Covered versus uncovered double bare self-expandable metal stent for palliation of unresectable extrahepatic malignant biliary obstruction: a randomized controlled multicenter trial

Post written by Jae Hee Cho, MD, PhD, and Seungmin Bang, MD, PhD, from the Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. A double bare metal stent (DBS) is a newly developed metal stent that is woven into a cross and hook structure with braided nitinol, and it has a …

Continue reading Covered versus uncovered double bare self-expandable metal stent for palliation of unresectable extrahepatic malignant biliary obstruction: a randomized controlled multicenter trial

Letter from the new GIE Editor-in-Chief

Post written by Douglas G. Adler, MD, FACG, AGAF, FASGE, Director, Center for Advanced Therapeutic Endoscopy (CATE), PEAK Gastroenterology, Porter Adventist Hospital, Denver, Colorado, USA. It is my great pleasure to write to you as the new Editor-in-Chief of Gastrointestinal Endoscopy. I enter into this new role with a sense of incredible excitement and optimism for the future, …

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EUS-guided jejuno-enterostomy in a patient with total gastrectomy with Roux-en-Y esophagojejunostomy to facilitate cholangioscopy with electrohydraulic lithotripsy

Post written by Yervant Ichkhanian, MD, from the Department of Medicine, Henry Ford Hospital, Detroit, Michigan, USA. A 67-year-old man with a history of total gastrectomy before Roux-en-Y esophagojejunostomy reconstruction in the setting of gastric adenocarcinoma presented with extensive choledocholithiasis with a benign terminal bile duct stricture. In our case, the patient underwent jejuno-enterostomy using a …

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Endoscopic full-thickness resection with retroperitoneal dissection for duodenal myogenic cyst with adjustable traction from an independently controlled snare

Post written by Ding-Ek Toh, MD, from the Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, and Chu-Kuang Chou, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, and the Obesity Center, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan. This video represents a novel method to …

Continue reading Endoscopic full-thickness resection with retroperitoneal dissection for duodenal myogenic cyst with adjustable traction from an independently controlled snare

Implementation of optical diagnosis with a “resect and discard” strategy in clinical practice: DISCARD3 study

Post written by Ahmir Ahmad, MRCP, from the Wolfson Unit for Endoscopy, St Mark’s Hospital, Harrow, London, UK. Real-time optical diagnosis (OD) is now possible because of image-enhancing technologies offering the potential for huge cost and time savings associated with histopathology.  Despite several GI societies endorsing a “resect and discard” strategy for low-risk diminutive polyps, there …

Continue reading Implementation of optical diagnosis with a “resect and discard” strategy in clinical practice: DISCARD3 study

Cryotherapy for removal of an embedded, partially covered esophageal stent

Post written by Aman Deep, MD, from the Department of Nephrology, Asante Rogue Regional Medical Center, Medford, Oregon, USA. Esophageal stents are used to relieve obstruction in diverse benign and malignant esophageal conditions. However, excessive granulation tissue may make the removal of such stents challenging, and it increases the risk of adverse events such as bleeding …

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EUS-guided gastroenterostomy versus duodenal self-expandable metal stent for malignant gastric outlet obstruction: results from a nationwide multicenter retrospective study (with video)

Post written by Rubén Sánchez-Aldehuelo, MD, from the Unidad de Endoscopia, Servicio de Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, Fundación para la Investigación Biomédica del Hospital Universitario Ramón y Cajal (IRYCIS), Universidad de Alcalá, and Enrique Vázquez-Sequeiros, MD, PhD, from the Unidad de Endoscopia, Servicio de Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, …

Continue reading EUS-guided gastroenterostomy versus duodenal self-expandable metal stent for malignant gastric outlet obstruction: results from a nationwide multicenter retrospective study (with video)

New ASGE journal debuts with 14-article issue: iGIE

A new ASGE journal launches today! The first issue of iGIE is now available with 14 articles exploring novel preclinical work and early clinical studies. Led by Editor-in-Chief Dr Christopher C. Thompson, the gold open-access, online-only journal will publish peer-reviewed research and best practices in GI endoscopy quarterly. “With an emphasis on innovation, early clinical …

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Use of a novel endoscopic tack and suture system for the management of pancreatocolonic fistula

Post written by Arunkumar Krishnan, MBBS, from the Section of Gastroenterology and Hepatology, West Virginia University School of Medicine, Morgantown, West Virginia, USA. We demonstrate a technique for the closure of pancreatocolonic fistulae (PCF) using an X-Tack Endoscopic HeliX System (Apollo Endosurgery, Austin, Tex, USA). GI tract fistulation is an uncommon but important consequence of acute …

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Endoscopic removal of a retained esophageal stent using the stent-in-stent technique

Post written by Jose Antonio Navarro Almario, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA. In this video, we demonstrate the use of the stent-in-stent technique to extract a retained esophageal stent.      The formation of granulation tissue secondary to placement of an esophageal stent is common and can serve …

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