Post written by Osamu Dohi, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, and the Department of Gastroenterology and Hepatology, North Medical Center, Kyoto Prefectural University of Medicine, Kyoto, Japan. Blue laser imaging (BLI) is one of the image-enhanced endoscopic techniques with a combination of 2 narrow lasers. …
Tag: Endoscopy
Endoscopic Removal of Silastic Gastric Band
Post written by Saurabh Chawla, MD, from the Emory University School of Medicine, Atlanta, Georgia, USA. We present a case of a patient presenting with abdominal pain who had a sleeve gastrectomy with silastic band placement several years prior to his presentation. Upon further investigation, the silastic band was noted to be eroding into the …
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Index colonoscopy-related risk factors for postcolonoscopy colorectal cancers
Post written by Theodore A. Tollivoro, MD, from the Division of Research, Kaiser Permanente Northern California, Oakland, California, USA. Over the last 20 years, we have realized the importance of quality metrics as they apply to colonoscopic exam. We track physician adenoma detection rates, cecal intubation rates, and ensure our patients undergo exams with optimal …
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ESD of a large rectal lesion by use of a novel tissue retractor system
Post written by Salmaan Jawaid, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida, USA. We presented a case of successful endoscopic submucosal dissection of a large rectal lesion using a novel tissue retractor system. This unique platform allowed us to generate constant tissue tension and permitted frequent manipulation of the …
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Editor’s Choice: Quality assurance of colonoscopy within the Dutch national colorectal cancer screening program
GIE Associate Editor, Dr. Lyndon V. Hernandez, MD MPH, highlights this article from the January issue “Quality assurance of colonoscopy within the Dutch national colorectal cancer screening program” by Maxime E.S. Bronzwaer, MD, et al. In 2006, Barclay et al showed in their landmark study in The New England Journal of Medicine the association between …
EUS-guided placement of coils and glue for the management of large bleeding fundic varices
Post written by Victoria Gómez, MD, from the Mayo Clinic, Jacksonville, Florida, USA. We present a case of a 58-year-old woman in whom challenging gastric fundic varices were managed successfully with endoscopic variceal obturation using EUS-guided coil placement with subsequent glue injection. Treatment options were limited in this patient due to radiographic findings of liver …
Impact of water exchange colonoscopy on endoscopy room efficiency
Post written by Sergio Cadoni, MD, from the Digestive Endoscopy Unit, CTO Hospital, Iglesias, Italy. Water exchange colonoscopy (WE) has been consistently shown to be the least painful insertion technique, decreasing the need for sedation and significantly increasing colon cleanliness and lesion detection. However, the wide adoption of WE has been hindered by the misconception …
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Large-caliber metal stent controls entry site bleeding during EUS-guided drainage of walled-off necrosis
Post written by Radhika Chavan, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. A 35-year-old man, diagnosed with acute necrotizing pancreatitis 7 weeks ago, presented with abdominal pain and fever for 2 weeks. Evaluation showed mild leukocytosis with raised amylase and lipase levels. Endoscopic ultrasound (EUS) showed large walled-off necrosis (WON) with minimal …
Suture pulley countertraction method reduces procedure time and technical demand of ESD
Post written by Hiroyuki Aihara, MD, PhD, from the Developmental Endoscopy Lab, Harvard Medical School, and Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. The lack of reliable countertraction in endoscopic submucosal dissection (ESD) contributes to its technical demand and increased procedure time. In our previous ex vivo study, we …
Per-oral endoscopic myotomy with endoscopic septum division
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video case, we describe per oral endoscopic myotomy (POEM) in a case of achalasia with large diverticulum at the lower end of esophagus. POEM was performed in the standard fashion. In addition, the septum between diverticulum and submucosal …
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