Performance of a novel esophageal stent with an antireflux valve

Post written by Kulwinder S. Dua, MD, FASGE, FACP, FRCP, from the Department of Medicine, Division of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA. The purpose of this study was to evaluate the safety and efficacy of a new self-expanding metal esophageal stent (SEMS) with an anti-reflux valve in relieving dysphagia symptoms …

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Management of afferent limb obstruction by EUS-guided jejunojejunostomy and placement of LAMS

Post written by Hassan Ghoz, MD, and Victoria Gómez, MD, from the Division of Gastroenterology and Hepatology, Section of Advanced Endoscopy, Mayo Clinic, Jacksonville, Florida, USA. We describe a case of a patient presenting with malignant afferent loop obstruction (ALO) which we managed using EUS-guided creation of a jejunojejunostomy with a lumen-apposing metal stent (LAMS). …

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Quality assurance of computer-aided detection and diagnosis in colonoscopy

Post written by Daniela Guerrero Vinsard, MD, and Yuichi Mori, MD, PhD, from the Showa University International Center for Endoscopy and Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan, and the Division of Internal Medicine, University of Connecticut Health Center, Farmington, Connecticut, USA. Artificial Intelligence (AI) in gastrointestinal endoscopy entails the construction of …

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Endoscopic suturing for closure of ESD defects

Post written by Samuel Han, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. In this Tools and Techniques video, we describe a formalized technique to close defects created by ESD using endoscopic suturing. Essentially, we suggest proceeding from the site most distal to the scope insertion …

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The descending gastric fundus in endoscopic sleeve gastroplasty

Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina. We demonstrated that not only does the gastric body shorten during endoscopic sleeve gastroplasty, but the gastric fundus descends as well. This often brings the fundus below the GE junction and increases the …

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Usefulness and safety of colorectal precutting EMR and hybrid ESD for sessile serrated polyps

Post written by Yuzuru Tamaru, MD, PhD, from the Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Kure, Japan. In this report, we present 2 cases of precutting endoscopic mucosal resection (EMR)/hybrid endoscopic submucosal dissection (ESD) with a circumferential incision and partial dissection followed by snare resection via SOUTEN. We also …

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Outcomes of ER and metachronous cancer after ER for adenocarcinoma of the esophagogastric junction

Post written by Seiichiro Abe, MD, PhD, from the Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. Endoscopic resection (ER) is a minimally invasive treatment option for superficial adenocarcinoma (EA). We recently demonstrated that lymphovascular involvement, a poorly differentiated histology, and lesion size were independent risk factors for metastasis in patients with esophageal adenocarcinoma. Patients …

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Endoscopic closure of a large perforation during pneumatic dilation of a sleeve gastrectomy stricture

Post written by Allison R. Schulman, MD, MPH, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA. The case described here is a 71-year-old woman with a history of laparoscopic sleeve gastrectomy performed 1 year prior who presented with nausea, vomiting, reflux, and inability to tolerate …

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Endoscopist biopsy rate as a quality indicator for outpatient gastroscopy

Post written by Wladyslaw Januszewicz, MD, from the Department of Gastroenterological Oncology, The Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, and the Department of Gastroenterology, Hepatology and Clinical Oncology, Medical Centre for Postgraduate Education, Warsaw, Poland, and the MRC Cancer Unit, University of Cambridge, Cambridge, United Kingdom. The focus of our study was …

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Management of a windsock diverticulum by the use of novel submucosal dissection scissors

Post written by Ryan Law, DO, from the Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA. A 41-year-old woman presented with a 2-year history of nausea, post-prandial pain, dysphagia to solid food, and intermittent regurgitation. During her evaluation, she was found to have a 4-cm long outpouching suggestive of an epiphrenic diverticulum as …

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