Post written by Bashar Qumseya, MD, MPH, FASGE, from the University of Florida, Gainesville, Florida, USA. This study focuses on the risk of post-ERCP pancreatitis (PEP) in patients who receive self-expandable metal stents (SEMSs) compared with plastic biliary stents at the time of ERCP. We observed several patients who underwent PEP with seemingly no other …
Endoscopic repair of Strasberg type D bile duct injury following laparoscopic cholecystectomy: an unconventional approach
Post written by Ahmad Abdulraheem, MD, and Angela Koomson, MD, from the Department of Medicine, MedStar Georgetown Washington Hospital Center, and Abdalla Khouqeer, MD, Ahmad Al-Dwairy, MD, and Walid Chalhoub, MD, from the Gastroenterology Section, Department of Medicine, MedStar Georgetown University Hospital, Washington, District of Columbia, USA. The video describes a case of severe bile duct injury managed solely with ERCP. The patient presented with acute cholecystitis due to …
Endoscopic submucosal dissection of a gastric adenocarcinoma of fundic-gland type
Post written by Lady Katherine Mejia Perez, MD, and Kyungran Justina Cho, MD, PhD, from the Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic, Erica Savage, MD, from the Department of Pathology and Laboratory Medicine, Cleveland Clinic, and Amit Bhatt, MD, from the Department of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic, Cleveland, Ohio, USA. We describe a unique case of a large well-differentiated gastric …
Continue reading Endoscopic submucosal dissection of a gastric adenocarcinoma of fundic-gland type
Endoscopic management of active arterial bleeding in walled-off necrosis collection
Post written by Matthew Eganhouse, MD, and Ajaypal Singh, MD, from the Division of Digestive Diseases, Rush University Medical Center, Chicago, Illinois, USA. In our recently published video case, we describe, to our knowledge, the first time endoscopic hemostasis was achieved from active arterial bleeding within a walled-off necrosis (WON) cavity. Our patient, a 45-year-old woman, initially underwent EUS-guided cystgastrostomy …
Continue reading Endoscopic management of active arterial bleeding in walled-off necrosis collection
Randomized crossover trial comparing through-the-scope balloon enteroscopy via colonoscope with standard colonoscopy on depth of ileal insertion
Post written by M. Ammar Kalas, MD, from Texas Tech University Health Sciences Center El Paso, El Paso, Texas, USA. This study aimed to assess the effect of a through-the-scope balloon attachment on depth of maximal ileal insertion (DMI) during retrograde enteroscopy. We adopted a crossover trial design in which each patient in the study …
Peroral endoscopic tumor resection of recurrent hypopharyngeal fibrovascular polyp
Post written by Yohei Nishikawa, MD, PhD, from Digestive Diseases Center, Showa Medical University Koto Toyosu Hospital, Tokyo, Japan. We present a case of a 56-year-old woman with a recurrent fibrovascular polyp (FVP) in the hypopharynx. She previously underwent an incomplete resection, and the residual tumor continued to grow, leading to progressive dysphagia. We performed …
Continue reading Peroral endoscopic tumor resection of recurrent hypopharyngeal fibrovascular polyp
Endoscopic suturing to prevent migration of esophageal fully covered self-expandable metal stents: a randomized controlled trial (with video)
Post written by Shailendra Singh, MD, from West Virginia University, Morgantown, West Virginia, USA. Fully covered self-expandable metal stents (FC-SEMSs) are widely used in the management of both benign and malignant esophageal disorders, including strictures, leaks, and perforations. However, high migration rates—often exceeding 30% to 60%—remain a major limitation of their use, leading to recurrent …
Bridge the GAPPS (gastric adenocarcinoma and proximal polyposis syndrome)
Post written by Suchapa Arayakarnkul, MD, from the Department of Medicine, University of Minnesota, Minneapolis, and Daniela Guerrero Vinsard, MD, from the Division of Gastroenterology and Hepatology, Minneapolis VA Medical Center, Minneapolis, and Division of Gastroenterology, Hepatology and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA. We present a case of gastric adenocarcinoma and proximal polyposis syndrome (GAPPS) and review its …
Continue reading Bridge the GAPPS (gastric adenocarcinoma and proximal polyposis syndrome)
Pleural connection treated with stent plus endobronchial valve
Post written by Mayank Goyal, MD, from the the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, and the University of Missouri-Kansas City, Kansas City, Missouri, and Navtej Buttar, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. We report the case of a 34-year-old man with a complex surgical history who developed a refractory esophagopleural fistula (EPF) …
Continue reading Pleural connection treated with stent plus endobronchial valve
Editor’s Choice: Development and validation of the SDLD score: a simplified tool to predict successful endoscopic papillectomy in ampullary lesions
GIE Associate Editor Monique Barakat, MD, highlights this article from the October issue: “Development and validation of the SDLD score: a simplified tool to predict successful endoscopic papillectomy in ampullary lesions” by Kien Vu Trung, MD, et al. This study provides valuable insights into the predictors of incomplete resection in patients undergoing endoscopic papillectomy for ampullary lesions. The study …
endoscopedia.com 