Tag: Endoscopy

EUS-guided rendezvous technique for refractory benign biliary stricture

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Post written by Yukitoshi Matsunami, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. In this video, we describe an EUS-guided rendezvous technique for refractory benign biliary stricture caused by postoperative bile-duct injury. A 60-year-old man underwent right-sided liver lobectomy for multiple liver metastases from an ascending colon cancer. After surgery, …

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Endoscopic and molecular characterization of colorectal sessile serrated adenoma/polyps with cytologic dysplasia

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Post written by Eiichiro Yamamoto, MD, PhD, Yoshihito Tanaka, MD, and Hiromu Suzuki, MD, PhD, from the Department of Molecular Biology, Sapporo Medical University School of Medicine, Sapporo, Japan, and the Department of Digestive Disease Center, Akita Red Cross Hospital, Akita, Japan. Sessile serrated adenoma/polyps (SSA/Ps), which are precursor lesions of colorectal cancer (CRC) with …

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“Two-devices-in-one-channel method” in a Roux-en-Y patient

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Post written by Yohei Koyama, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography (BE-ERCP) has improved the outcomes of ERCP in patients with surgically altered anatomy. However, BE-ERCP requires high technical expertise, and biliary cannulation is often difficult. An 83-year-old man previously underwent total gastrectomy …

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Association between an increase in blood urea nitrogen at 24 hours and worse outcomes in acute nonvariceal upper GI bleeding

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Post written by Navin L. Kumar, MD and John R. Saltzman, MD, from the Brigham and Women’s Hospital, Division of Gastroenterology, Hepatology and Endoscopy, and Harvard Medical School, Boston, Massachusetts. The focus of our study was to assess whether an increase in blood urea nitrogen (BUN) at 24 hours of presentation is predictive of worse …

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ESD by use of a modified dental floss clip method for recurrent tumor in the cecum

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Post written by Hisatomo Ikehara, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. The patient in this video case underwent endoscopic submucosal dissection (ESD) for a recurrent tumor in the cecum 11 months after initial piecemeal endoscopic mucosal resection (p-EMR). The recurrent tumor showed …

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Editor’s Choice: Impact of mucosal inflammation on risk of colorectal neoplasia

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GIE Editor-in-Chief, Dr. Michael Wallace, highlights this article from the December issue, “Impact of mucosal inflammation on risk of colorectal neoplasia in patients with ulcerative colitis: a systematic review and meta-analysis” by Brisas M. Flores, MD, et al. Endoscopy is playing an increasing role in the management of patients with IBD. The special December issue …

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Development and reliability of the new endoscopic virtual chromoendoscopy score

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Post written by Marietta Iacucci, MD, PhD, from the NIHR Biomedical Research Centre, Institution of  Translational  Medicine, University of Birmingham, United Kingdom. Endoscopic scoring of mucosal inflammation and healing is widely used in clinical trials and increasingly in clinical practice. The current endoscopic scores are not precise in assessing minimal inflammatory changes or complete mucosal …

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Insulated tip knife tunneling technique with clip line traction

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Post written by Seiichiro Abe, MD, from the Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. A 80-year-old male underwent endoscopic submucosal dissection (ESD) for a circumferential esophageal squamous cell carcinoma, 70 mm in size, involving the middle and lower esophagus. Using a dual knife and IT knife nano, a semi-circumferential mucosal incision was made …

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Balloon enteroscopy vs spiral enteroscopy for small-bowel disorders

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Post written by Ramkaji Baniya, MD, and Prabin Sharma, MD, from the Department of Internal Medicine, Hurley Medical Center, Michigan State University, Flint, Michigan, and the Department of Internal Medicine, Yale New Haven Health Bridgeport Hospital, Bridgeport, Connecticut. Our systematic review and meta-analysis aimed to compare the efficacy and safety of different deep enteroscopic procedures. …

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Esophageal stent placement without optical or fluoroscopic visualization

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Post written by Michael M. Mwachiro, MBChB, from Tenwek Hospital, Bomet, Kenya. In this video, we describe the technique for placement of self-expanding metal stents (SEMS) for palliation of dysphagia due to esophageal malignancy without the use of optical or fluoroscopic visualization. The patient undergoes a video-endoscopic procedure to assess tumor length and proximal tumor …

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