Post written by Jun Chul Park, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. Upper GI leaks and perforations lead to serious conditions associated with high morbidity and mortality. The optimal method for managing these patients remains controversial. Although surgery is a treatment option, it …
The utility of image-enhanced endoscopy and Lugol’s for the assessment of esophageal squamous carcinoma
Post written by Robert Bechara, MD, from Hotel Dieu Hospital, Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. Chromoendoscopy with Lugol’s is a valuable technique for the detection of esophageal squamous cell carcinoma (ESCC). The sensitivity and specificity of a “pink color sign” for high-grade dysplasia or worse after Lugol’s staining is reported to …
Cholangioscopy-guided double-guidewire technique for complex malignant hilar obstruction
Post written by Margaret G. Keane, MBBS, MSc, from the Department of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA. A 77-year-old man presented to our institution with jaundice, right upper quadrant pain, loss of appetite, and weight loss. Blood tests confirmed a raised Bilirubin (8.6 mg/dl), abnormal LFTs (Alkaline phosphatase 320 IU/L, AST …
Classification, outcomes, and management of misdeployed stents during EUS-guided gastroenterostomy
Post written by Bachir Ghandour, MD, from Johns Hopkins Medicine, Baltimore, Maryland, USA. EUS-guided gastroenterostomy (EUS-GE) is a minimally invasive procedure that is increasingly performed for the management of patients with gastric outlet obstruction (GOO). Stent misdeployment (SM) during EUS-GE remains the most common cause for technical failure and adverse events, hindering its widespread dissemination. …
Quadruple, 4-segment, triple sector “Y-shaped stents” in complex hilar cholangiocarcinoma after cholangitis from plastic stents
Post written by Mohamed A. Abdallah, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA. We describe a case of a 70-year-old female with unresectable, locally advanced Bismuth-Corlette classification type IV perihilar cholangiocarcinoma who presented with cholangitis from plastic stents. In this case, we placed four uncovered self-expanding metal …
Technological review: developments in innovative duodenoscopes
Post written by Mark A. Gromski, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA. The development of innovative duodenoscopes has recently been a dynamic area within interventional endoscopy. In this paper, we aimed to review the status of innovative duodenoscopes, first by putting into …
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The Road Ahead
By Deborah E. Bowman, MFA, ELS Today we bid farewell and good luck to Deborah Bowman as she starts her retirement. Deborah has managed ASGE's publications since 2005 and has been instrumental in the growth and development of the journals. Before taking her leave, she offers some reflections on her career and time with ASGE. …
Palliation of malignant distal colonic obstruction via percutaneous endoscopic colostomy using a lumen-apposing metal stent
Post written by Todd H. Baron, MD, MASGE, from the Division of Gastroenterology and Hepatology, Director of Advanced Therapeutic Endoscopy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. This is a patient who had terminal cancer and sigmoid colonic obstruction not adequately relieved by overlapping, well-positioned, self-expandable metal luminal stents. Because he …
Anatomical features of duodenal folds: a key feature to consider during endoscopic resection of duodenal neoplasms
Post written by Yoshimasa Miura, MD, PhD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan. This video shows an important point that duodenal folds have wide submucosal spaces but no muscularis. If endoscopists understand these characteristics, duodenal neoplasms can be successfully resected. It has been unknown for a long …
Evaluation of polypectomy quality indicators of large, nonpedunculated colorectal polyps in a nonexpert, bowel cancer screening cohort
Post written by Lonne W.T. Meulen, MD, from the Department of Internal Medicine, Division of Gastroenterology and Hepatology, Maastricht University Medical Center, Maastricht, The NetherlandsGROW, School for Oncology and Developmental Biology, Maastricht University, Maastricht, The Netherlands. Our study aimed to provide insight into the quality of endoscopic treatment of large (≥20 mm), nonpedunculated colorectal polyps. …
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