Applications Open for Peer-Review Mentorship Program

Guidelines for peer review abound, but nothing beats one-on-one learning with a seasoned researcher. The deadline to apply for the 2020 program is June 15, with the next cohort beginning on July 1. Please contact the GIE editorial office for more information or to apply. GIE is grateful for the mentors who generously shared their …

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Optimal stent placement strategy for malignant hilar biliary obstruction

Post written by Bing Hu, MD, PhD, from the Department of Endoscopy, Eastern Hepatobiliary Hospital, Second Military Medical University, Yangpu District, and the Department of Gastroenterology, Third Affiliated Hospital, Second Military Medical University, Jiading District, Shanghai, China. We compared, for the first time, 4 major stenting modalities simultaneously to determine an optimal strategy for the …

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Removal of proximally migrated biliary stents by using single-operator cholangioscopy

Post written by Abed Al Lehibi, MD, from Gastroenterology and Hepatology, King Fahad Medical City, Riyadh, Saudi Arabia. Our series included 3 patients whose cases, while being treated for difficult biliary stones, were complicated by proximal stent migration. Two patients had migrated plastic stents, whereas the other had a migrated metal one. Single-operator cholangioscopy (Boston …

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Pathology definitions and resection strategies for early colorectal neoplasia

Post written by Makoto Nishimura, MD, from the Gastroenterology, Hepatology and Nutrition Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA. Well-known discrepancies exist between the East and West classifications of colorectal neoplasia. For example, ‘intra-mucosal carcinoma’ in Japan is recognized as ‘high-grade dysplasia’ in the U.S. To resolve these interobserver discrepancies between …

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A novel clip-band traction device to facilitate colorectal ESD and defect closure

Post written by Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. Adequate visualization of the submucosal dissection plane is critically important for both safety and efficacy in endoscopic submucosal dissection (ESD). Recently, a novel clip-band traction device was introduced to the U.S. market (Elastic …

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Peroral endoscopic myotomy for achalasia: a prospective multicenter study in Japan

Post written by Hironari Shiwaku, MD, PhD, from the Department of Gastroenterological Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan. Peroral endoscopic myotomy (POEM) is a standard treatment for achalasia. The reported efficacy of POEM in the prospective multicenter study by Dr Von Renteln's group was 82%. However, a retrospective multicenter study in Japan reported …

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Peroral endoscopic myectomy: a novel thought to reduce recurrence after previous failed myotomy

Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. This video case describes a novel technique of peroral endoscopic myotomy (POEM) in a patient with recurrence of symptoms after Heller’s myotomy. In this case, we performed POEM by posterior route ie, 5 o’clock. After completing myotomy, we performed a …

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Wire-guided and endoscopic-guided transesophageal echocardiographic probe insertion

Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases and Division of Cardiology, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. We report a 75 year-old-man with a large symptomatic Zenker's diverticulum (ZD, 4-5 cm in length) who also needed a Transesophageal echocardiography (TEE). We first performed a flexible …

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Making the transition from endoscopic submucosal dissection fellowship to independent practice

Post written by Phillip S. Ge, MD, from the Department of Gastroenterology, Hepatology, and Nutrition, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA. The video describes a 68-year-old male who underwent successful resection of a large near-circumferental laterally spreading tumor in the distal rectum. The lesion extended from within 1 mm from …

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Outcomes of delayed endoscopic management for esophageal soft food impactions

Post written by Timothy Krill, MD, from the Department of Gastroenterology and Hepatology, University of Texas Medical Branch, Galveston, Texas, USA. The focus of this study was to evaluate rates of adverse events in esophageal soft food impactions relative to time to endoscopy. We compared differences in outcomes between those who underwent an EGD within …

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