A novel teaching tool for visualizing the invisible bile duct axis in 3 dimensions during biliary cannulation (Compact Disc method)

Post written by Mamoru Takenaka, MD, PhD, from the Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka-sayama, Japan. The selective biliary cannulation is difficult to master, especially for cases of papillae with a long oral protrusion (LOP). In such cases, visualization of the invisible bile duct axis in 3 dimensions (3D) is …

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Sterile disposable elevator cap in the reduction of cross-contamination

Post written by Carlos Robles-Medranda, MD, from the Instituto Ecuatoriano de Enfermedades Digestivas (IECED, Guayaquil, Ecuador. In the present Tools and Techniques video recently published on VideoGIE, we presented our experience with a novel duodenoscope with a sterile disposable elevator cap for the performance of 700 ERCP procedures. This equipment, which has a 35% reduced …

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Extrabiliary applications of fully covered antimigration biliary metal stents

Post written by Fateh Bazerbachi, MD, from the Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts. In this case series, our team demonstrates examples of luminal applications of specialized fully covered antimigration biliary stents in different challenging scenarios. Specifically, we apply these small-caliber stents in benign radiation pan-esophageal stricture, distal malignant esophageal stricture, enteral anastomotic …

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Triaging advanced GI endoscopy procedures during the COVID-19 pandemic

Post written by Mohammad Bilal, MD, and Mandeep S. Sawhney, MD, MS, from the Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts. In anticipation of the surge of COVID-19 cases in the United States, the Surgeon General of the United States advised hospitals to cancel all elective procedures. …

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COVID-19 pandemic and personal protective equipment shortage: protective efficacy comparing masks and scientific methods for respirator reuse

Post written by Camilla Gallo, MD, from the Center for Endoscopi Research Therapeutics and Training, Università Cattolica del Sacro Cuore di Roma, Rome, Italy. The abrupt outbreak of COVID-19 led many healthcare systems almost to the collapse and to the shortage of personal protective equipment (PPE). Rational use and successful reuse of respirators can help …

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The safety and efficacy of 2% vitamin C solution spray for relief of mucosal irritation caused by Lugol chromoendoscopy

Post written by Duochen Jin, PhD, Jun Wang, MB, Qiang Zhan, MD, PhD, Keting Huang, MM, Hui Wang, MD, Guoqiang Zhang, MD, Yinghong Xu, MB, Jian Yao, MB, Rong Sun, MB, Qin Huang, MD, PhD, Feng Ye, PhD, and Guoxin Zhang, PhD, from the Department of Gastroenterology, First Affiliated Hospital of Nanjing Medical University, First …

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An organ-sparing approach: endoscopic submucosal hydrodissection followed by appendectomy to remove giant synchronous adenomas in a patient with prior left hemicolectomy

Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, HM Hospitales Group, Boadilla del Monte, and the Department of Clinical Sciences. School of Medicine, University of CEU San Pablo, Boadilla del Monte, Madrid, Spain. In this video case report, we present a patient  who had a previous left …

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Horibe GI bleeding prediction score: a simple score for triage decision-making in patients with suspected upper GI bleeding

Post written by Masayasu Horibe, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan, and the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Our study validates a recently developed simple scoring system in patients with suspected upper GI bleeding, called the …

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Single-operator peroral cholangioscopy cystic duct cannulation for transpapillary gallbladder stent placement

Post written by Wiriyaporn Ridtitid, MD, Panida Piyachaturawat, MD, and Rungsun Rerknimitr, MD, from the Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand. The focus of our study was to determine the efficacy and safety of single-operator peroral cholangioscopy (SOC) for helping …

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Effect of referral pattern and histopathology grade on surgery for nonmalignant colorectal polyps

Post written by Dennis Yang, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida, USA. The incidence of surgery for nonmalignant colorectal polyps has continued to rise. We aimed to evaluate referral patterns and factors associated with surgery for nonmalignant colorectal polyps at a large tertiary care center. Endoscopic resection should …

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