Flexible endoscopic management of Zenker’s diverticulum

Post written by Kondal Kyanam Kabir Baig, MBBS, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. We described a case of an elderly gentleman with cardiac comorbidities with symptomatic Zenker’s diverticulum and, in particular, a history of undergoing a Heimlich maneuver for choking. We used …

Continue reading Flexible endoscopic management of Zenker’s diverticulum

Volume of surgery for benign colorectal polyps in the last 11 years

Post written by Maxime E.S. Bronzwaer, MD, from the Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. Over the past decade endoscopic resection techniques, such as piecemeal endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD), have progressed significantly to treat large and complex non-pedunculated colorectal polyps. Endoscopic resection …

Continue reading Volume of surgery for benign colorectal polyps in the last 11 years

Esophageal triamcinolone acetonide–filling method

Post written by Kotaro Shibagaki, MD, PhD, from the Department of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan. The esophageal extensive ESD causes a postoperative severe stenosis, which requires endoscopic balloon dilation. The most popular preventive procedure is perhaps an endoscopic local injection of triamcinolone acetonide (TA), but it has a big problem in …

Continue reading Esophageal triamcinolone acetonide–filling method

ESD pocket technique for removal of recurrent colonic lesion

Post written by Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. This patient underwent an endoscopic piecemeal removal of an 11-mm flat lesion in the sigmoid colon in 2011. Her follow-up colonoscopy in 2016 revealed a 30-mm recurrent lesion at the …

Continue reading ESD pocket technique for removal of recurrent colonic lesion

Role of dual red imaging to guide intravariceal sclerotherapy injection

Post written by Yoshihiro Furuichi, MD, PhD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Dual red imaging (DRI) is a novel image-enhanced endoscopy technique that can increase the visibility and predict the depth of esophageal varices (EVs). The recurrence rate of EVs after endoscopic-injection sclerotherapy (EIS) reportedly decreases by intravariceal …

Continue reading Role of dual red imaging to guide intravariceal sclerotherapy injection

Electroacupuncture-reduced sedative and analgesic requirements for diagnostic EUS

Post written by Anthony Yuen Bun Teoh, FRCSEd, from the Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China. Acupuncture has been used as part of traditional Chinese medicine (TCM) for thousands of years. However, the role of electroacupuncture (EA) in reducing sedative and analgesic requirements …

Continue reading Electroacupuncture-reduced sedative and analgesic requirements for diagnostic EUS

Editor’s Choice: Prior gastroscopy and mortality in patients with gastric cancer

Associate Editor, Dr. Lyndon Hernandez, MD, MPH, highlights this article from the January issue “Prior gastroscopy and mortality in patients with gastric cancer: a matched retrospective cohort study” by Wai K. Leung, MD, et al.  This nationwide observational study (n=20,066) showed a reduction in cancer-related mortality among patients who underwent gastroscopy within 5 years before …

Continue reading Editor’s Choice: Prior gastroscopy and mortality in patients with gastric cancer

Management of an esophagojejunal anastomotic stricture using a LAMS

Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. We present a 56-year-old woman with history of lupus and laparoscopic Roux-en-Y gastric bypass (RYGB), complicated by a persistent anastomotic ulcer ultimately requiring partial gastrectomy and esophagojejunostomy who was referred for endoscopic management of an esophagojejunal (EJ) …

Continue reading Management of an esophagojejunal anastomotic stricture using a LAMS

A hybrid endoscopic technique to close tracheoesophageal fistula

Post written by Maoyin Pang, MD, PhD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA. A 56-year-old male with a history of laryngeal malignancy status post laryngectomy and permanent tracheostomy and tracheoesophageal voice prosthesis placed 12 years ago was referred to our clinic for recurrent aspiration of both liquid and solid …

Continue reading A hybrid endoscopic technique to close tracheoesophageal fistula

Gastric mucosal devitalization reduces adiposity and improves lipid and glucose metabolism

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. Gastric mucosal devitalization (GMD) rats had a lower body weight and reduced intrabdominal adiposity compared with sham surgery rats. The morphologic findings at 8 weeks postoperative were compared with those …

Continue reading Gastric mucosal devitalization reduces adiposity and improves lipid and glucose metabolism