Post written by Fateh Bazerbachi, MD, from CentraCare, Interventional Endoscopy Program, St. Cloud Hospital, St. Cloud, Minnesota, USA. Endoscopic retrograde cholangiopancreatography allows ductal stenting to alleviate symptomatic biliary or pancreatic duct strictures, and this is achieved through prosthesis placement over a guidewire. There may be a need for stent exchange during future procedures and, in …
Endoscopic submucosal dissection using traction by a spring-and-loop with clip for a laterally spreading tumor in the inferior aspect of the cecum: a nonreferral center experience
Post written by Yohei Koyama, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Tokyo, Japan. Endoscopic submucosal dissection (ESD) has been widely accepted as a minimally invasive treatment for early colorectal neoplasms. However, cecal ESD remains a challenging treatment owing to the anatomical features of the cecum, such as the thin …
Artificial intelligence for the assessment of bowel preparation
Post written by Ji Young Lee, MD, PhD, from the Health Screening and Promotion Center, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea. This study demonstrated objective assessment of bowel preparation adequacy using an artificial intelligence (AI)/convolutional neural network algorithm developed from colonoscopy videos. An adequate bowel preparation impacts quality indicators …
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Technique of straightening the guidewire using a balloon catheter for successful endoscopic transpapillary gallbladder stenting
Post written by Kazunari Nakahara, MD, PhD, from the Department of Gastroenterology and Hepatology, St. Marianna University, School of Medicine, Kawasaki, Japan. We present a case of successful endoscopic transpapillary gallbladder stenting (EGBS) via straightening of the guidewire that looped in the neck of the gallbladder using a stone retrieval balloon catheter. A 76-year-old woman …
Endoscopic ultrasound-guided ileosigmoidostomy using a lumen-apposing metal stent for palliation of malignant small-bowel obstruction
Post written by Donevan Westerveld, MD, from the Division of Gastroenterology & Hepatology, NewYork-Presbyterian Hospital/Weill Cornell Medicine, New York, New York, USA. A high-grade malignant small-bowel obstruction (SBO) is typically managed with surgical diversion (ileostomy) or palliative decompression via nasogastric tube or venting gastrostomy. These approaches have a significant impact on a patient’s quality of …
EUS-guided transhepatic biliary drainage: a large single-center U.S. experience
Post written by Todd H. Baron, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. This study focused on transhepatic biliary drainage using endoscopic ultrasound for management of benign and malignant biliary obstruction. Although EUS-guided hepaticogastrostomy was first described nearly 20 years ago, almost …
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EUS-guided gallbladder drainage and subsequent peroral endoscopic cholecystolithotomy: A tool to reduce chemotherapy discontinuation in neoplastic patients?
Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, IRCCS San Raffaele Scientific Institute, Milan, Italy. In this video case series, we discuss how endoscopic treatment of acute cholecystitis (AC) can improve the management of patients in a multidisciplinary cancer institute. Endoscopic ultrasound-guided gallbladder drainage …
Cholangiocarcinoma obscured by a large paraesophageal hernia causing traction compression of the common hepatic duct ultimately diagnosed with percutaneous cholangioscopy
Post written by Sooraj Tejaswi, MD, MSPH, from UC Davis School of Medicine, Sacramento, California, USA. We describe a multidisciplinary approach to obstructive jaundice due to 2 concurrent etiologies. A 75-year-old man was transferred from an outside hospital for unresolving jaundice and elevated CA 19-9, despite a functioning percutaneous biliary drain (PBD) placed for biliary …
Endoscopically directed single-port intragastric fundoplication, sleeve gastroplasty, and myotomy: a preclinical study in a porcine model
Post written by Andrew C. Storm, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. A tool commonly used in laparoscopic surgeries is the articulating stapler. This allows for efficient tissue removal or remodeling with the push of a button. As miniaturization permitting a stapler to fit through a scope’s working …
Colorectal cancer patients advocating screening to their siblings: a randomized behavioral intervention
Post written by Ker-Kan Tan, PhD, from the Division of Colorectal Surgery, University Surgical Cluster, National University Health System, Singapore. The aim of this study was twofold. First, we sought to understand if colorectal cancer (CRC) patients would be willing to advocate cancer screening to their siblings (who would be considered higher-risk, first-degree relatives [FDRs]). …
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