Transplantation of autologous esophageal mucosa

Post written by JianYing Bai, PhD, from the Department of Gastroenterology, Xinqiao Hospital, Third Military Medical University, Chongqing, China. We focused on the effectiveness and safety of endoscopic transplantation of autologous esophageal mucosa in preventing stricture formation after circumferential ESD. Esophageal stricture is a very common adverse event after ESD, especially with resection of nearly …

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Recurrent acute pancreatitis in a toddler: a “wormy surprise”

Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. The video case describes a 3-year-old child presenting with recurrent episodes of acute pancreatitis. Etiological evaluation revealed multiple calculi in the gallbladder on transabdominal ultrasonography. Expecting a calculus in the bile duct, we performed an endosonography to confirm. Surprisingly, endosonography …

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Comparing EUS-GG-ERCP and e-ERCP in patients with RYGB

Post written by Majidah Bukhari, MBBS, MD, FRCPC, from the Department of Medicine and Division of Gastroenterology and Hepatology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA, and King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia. Roux-en-Y gastric bypass (RYGB) remains one of the most commonly performed bariatric surgeries worldwide. ERCP in patients with …

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Successful removal of duodenal submucosal tumors with ESD

Post written by Hiroyuki Aihara, MD, PhD, FASGE, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts, USA. Endoscopic submucosal dissection (ESD) allows for en bloc resection of gastrointestinal lesions, which theoretically results in lower recurrence rates. However, ESD in the duodenal bulb is technically challenging …

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Multifocal nitrous oxide cryoballoon ablation

Post written by Marcia Irene Canto, MD, MHS, from the Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. This article discusses a novel method for endoscopic eradication of neoplastic Barrett’s esophagus. We need to develop additional safe and effective approaches to treat Barrett’s esophagus and expand our endoscopic toolkit. In a …

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Efficacy of EUS-guided and ERCP-guided biliary drainage for malignant biliary obstruction

Post written by Young Sik Woo, MD and Kwang Hyuck Lee, MD, from the Division of Gastroenterology, Department of Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, and the Division of Gastroenterology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. The standard treatment of obstructive jaundice has been …

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Water-pocket ESD for superficial gastric neoplasms

Post written by Hideaki Harada, MD, from the Department of Gastroenterology, New Tokyo Hospital, Chiba, Japan. This study prospectively evaluated the feasibility and safety of water-pocket ESD (WP-ESD), a new ESD method for superficial gastric neoplasms. The ESD with gas insufflation method tends to distend the gut lumen and create fumes generated from diathermy, which …

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Argon plasma coagulation treatment of intraductal papillary neoplasm of biliary tract

Post written by Shyam Thakkar, MD, from the Division of Gastroenterology, Allegheny Health Network, Pittsburgh, Pennsylvania, USA. An 86-year-old woman was referred for ascending cholangitis, resulting in obstructive jaundice and sepsis. Her initial MR cholangiopancreatography revealed dilated bile ducts without any mass or stone in the ductal system. Endoscopic retrograde cholangiopancreatography revealed soft filling defects …

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Impact of fellowship training level on colonoscopy quality and efficiency metrics

Post written by Hussein Bitar, MD, from the Section of Digestive Diseases and Nutrition, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA. Our study highlighted newly defined colonoscopy performance measures–the adenoma and polyp management efficiency indices. We retrospectively evaluated the performance of these indices at each level of training in assessing colonoscopy skill …

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Incidence of advanced neoplasia after CRC resection

Post written by Yohei Yabuuchi, MD, and Kenichiro Imai, MD, from the Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan. We focused on the incidence of metachronous advanced neoplasia (AN) after completion of both the preoperative and first postoperative colonoscopy according to resection type and the presence or absence of synchronous AN. The recommendations of …

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