Post written by Bo Shen, MD, from Columbia University Irving Medical Center, NewYork-Presbyterian Hospital, New York, New York, USA. Benign and malignant primary (ie, disease-associated) or anastomotic strictures in the lower GI tract are common in gastroenterology. The focus of this article is the endoscopic treatment of benign primary or anastomotic strictures (eg, diverticular diseases). The …
Technical tips for EUS-guided embolization of varices and pseudoaneurysms
Post written by Radhika Chavan, MD, DNB, FASGE, FISG, from Ansh Clinic, Ahmedabad, Gujarat, India. In our article, we demonstrate the techniques of EUS-guided embolization of various vascular lesions, including gastric varices, ectopic varices, and pseudoaneurysms. We discuss 2 methods of EUS-guided embolization for gastric varices: (1) direct puncture of the varices and (2) feeder vessel …
Continue reading Technical tips for EUS-guided embolization of varices and pseudoaneurysms
Automatically optimized radiomics modeling system for small gastric submucosal tumor (<2 cm) discrimination based on EUS images
Post written by Mingyan Cai, MD, PhD, FASGE, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China. In this study, we developed and validated an automatically optimized radiomics modeling system (AORMS) based on EUS images to diagnose small GI stromal tumors (GISTs) (<2 cm) from non-GISTs and predict those with high …
Retrograde EUS-guided ileocolostomy for malignant small-bowel obstruction
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. A 64-year-old woman with a history of perforated goblet cell carcinoid tumor of the appendix underwent extensive cytoreductive surgery with heated intraperitoneal chemotherapy 5 years prior. She had a recent small-bowel obstruction requiring exploratory laparotomy with extensive lysis of adhesions and resection of …
Continue reading Retrograde EUS-guided ileocolostomy for malignant small-bowel obstruction
Chromo-pancreatoscopy for preoperative evaluation of main duct intraductal pancreatic mucinous neoplasm
Post written by Kambiz Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Main duct—type intraductal pancreatic mucinous neoplasms (IPMNs) present a diagnostic and management challenge, requiring careful evaluation to accurately determine the extent of the disease and guide treatment decisions. Preoperative or intraoperative pancreatoscopy proves to be invaluable when assessing the extent …
Novel method for refractory tracheoesophageal fistula closure: modified polydioxanone suture mesh with fibrin glue
Post written by Biswa Ranjan Patra, MD, DM, from Seth GS Medical College and KEM Hospital, Mumbai, India. Refractory tracheoesophageal fistulas (TEFs) are difficult to treat, even with various surgical or endoscopic modalities. This case involves a 5-year-old child with a congenital TEF that recurred after 2 surgical corrections and endoscopic attempts at closure. We describe …
A new pancreatic guidewire–assisted biliary cannulation technique using double soft-tipped guidewire: wire bridge cannulation
Post written by Wataru Yoshioka, MD, from Kameda Medical Center, Kamogawa, Japan. A new double soft-tipped guidewire (GW) that has 2 angulated tips with hydrophilic coating on both ends (RevoWave DualMaster, 0.025 inches, 450 cm long; Piolax Medical Devices, Inc, Yokohama, Japan) has been recently developed. This GW enables simultaneous cannulation of the pancreatic and bile …
Laparoscopy-assisted nonexposed endoscopic full-thickness resection for local resection after endoscopic submucosal dissection
Post written by Deepak Madhu, MD, MRCP, DM, from NTT Medical Center Tokyo, Tokyo, Japan. An 83-year-old man with severe comorbidities underwent endoscopic submucosal dissection for early gastric cancer. Histologic analysis of the resected specimen showed that vertical margins were positive, and the tumor had deep submucosal invasion. In light of severe comorbidities, a multidisciplinary decision …
A strategy combining endoscopic hand-suturing with clips for closure of rectal defects after endoscopic submucosal dissection with or without myectomy (with video)
Post written by Guiqi Wang, MD, from the Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. This study retrospectively reviewed data from patients who underwent closure of rectal defects using endoscopic hand-suturing (EHS) with clips (EHS-Clips) at the Cancer Hospital …
Efficacy of a novel ultra-tapered endoscopic nasobiliary drainage tube in gallbladder drainage
Post written by Takaoki Hayakawa, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan. Endoscopic transpapillary gallbladder drainage is an effective treatment for acute cholecystitis in patients who cannot undergo surgery because of adverse events or bleeding tendencies. This video describes the use of a new …
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