TeXture and color enhancement Imaging-assisted precutting: 3 case reports

Post written by Atsushi Saito, MD, Shugo Fujibayashi, MD, PhD, Tamaki Momoi, MD, and Tsuneshi Fujii, MD, PhD, from the Department of Gastroenterology, Japanese Red Cross Asahikawa Hospital, Asahikawa, Hokkaido, Japan. We discussed 3 cases of successful biliary cannulation using precutting with TeXture and color enhancement Imaging (TXI) in patients with obstructive jaundice caused by pancreatic head cancer. In all 3 cases, the …

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Successful endoscopic removal of a retained guidewire in the intrahepatic bile duct using a novel tapered sheath dilator

Post written by Rintaro Fukuda, MD, and Naminatsu Takahara, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan, and Yousuke Nakai, MD, PhD, from the Department of Endoscopy and Endoscopic Surgery, Graduate School of Medicine, The University of Tokyo. Retained guidewire is not a rare adverse event …

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A new pancreatic guidewire–assisted biliary cannulation technique using double soft-tipped guidewire: wire bridge cannulation

Post written by Wataru Yoshioka, MD, from Kameda Medical Center, Kamogawa, Japan. A new double soft-tipped guidewire (GW) that has 2 angulated tips with hydrophilic coating on both ends (RevoWave DualMaster, 0.025 inches, 450 cm long; Piolax Medical Devices, Inc, Yokohama, Japan) has been recently developed. This GW enables simultaneous cannulation of the pancreatic and bile …

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Successful management of bile duct injury with duodenal perforation using endoscopic naso-pancreatic drainage and fully covered self-expandable metallic stent deployment

Post written by Haruka Okada, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan. We reported a case in which simultaneous bile duct injury with massive bile leakage and duodenal retroperitoneal perforation during endoscopic submucosal dissection (ESD) for a large periampullary adenoma were successfully managed by …

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Full-depth evaluation of the bile duct with a 7F cholangioscope and its possibility for guiding therapeutics

Post written by Carlos Robles-Medranda, MD, AGAF, FASGE, from the Instituto Ecuatoriano de Enfermedades Digestivas, Guayaquil, Ecuador. In this review article, we present 4 instances where the 7F cholangioscope emerged as a valuable tool for assessment of challenging biliary ducts, along with a comparative analysis among available cholangioscopes. In case 1, the 7F cholangioscope facilitated identification …

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Intra-ampullary papillary-tubular neoplasm

Post written by Sooraj Tejaswi, MD, MSPH, FASGE, from the University of California Davis School of Medicine, Sacramento, California, and Texas Digestive Disease Consultants, The Woodlands, Texas, USA. A 63-year-old woman had incidentally noted abnormal liver test results with transaminitis (aspartate aminotransferase 104 U/L, alanine transaminase 233 U/L), elevated alkaline phosphatase (290 U/L), and mild hyperbilirubinemia (total …

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Dr Adler named next GIE Editor-in-Chief

Douglas G. Adler, MD, FASGE, has been named Editor-in-Chief of GIE, starting in January 2023. Dr Adler, who currently serves as a Senior Associate Editor for the journal, will replace Michael B. Wallace, MD, MPH, FASGE, who has led GIE for 8 years. Dr Adler received his medical degree from Cornell University Medical College in …

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Photodynamic therapy for hepatic hilar intraductal papillary neoplasm of the bile duct: a case report

Post written by Yadong Feng, MD, from the Department of Gastroenterology, Zhongda Hospital Affiliated to Southeast University, School of Medicine, Southeast University, Nanjing, China. In this study, we reported the experience of the use of digital cholangioscopy for targeted photodynamic therapy (PDT) of a small hilar intraductal papillary neoplasm of the bile duct (IPNB). A 54-year-old …

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Use of peroral cholangioscopy to screen for neoplastic bile duct lesions in patients with bile duct stones

Post written by Il Sang Shin, MD Jong Ho Moon, MD, PhD Yun Nah Lee, MD, PhD, from the Digestive Disease Center and Research Institute, Departments of Internal Medicine, SoonChunHyang University School of Medicine, Bucheon, Korea.    Although cholangiocarcinoma (CCA) has very high mortality rates due to its late detection, satisfactory screening methods of CCA have …

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Magnetic compression anastomosis via EUS-guided hepaticogastrostomy for recanalization of complete common hepatic bile duct transection

Post written by Yingluk Sritunyarat, MD, from the Gastrointestinal Endoscopy Excellence Center, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. Traditionally, the treatment for bile duct transection is surgical-created bilio-enteric bypass. With recent advanced techniques to avoid the need for surgery, the magnetic-compression technique …

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