the preferred feeding route for patients requiring long-term enteral nutrition. The procedure involves percutaneously placing a tube into the stomach with the assistance of endoscopy, as described by Gauderer et …
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Outcomes of cold snare EMR of nonampullary duodenal adenomas ≥1 cm: a multicenter study
Post written by Natalie J. Wilson, MD, from the Department of Internal Medicine, University of Minnesota, and Mohammad Bilal, MD, from Advanced Endoscopy, Division of Gastroenterology and Hepatology, Minneapolis Veteran Affairs Medical Center, and University of Minnesota, Minneapolis, Minnesota, USA. This study focuses on evaluating the efficacy and safety of cold snare EMR (cs-EMR) for nonampullary …
Successful endoscopic laser lithotripsy in 2 cases of Bouveret syndrome and cholecystocolonic fistulae–induced colonic obstruction: a minimally invasive approach
Post written by Eduardo A. Vega, MD, from St. Elizabeth’s Medical Center, Boston University School of Medicine, Boston, MA, USA. This article presents 2 successful cases of endoscopic treatment for Bouveret syndrome and cholecystocolonic fistulae leading to large-bowel obstruction. Bouveret syndrome and cholecystocolonic fistulae, though rare, represent severe adverse events of cholelithiasis. These cases highlight the …
Endoscopic diagnosis and treatment of a pyriform sinus-cutaneous fistula in a non-pediatric patient: thinking outside the box
Post written by iGIE iNTERNATIONAL Associate Editor Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, Post-PhD, from the Gastrointestinal Endoscopy Division, Hospital Vila Nova Star, Instituto D’Or de Pesquisa e Ensino, and the Gastrointestinal Endoscopy Unit, Gastroenterology Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. The goal of this …
Endoscopic repair of a perforated duodenal ulcer: time to close the gap
Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. In this video, we demonstrate full-thickness endoscopic closure of an acute duodenal perforation using an over-the-scope suturing system. A 70-year-old patient with a history of abdominal surgeries and concerns for a duodenal perforation was …
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Endoscopic submucosal dissection with versus without traction for pathologically staged T1B esophageal cancer: a multicenter retrospective study
Post written by Abel Joseph, MD, from the Department of Gastroenterology, Stanford University, Stanford, California, and Kornpong Vantanasiri, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Our study delves into endoscopic submucosal dissection (ESD) for treating T1b esophageal cancer (EC). Specifically, we compared 2 approaches: ESD with traction (Tr-ESD), which uses …
A novel blood-sensing capsule for rapid detection of upper GI bleeding: a prospective clinical trial
Post written by Andrew C. Storm, MD, Chair of Gastrointestinal Endoscopy, Rochester, Minnesota, USA. GI bleeding is the most common indication for admission to the hospital in gastroenterology. Determining the source and location of bleeding can be challenging and often requires procedures such as upper endoscopy, colonoscopy, and small-bowel enteroscopy for diagnosis and treatment. Ideally, physicians …