Post written by Muhammad Nadeem Yousaf, MD, and Harry R. Aslanian, MD, from the Department of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, Connecticut, USA. In our video case series, we present endoscopic ultrasound (EUS) imaging of common benign and malignant liver lesions. The cases presented include: liver cyst …
Tag: Endoscopy
Cap cuff–assisted colonoscopy vs standard colonoscopy for adenoma detection
Post written by Giovanni D. De Palma, MD, from Department of Clinical Medicine and Surgery, University Federico II of Naples, School of Medicine, Naples, Italy. Our paper presents a single-center, randomized, back-to-back trial which was designed to investigate the contribution of the EndoCuff device to the improvement of the adenoma eetection rate in the course …
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EUS imaging of dead Ascaris
Post written by Malay Sharma, MD, DM, from the Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Uttar Pradesh, India. A 4-year-old Indian boy presented with recurrent biliary colic and jaundice for 2 weeks. Laboratory investigations revealed obstructive jaundice. Abdominal ultrasonography (USG) revealed a normal gallbladder, intrahepatic biliary radicles dilation, and a dilated common bile …
The SAFE-T assessment tool
Post written by Navin L. Kumar, MD and John R. Saltzman, MD, from Brigham and Women’s Hospital, Division of Gastroenterology, Hepatology and Endoscopy, and Harvard Medical School, Boston, Massachusetts, USA. The focus of our study was to develop and validate a concise assessment tool to evaluate real-time fellow performance in colonoscopy via a web-based application …
The EPISOD study: long-term outcomes
Post written by Peter B. Cotton, MD, FRCS, FRCP, from the Medical University of South Carolina, Charleston, South Carolina, USA. The EPISOD study randomized 214 patients with post-cholecystectomy pain and little or no evidence of biliary obstruction (SOD type III) to sphincterotomy or sham intervention at ERCP. Intervention was judged successful at 1 year (by …
The 5D framework: a clinical primer for fecal microbiota transplantation to treat Clostridium difficile infection
Post written by Jessica R. Allegretti, MD, MPH, from Brigham Women’s Hospital, Boston, Massachusetts, USA. Clostridium difficile infection (CDI) is the most common healthcare-associated infection in the United States. Recently, fecal microbiota transplantation (FMT) has emerged as an effective and safe therapy for recurrent CDI; however, there is no standardized clinical approach. Given the rapid …
Massive bleeding after EUS-guided walled-off necrosis drainage
Post written by Lady Katherine Mejia Perez, MD, and Victoria Gómez, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA. We describe a case of a 58-year-old man with necrotizing pancreatitis of biliary origin who underwent endoscopic drainage of a large, 12-cm pancreatic collection consistent with walled-off necrosis. A 15-mm diameter …
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Prior gastroscopy and mortality in patients with gastric cancer
Post written by Wai K. Leung, MD, from the Department of Medicine, University of Hong Kong, Hong Kong, China. Gastric cancer is still the fifth most common cancer in the world with approximately one million new patients being diagnosed each year. Although upper endoscopy remains the gold standard for diagnosis of gastric cancer and pre-neoplastic …
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EMR of large periampullary neuroendocrine tumor
Post written by Ahmed Akhter, MD, Eric M. Nelsen, MD, and Deepak V. Gopal, MD, FRCP(C), FASGE, from the Division of Gastroenterology and Hepatology, University of Wisconsin, Madison, Wisconsin. In our video, an elderly male with several comorbidities including chronic kidney disease and type-2 diabetes mellitus presented with a 2 day history of melena. He …
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Acellular dermal matrix for esophageal stricture prevention after ESD in a porcine model
Post written by Siyu Sun MD, PhD, and Ye Han MD, PhD, from the Endoscopic Center, Shengjing Hospital of China Medical University, Shenyang, China. Esophageal stenosis is closely associated with quasi-circumferential endoscopic submucosal dissection (ESD). We examined whether post-ESD esophageal stricture can be prevented by grafting an acellular dermal matrix (ADM) membrane in a large …
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