Post written by Rungsun Rerknimitr, MD, FRCP (London), FASGE, from Chulalongkorn University, Bangkok, Thailand. Our case is about a 10-year-old girl with known tropical chronic pancreatitis with mutation at the transition c.206C>T in exon 4 of the SPINK1 gene who underwent pancreatic sphincterotomy via major papilla with pancreatic stone extraction 6 months prior. The patient presented with a new episode of epigastric pain and elevation …
Comparative diagnostic performance of different techniques for EUS-guided fine-needle biopsy sampling of solid pancreatic masses: a network meta-analysis
Post written by Antonio Facciorusso, MD, PhD, from the Gastroenterology Unit, Department of Surgical and Medical Sciences, University of Foggia, Foggia, Italy. In the last decade, several EUS fine-needle biopsy (FNB) sampling needles have been developed, and newer end-cutting FNB needles, which feature alterations of the cutting tip, have been found to outperform other needles in …
Transjejunal ERCP, EUS-guided gallbladder drainage, and cholecystoscopy with direct electrohydraulic lithotripsy with large gallstone removal in Roux-en-Y anatomy
Post written by Arjun Chatterjee, MD, from the Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA. A 61-year-old man presented with intermittent right-upper-quadrant pain, nausea, and vomiting. A CT scan of his abdomen revealed choledocholithiasis and large cholelithiasis. His medical and surgical history included severe obesity, Roux-en-Y gastric bypass, bowel perforation with extensive resection, …
Definitive nonsurgical management of stump cholecystitis with EUS-guided lumen-apposing metal stent placement and electrohydraulic lithotripsy
Post written by Rishi Pawa, MD, from the Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. A 31-year-old woman presented with right-upper-quadrant pain and imaging findings of acute cholecystitis. She underwent an open subtotal cholecystectomy because of extensive adhesive disease involving the gallbladder. Initially, the patient did well postoperatively but started having recurrent symptoms …
Top tips for endoscopic biliary stenting for hilar obstruction
Post written by Ryan Law, DO, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. The focus of this manuscript was very simple. I aimed to identify what I believe are the most important pearls for successful endoscopic management of patients with biliary hilar obstruction. The goal was to simplify this topic into …
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“Loop-10” line-assisted clip closure method: closure of perforation in re-do peroral endoscopic myotomy
Post written by Marc Julius Navarro, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan, and the Institute of Digestive and Liver Diseases, St. Luke’s Medical Center, Quezon City, Philippines. In this video, we highlight how the “Loop-10” line-assisted clip closure method presented to be a feasible and effective method in achieving …
Auxiliary diagnosis of subepithelial lesions by impedance measurement during EUS-guided fine-needle biopsy
Post written by Yosuke Minoda, MD, PhD, from the Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, and the Department of Endoscopic Diagnostics and Therapeutics, Kyushu University Hospital, Fukuoka, Japan. This study presents a new method to differentiate a GI stromal tumor (GIST) from a non-GIST in gastric subepithelial lesions (SELs) …
Primary needle-knife fistulotomy versus rescue precut: a systematic review and meta-analysis of outcomes
Post written by Jay Bapaye, MD, from the Department of Internal Medicine, Rochester General Hospital, Rochester, New York, USA. Precut sphincterotomy is a technique used when attempts at gaining biliary access with the help of standard catheters, cannulotomes, and guidewires have failed. In our study, we tried to answer the question of how does a primary …
2023 GIE, VideoGIE, and iGIE top reviewers honored at DDW
Congratulations to the 2023 GIE, VideoGIE, and iGIE Reviewer Award Winners, who will be recognized at the Editors’ Reception on May 8 at Digestive Disease Week in Chicago, Illinois, USA. These distinguished reviewers are being honored for their superior contributions to the journals through completing high numbers of reviews and submitting the highest quality of …
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Usefulness of the ultrathin endoscope with a newly developed knife for complex esophageal endoscopic submucosal dissection
Post written by Satoki Shichijo, MD, PhD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. A 62-year-old woman underwent subtotal esophagectomy for esophageal cancer, local resection of pharyngeal cancer with postoperative radiotherapy, and bilateral cervical lymph node dissection because of pharyngeal cancer metastasis. Follow-up endoscopy revealed a 10-mm brownish area in the …
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