Post written by Wei An, MD, Dan Wang, MD, and Liang-Hao Hu, MD, from the Department of Gastroenterology, ChangHai Hospital, The Second Military Medical University, Shanghai, China. A 69-year-old man with a history of chronic pancreatitis was referred to our hospital for severe abdominal distention and vomiting. Computed tomography revealed multiple pancreatic calcifications and a …
Editor’s Choice: Core curriculum for endoscopic mucosal resection
GIE Senior Associate Editor, Dr. John R. Saltzman, MD, FASGE, highlights this article from the February issue “Core curriculum for endoscopic mucosal resection” by the ASGE Training Committee. This article provides a framework for teaching the skills needed to perform endoscopic mucosal resection (EMR). It provides an outstanding overview of the technical, nontechnical, and cognitive …
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Quality assessment for systematic reviews and meta-analyses of cohort studies
Post written by Bashar J. Qumseya, MD, MPH, FASGE, from the Division of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, Florida, USA. I have been involved in many systematic reviews and meta-analyses. Several scales used for rating cohort studies were available but were either to difficult to use or interpret. I wanted to create …
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EUS diagnosis of rectal endometriosis
Post written by Bo Sun, MD, from the Department of Gastroenterology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China. This case was a 40-year-old woman with a 2-month history of increased bowel movements and feelings of incomplete evacuation. Her colonoscopy detected a rectal submucosal elevation with unrevealing biopsy results. Pelvic MRI suggested a rectal …
High pooled performance of convolutional neural networks in computer-aided diagnosis of GI ulcers and/or hemorrhage on wireless capsule endoscopy images
Post written by Babu P. Mohan, MD, from the Gastroenterology & Hepatology, University of Utah, Salt Lake City, Utah, USA. The study aimed to analyze the pooled rates of diagnostic accuracy parameters of computer-aided diagnosis (CAD) by convolutional neural networks (CNN)-based machine learning of wireless capsule endoscopy (WCE) images. Recent studies have reported on the …
EUS-guided gastroenterostomy assisted by extrinsic abdominal compression to treat gastric obstruction after surgical resection of a GI stromal tumor
Post written by Michael Lajin, MD, from the Sharp Grossmont Hospital, La Mesa, California. EUS-guided gastroenterostomy is increasingly utilized to treat gastric outlet obstruction after surgery. We describe a case of EUS-guided gastroenterostomy facilitated by extrinsic abdominal compression to treat gastric obstruction following surgical resection of a gastrointestinal stromal tumor. A 77-year-old woman underwent laparoscopic resection of …
EUS pancreatic function testing and dynamic pancreatic duct evaluation for the diagnosis of exocrine pancreatic insufficiency and chronic pancreatitis
Post written by John M. DeWitt, MD, from the Department of Gastroenterology and Hepatology, Indiana University Health Medical Center, Indianapolis, Indiana, USA. Chronic pancreatitis is easy to diagnose in the late stages due to characteristic imaging findings. Minimal change chronic pancreatitis (MCCP) is early disease with characteristic symptoms but little to no typical imaging features …
Use of a new traction device to expose the base of a pedunculated appendiceal polyp
Post written by Hirosato Tamari, MD, from the Department of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan. A 67-year-old man underwent a positron emission tomography/computed tomography (PET/CT) scan for thyroid cancer and was found to have an accumulation in the cecum (SUVmax value: 8.1) and in the thyroid gland. Colonoscopy revealed a pedunculated appendiceal polyp. The …
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Colovaginal fistula closure using a cardiac septal defect occluder
Post written by Omar Sadiq, MD, from the Division of Gastroenterology, Henry Ford Hospital, Detroit, Michigan. We present a case of a 70-year-old woman who developed a colovaginal fistula following debulking surgery for stage 3 ovarian carcinoma. She refused further surgical intervention, and endoscopic interventions such as over-the-scope clips and endoscopic suturing were not successful. …
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Delayed endoscopic closure of a giant gastric perforation
Post written by Ravishankar Asokkumar, MBBS, MRCP, from the Department of Gastroenterology and Hepatology, Singapore General Hospital, and DUKE-NUS Graduate Medical School, Singapore. We described a case demonstrating the endoscopic closure technique of a large iatrogenic gastric perforation presenting in a delayed fashion. The perforation was closed using multiple over-the-scope clips, and we avoided surgery. …
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