Post written by Abdullah Abbasi, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Exposed endoscopic full-thickness resection (EFTR) is often necessary for management of large subepithelial lesions or those extending deep into the GI wall. This video demonstrates successful removal of a large GI stromal tumor in the fundus, with a focus on …
Tag: Endoscopy
Closure of gastric mucosal defects using the reopenable-clip over-the-line method to decrease the risk of bleeding after endoscopic submucosal dissection: a multicenter propensity score–matched case-control study (with video)
Post written by Tatsuma Nomura, MD, from the Department of Gastroenterology, Suzuka General Hospital, Suzuka, and Shinya Sugimoto, MD, from the Department of Gastroenterology, Ise Red Cross Hospital, Ise, Japan. A retrospective study was conducted to analyze endoscopic submucosal dissection (ESD) procedures performed between January 2012 and March 2024. Patients were classified into 2 groups: a nonclosure group, where …
Quadrant, necrosis, and infection criteria for the risk stratification of walled-off necrosis: external validation using multi-institutional data
Post written by Hideyuki Shiomi, MD, PhD, from the Division of Hepatobiliary and Pancreatic Diseases, Department of Gastroenterology, Hyogo Medical University, Hyogo, and Tomotaka Saito, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan, for the WONDERFUL study group. Our study externally validated the quadrant (an abdominal quadrant distribution), necrosis, and infection (QNI) …
Radiofrequency vapor ablation for duodenal mucosal ablation in the treatment of type 2 diabetes: results from the first-in-human pilot study
Post written by Benjamin Norton, MD, from Cleveland Clinic London, London, United Kingdom. We are currently experiencing an obesity and diabetic epidemic. We know that the number of people living with type 2 diabetes (T2D) is expected to rise worldwide to alarming rates (1.31 billion by 2050).1 We are seeing an explosion in the number …
Saline immersion endoscopic submucosal dissection for management of early Barrett’s esophagus adenocarcinoma and large esophageal varices
Post written by Giuliano Francesco Bonura, MD, from the Gastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, Carpi, Italy. A 65-year-old man was referred to our unit with long-segment Barrett’s esophagus (Prague C6, M10) with 2 bulky adjacent sessile lesions (30 mm and 15 mm) positive for adenocarcinoma at biopsies. Magnification endoscopy with narrow-band imaging …
Improvement in obesity-related comorbidities 5 years after endoscopic sleeve gastroplasty: a prospective cohort study
Post written by Ali Lahooti, MD, and Reem Z. Sharaiha, MD, MSc, from the Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medicine, New York, New York, USA. Our study aimed to prospectively evaluate the long-term effectiveness of endoscopic sleeve gastroplasty (ESG) as a standalone therapy for treating obesity and its related comorbidities over a period of …
A lifetime of pushing boundaries: thinking outside the box to endoscopically treat complex gastrointestinal diseases
Post written by Todd H. Baron, MD, MASGE, from the University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA, and Phillip S. Ge, MD, FASGE, from the University of Texas MD Anderson Cancer Center, Houston, Texas, USA. Please join iGIE in celebrating the career of Dr Todd Baron, a legendary pioneer who dared to break rules to …
Hybrid endoscopic submucosal dissection and endoscopic full-thickness resection for R0 resection of T1 colonic adenocarcinoma
Post written by Rahul Karna, MD, from the University of Minnesota, Minneapolis, Minnesota, USA, and Mohammad Bilal, MD, from the University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA. In this case, we describe management of a 35-mm malignant colon polyp in a patient at high risk for surgery. Colonoscopic exam revealed a nonpolypoid lesion (Paris classification IIa+IIc) in the …
Management of ERCP-related perforation: a large multicenter study
Post written by Tomoya Emori, MD, PhD, from Wakayama Rosai Hospital, Wakayama, Japan. This study retrospectively evaluated the characteristics and clinical outcomes of patients with ERCP-related duodenal perforations according to the mechanism of injury. Perforation is a rare but serious adverse event associated with ERCP. There is no consensus to guide clinicians in the management of ERCP-related …
Continue reading Management of ERCP-related perforation: a large multicenter study
Coagulation forceps-sparing techniques for pre-emptive sealing of blood vessels during third-space endoscopy
Post written by Zaheer Nabi, MD, DNB, FASGE, FISG, FSGEI, from the Asian Institute of Gastroenterology, Hyderabad, India. This video presents a series of coagulation forceps-sparing techniques used during third-space endoscopy, including peroral endoscopic myotomy. Using various electrosurgical knife-based and bipolar coagulation methods, we demonstrate how large blood vessels encountered during submucosal dissection can be …
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