Post written by Leonardo Zorron Cheng Tao Pu, MD, MSc, FBCS, FASGE, from the Department of Gastroenterology, Lyell McEwin Hospital, Adelaide, Australia. In our video a 61-year-old woman was submitted to piecemeal EMR for a large lateral spreading tumor at the recto-sigmoid junction. After the second piece was resected, we noted a suspicious area of …
Continue reading False sense of security: a case of retroperitoneal perforation after colonic EMR
Post written by Antti Siiki, MD, PhD, from the Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland. Our group (Siiki, Rinta-Kiikka, Sand, and Laukkarinen) reported the first long-term results of endoscopically inserted biodegradable stents in human bile duct. The novel stents were used in 2 indications in ERCP with a standard …
Continue reading Endoscopically inserted biodegradable biliary stents
Post written by Shashideep Singhal, MD, from the Division of Gastroenterology, Hepatology & Nutrition, University of Texas Health Science Center at Houston, Houston, Texas, USA. An 81-year-old man was complaining of GERD. An EGD showed an incidental gastric body nodule. An EUS revealed a 1.5-cm by 1.4-cm submucosal tumor extending into the muscularis propria. Cytology from FNA showed spindle cells, suggestive …
Continue reading Endoscopic full-thickness resection of a gastric subepithelial tumor
Post written by Michael A. Scaffidi, BSc(Hon), MEd, and Catharine M. Walsh, MD, MEd, PhD, from the Division of Gastroenterology, St. Michael’s Hospital and the Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, University of Toronto, Toronto, Canada. Assessment is a critical process to determine endoscopic competence. Real-time, or “live” assessment, involves an …
Post written by Hitoshi Shibuya, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. This video is a case of a large main pancreatic duct stone treated endoscopically using digital pancreatoscopy and electrohydraulic lithotripsy (EHL). Acute exacerbation of chronic pancreatitis occurred with an impacted stone in …
Continue reading Endoscopic treatment of large impacted pancreatic ductal stone
Post written by Michael A. Scaffidi, BSc(Hon) MEd, and Catharine M. Walsh, MD, MEd, PhD, FRCPC, from the Division of Gastroenterology, St. Michael’s Hospital and the Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, University of Toronto, Toronto, Canada. Assessment of gastrointestinal endoscopy competence is integral to delivering high-quality patient care. Endoscopic competence …
Continue reading Impact of experience on self-assessment accuracy of clinical colonoscopy competence
Post written by Paola Soriani, MD, from the Digestive Endoscopy Unit, Azienda USL Modena, Ramazzini Hospital, Carpi, Italy. An 89-year-old woman underwent colonoscopy. In a setting of severe diverticular disease, a perforation of 20-25 mm occurred in the sigmoi-rectal juntion. The leakage was completely closed after the deployment of 2 over-the-scope clips, tightly adjacent to …
Associate Editor, Dr. Seth Gross, highlights this article from the March issue “Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia on the next colonoscopy” by Matthew A. Kluge, MD, et al. This article further supports the notion of the importance of bowel preparation and its impact on adenoma detection. The study demonstrates …
Post written by Yoko Kubosawa, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, and the Department of Gastroenterology, Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. We report 2 cases of cold snare polypectomy for polyp …
Continue reading Cold snare polypectomy for polyp adjacent to colonic diverticulum
Post written by Kenneth Barshop, MD, from the Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. This study demonstrated a potential new application of an existing technique, endoscopic mucosal resection (EMR), to aid in the diagnosis of Hirschsprung’s Disease. While EMR has been established as a therapeutic and diagnostic procedure …
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