Post written by Harishankar Gopakumar, MD, FACP, from the Division of Gastroenterology, Hepatology and Nutrition, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA. This study is a systematic review and meta-analysis of the performance characteristics, safety profile, and overall endoscopist satisfaction with single-use fully disposable duodenoscopes. Transmission of exogenous pathogens during ERCP using …
With a little help from my friends: percutaneously assisted internalization of a biliary drain
Post written by Jad AbiMansour, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. We present the use of a preexisting percutaneous transhepatic biliary drain to distend the left biliary system and facilitate the completion of EUS-guided hepaticogastrostomy (EUS-HG), successfully internalizing the drain. This case highlights a multidisciplinary, collaborative approach and a …
Endoscopic submucosal dissection of appendiceal lesions by using a novel adjustable traction device: A-TRACT-2
Post written by Louis-Jean Masgnaux, MR, from the Gastroenterology and Endoscopy Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France. We describe the use of an adjustable endoscopic traction system, the A-TRACT-2, a handmade device that can be tightened during the procedure to increase the traction tension and greatly assist the operator in difficult cases …
Cognitive ERCP: decision making during successful retrieval of proximally migrated biliary stent
Post written by Arjun Chatterjee, MD, from the Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA. A 56-year-old man presented with painless jaundice. A CT scan reported a pancreatic mass, and he underwent ERCP at an outside facility with the placement of a plastic biliary stent through distal biliary stricture and EUS-guided biopsy of …
Expanding the role of pneumatic dilation for nonachalasia patients: a comparative study
Post written by Nikita Desai, MD, from the Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA. The focus of our study was to evaluate the treatment efficacy of pneumatic dilation (PD) for the disorders of esophagogastric junction outflow obstruction (EGJOO) and postfundoplication esophagogastric junction obstruction (PF-EGJO) and to assess attitudes about training in …
Successful management of a duodenal perforation using a through-the-scope suturing device after failed attempt at closure with an over-the-scope clip
Post written by Maham Hayat, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We present a case of a patient with an indwelling percutaneous gastrojejunostomy tube with a chronic perforation in the duodenum from the tip of the displaced tube. Attempt at endoscopic closure using an over-the-scope clip was unsuccessful because of the …
Hybrid resection of GI stromal tumor with endoscopic submucosal dissection and the full-thickness resection device
Post written by Varun Angajala, MD, MS, and Ara Sahakian, MD, from the Department of Internal Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA. We are excited to share our hybrid resection technique for a gastric subepithelial lesion (SEL). We performed submucosal dissection to unroof and expose the surface of the …
Comparison of endoscopic sleeve gastroplasty versus surgical sleeve gastrectomy: a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database analysis
Post written by Anuragh R. Gudur, MD, from the Division of Gastroenterology, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA. Our study used a large, multicentered, bariatric-specific data registry to analyze short-term outcomes after endoscopic sleeve gastroplasty (ESG) in comparison with surgical sleeve gastrectomy (SG). We also sought to examine which factors were associated with …
Timing of colonoscopy in acute lower GI bleeding: a multicenter retrospective cohort study
Post written by Yasutoshi Shiratori, MD, MPH, PhD, from the Department of Gastroenterology, St. Luke’s International University, and Naoki Ishii, MD, MPH, PhD, from the Department of Gastroenterology, Tokyo Shinagawa Hospital, Tokyo, Japan. Acute lower GI bleeding (ALGIB) is a primary cause of hospital admissions from the emergency department and is associated with a 3.4% mortality. …
The interventional direct peroral cholangioscopy toolbox for endoscopic snare resection of a high-grade biliary intraductal neoplasia
Post written by Jerry Yung-Lun Chin, MBBS, FRACP, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA, and the Department of Gastroenterology and Hepatology, Waikato Hospital, Te Whatu Ora, Hamilton, New Zealand. Direct peroral cholangioscopy (DPOC) is a valuable diagnostic and therapeutic tool for various biliary disorders. It also is economically favorable compared …
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