Successful retrieval of a retained fractured ERCP guidewire in the pancreatic duct

Post written by Jorge D. Machicado, MD, MPH, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. In this video, we describe a case of a guidewire that fractured in the pancreatic duct during ERCP and different tools used for its successful removal. This occurred during attempts at placing a plastic …

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Endoscopic Mucosal Incisional, Closure, ResectiON (E-MICRON): a novel technique for safe and efficient en bloc foregut resection

Post written by Talia F. Malik, MD, from Chicago Medical School at Rosalind Franklin University of Medicine and Science, North Chicago, Illinois, USA. In this study, we introduce a novel technique, “Endoscopic Mucosal Incisional, Closure, ResectiON (E-MICRON),” for safe and efficient en bloc resection of large gastric intramucosal lesions. Endoscopic submucosal dissection is recommended for en …

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Defining “true acid reflux” after peroral endoscopic myotomy for achalasia: a prospective cohort study

Post written by Aniruddha Pratap Singh, MD, DM, Neeraj Singla, MD, DM, Ekant Budhwani, MD, Wladyslaw Januszewicz, MD, PhD, Zaheer Nabi, MD, DNB, Nitin Jagtap, MD, DNB, Rakesh Kalapala, MD, DNB, Sundeep Lakhtakia, MD, DM, Santosh Darisetty, DA, Sana Fathima Memon, MBA, Duvuur Nageshwar Reddy, MD, DM, and Mohan Ramchandani, MD, DM, from the Asian Institute …

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Endoscopic repair of surgically transected bile duct using overlapping covered metal stents

Post written by Thomas Tielleman, MD, from the University of Texas Southwestern Medical Center, Dallas, Texas, USA. This is a case of a 48-year-old man who underwent cholecystectomy complicated by hemoperitoneum requiring take-backs to the operating room. A complete bile duct transection ultimately complicated the surgeries. Cholangiography from ERCP and percutaneous transhepatic cholangiography confirmed a large …

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GI bleeding in patients with left ventricular assist device: endoscopic approach and prediction model using supervised machine learning

Post written by Hassam Ali, MD, from Gastroenterology & Hepatology, East Carolina University/Brody School of Medicine, Greenville, North Carolina, USA. The present study investigates GI bleeding in patients with left ventricular assist devices (LVADs). We aimed to understand the risk factors associated with this condition and to develop a predictive model using machine learning. GI bleeding …

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The Lambda stenting technique: a new approach to address EUS-guided biliary drainage–associated adverse events

Post written by Hiroki Sato, MD, PhD, Hidemasa Kawabata, MD, PhD, and Mikihiro Fujiya, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan. We encountered 2 cases of stent migrations and 1 case with repeated cholangitis. In the first 2 cases, the metal stent inserted during the first …

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Safety and performance evaluation of the automated helical suturing system as compared with the manual suturing platform in endoscopic sleeve gastroplasty in a porcine model

Post written by Steven E. Shamah, MD, from the Gastroenterology and Hepatology Division, Emek Hospital, Afula, Israel. The focus of our study was to evaluate the safety and efficacy of a novel suturing device that uses robotics and artificial intelligence to perform endoscopic suturing. Most endoscopic suturing devices have a steep learning curve. By introduction of …

Continue reading Safety and performance evaluation of the automated helical suturing system as compared with the manual suturing platform in endoscopic sleeve gastroplasty in a porcine model

Efficacy of bougie versus balloon dilatation in children with benign esophageal stricture: a propensity score–matched retrospective cohort study

Post written by Ujjal Poddar, MD, DNB, DM, from the Department of Pediatric Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. We conducted this propensity score—matched retrospective study to compare bougie versus balloon dilatation for short esophageal strictures in children and assess the outcome of endoscopic dilatation on their growth. Although uncommon, …

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Treatment of Bouveret syndrome with stone fragmentation using an endoscopic submucosal dissection knife

Post written by Fiona Milne, MD, from Queen's University, Kingston Health Sciences Centre, Kingston, Ontario, Canada. Our case describes a 61-year-old man with a 3-decade history of recurrent cholecystitis who presented with Bouveret syndrome. A CT scan showed a 5-cm obstructing gallstone in the proximal duodenum. Surgery was considered to be high risk, given medical comorbidities. …

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Novel miniature transendoscopic telerobotic system for endoscopic submucosal dissection (with videos)

Post written by Xiuli Zuo, MD, PhD, from Qilu Hospital of Shandong University, Jinan, China. The focus of my study includes medical mechatronics, balloon enteroscopy, inflammatory bowel diseases, and early GI cancer diagnosis and endoscopic treatment. It is known that using a conventional endoscope to perform endoscopic submucosal dissection (ESD) is difficult because of the 1-handed …

Continue reading Novel miniature transendoscopic telerobotic system for endoscopic submucosal dissection (with videos)