Post written by Linda C. Cummings, MD, from the Division of Gastroenterology and Liver Disease, Department of Medicine, University Hospitals Cleveland Medical Center, and the Department of Medicine, Case Western Reserve University School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA. Our study used anesthetic case data from a multicenter consortium to compare 2 …
Combination of a 19-gauge needle and 0.018-inch guidewire with a Y-connector during EUS-guided hepaticogastrostomy
Post written by So Nakaji, MD, from the Department of Gastroenterology, Kameda Medical Center, Chiba, Japan. EUS-guided hepaticogastrostomy (EUS-HGS) can be performed by either first injecting the contrast medium or inserting the guidewire. Each method has advantages and disadvantages. It is desirable to inject the contrast medium with a guidewire loaded in a needle such …
New scoring system to distinguish deep invasive submucosal and muscularis propria colorectal cancer during colonoscopy: a development and global multicenter external validation study (e-T2 Score)
Post written by Yohei Koyama, MD, PhD, from the Endoscopy Division, National Cancer Center Hospital, and the Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, and Masayoshi Yamada, MD, PhD, from the Endoscopy Division and the Department of Genetic Medicine and Services, National Cancer Center Hospital, Tokyo, Japan. For this study, we aimed to …
Endoscopic management of magnet ingestion and its adverse events in children
Post written by Radhika Chavan, MD, DNB, from the Ansh Clinic, Ahmedabad, Gujarat, India. In this video case series, we report adverse events related to the prolonged retention of magnets and endoscopic management in children. Three children each ingested 2 magnets of different shapes and sizes with variable periods of ingestion. They presented with abdominal …
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Technical feasibility of salvage endoscopic submucosal dissection after chemoradiation for locally advanced rectal adenocarcinoma
Post written by Galen Leung, MD, from the Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. For this study, we wanted to evaluate the technical feasibility of salvage endoscopic submucosal dissection (ESD) after chemoradiation for locally advanced rectal adenocarcinoma in terms of rates of complete resection of residual tumor and safety profile. Emerging evidence …
Endoscopic submucosal dissection with ductotomy for the resection of a gastric duplication cyst with a communicating duct
Post written by Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology Hepatology and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. A 40-year-old woman with persistent upper abdominal pain was found to have a 3-cm subepithelial lesion in the prepyloric area and was referred to our center. EUS showed an anechoic cyst in the …
Pooled rates of adenoma detection by colonoscopy in asymptomatic average-risk individuals with positive fecal immunochemical test: a systematic review and meta-analysis
Post written by Babu P. Mohan, MD, from the Department of Gastroenterology & Hepatology, Department of Medicine, University of Utah Health, Salt Lake City, Utah, USA. The focus of this study was to evaluate the pooled rates of adenoma detection in fecal immunochemical test (FIT)-positive colonoscopy. Current adenoma detection rate (ADR) thresholds in FIT-positive colonoscopy …
Derivation and validation of Re.Co.De death score risk in patients with acute nonvariceal upper GI bleeding
Post written by Riccardo Marmo, MD, from the Gastroenterology and Endoscopy Unit, “L. Curto” Hospital, Salerno, Italy, and Cristina Bucci, MD, PhD, from the Endoscopy Unit, AORN Santobono-Pausillipon Napoli, Naples, Italy. Despite the advances in managing acute upper GI bleeding, it remains a common emergency in clinical practice with a high mortality rate. Different clinical …
Follow-up outcomes of mucosal defect closures after endoscopic resection using a helix tacking system and endoclips
Post written by Sonmoon Mohapatra, MD, and Norio Fukami, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, Arizona, USA. In this video, we describe the follow-up outcomes of 5 patients who underwent endoscopic resection (ER) and secure mucosal defect closure using the X-Tack endoscopic HeliX tacking system (Apollo Endosurgery, Austin, Tex, USA) …
Efficacy and safety comparison of scissor-type knives with needle-type knives for colorectal endoscopic submucosal dissection: a post-hoc propensity score–matched analysis (with videos)
Post written by Toshio Kuwai, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan. In this study, we primarily focused on the safety of colorectal endoscopic submucosal dissection (ESD) using a scissor-type knife in comparison to a needle-type knife. For more information, please visit our …