Confocal laser endomicroscopic finding of lymphoma of the duodenal papilla

Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. We report our experience with confocal laser endomicroscopy (CLE) imaging of lymphoma of the duodenal papilla with the corresponding histopathologic images. Our patient was an 83-year-old man with an endoscopic finding of a depressed lesion …

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Use of flashing light to warn against radiation exposure

Post written by Bing Hu, MD, from the Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. Our study focuses on whether a flashing warning light adopted as a behavioral intervention for performers reduces fluoroscopy time (FT) and radiation exposure during ERCP. ERCP is widely used in the diagnosis and treatment of biliary …

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Fifty years of ERCP: a personal review

Content contributed by Peter B. Cotton, MD, FRCS, FRCP, from the Digestive Disease Center, Medical University of South Carolina, Charleston, South Carolina, USA.   The focus of this article is on how endoscopic retrograde cholangiopancreatography (ERCP) started, how it has evolved over a 50-year period, and the current challenges related to it. Writing this article …

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Endoscopic fistulotomy in inflammatory bowel disease

Post written by Gursimran Kochhar, MD, from the Mayo Clinic, Jacksonville, Florida. Fistulas indicate one advanced disease phenotype in patients with IBD. Currently, there is no definitive therapy for management of fistulas. Medical therapy is not adequate, and surgical therapy forms the cornerstone of management of fistulas in patients with IBD. Although surgical therapy is …

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How to be an excellent VideoGIE reviewer

Bo Sun, MD Associate Professor of Internal Medicine Shanghai Eastern Hepatobiliary Hospital   Peer review can be thankless work because critical evaluation is required for a high-quality submission. On the bright side, being a video case reviewer comes with several benefits, including a sense of accomplishment by assisting the authors to improve the quality of …

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Outcomes of endoscopic intervention for overt GI bleeding in severe thrombocytopenia

Post written by Guilherme Piovezani Ramos, MD, from the Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA. We aimed to assess safety and effectiveness of endoscopic intervention for management of gastrointestinal bleeding in the setting of thrombocytopenia. Thrombocytopenia is frequently seen in populations at higher risk of gastrointestinal bleeding, such as patients with liver …

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Pocket ESD with countertraction and partial full-thickness excision as salvage therapy for advanced colonic adenoma

Post written by Georgios Mavrogenis, MD, from the Mediterraneo Hospital, Athens, Greece. This video presents a complex ESD in the setting of postradiation stenosis and fibrosis. It illustrates several techniques that are useful in the management of severe fibrosis such as pocket ESD, clip and snare countertraction, and full-thickness resection. ESD is a non-predictable procedure …

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Gastric mucosal devitalization is safe and effective in reducing body weight and visceral adiposity in a porcine model

Post written by Vivek Kumbhari, MD, from the Department of Medicine and Division of Gastroenterology and Hepatology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. The metabolic improvements seen in bariatric surgery are out of proportion to what one would expect from weight loss alone. The underlying mechanisms that result in these changes are largely …

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Colorectal ESD for a lesion on the dentate line area resected with a scissor-type knife

Post written by Naohisa Yoshida, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan. A lesion on the dental line area is challenging for ESD because it has lots of vessels, and the anal duct is narrow for approach. We described how …

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Systematic review and meta-analysis in GI endoscopy

Post written by Fauze Maluf-Filho, MD, PhD, from the Department of Gastroenterology of University of São Paulo, Institute of Cancer of University of São Paulo (ICESP-FMUSP), São Paulo, Brazil. The focus of the study was to clarify the methodology involved in conducting a systematic review with meta-analysis (SRMA), trying to help the GIE audience to …

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