Post written by Toshio Kuwai, MD, from the Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center in Hiroshima, Japan. Endoscopic submucosal dissection (ESD), although routinely performed, can prove to be challenging in areas where endoscopic mucosal resection (EMR) has already been performed because of scarring and fibrosis. A 79-year-old woman …
Continue reading ESD with a scissors-type knife for post-EMR recurrence tumor
Post written by David S. Zimmon, MD, from the New York University School of Medicine. The author developed multiple biopsy (MB) because forceps biopsy is time consuming, creates endoscopist ergonomic stress, prolongs anesthesia, and adds excessive staff work and workplace risk from soiling, toxic fixatives and sharps. Also MB responds to demands for better patient …
Post written by Eelco C. Brand from the Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht, the Netherlands. The efficacy of screening and surveillance colonoscopy is reduced by the occurrence of interval-/post-colonoscopy colorectal cancer. One of the factors associated with the occurrence of interval-/post-colonoscopy colorectal cancer is the fact that polyps and adenomas …
Continue reading Missed adenomas with behind-folds visualizing colonoscopy technologies
Post written by Hiroaki Ikematsu and Yutaka Saito from the Department of Gastroenterology, Endoscopy Division, National Cancer Center Hospital East, Kashiwa, Chiba, Japan, and National Cancer Center Hospital, Tokyo, Japan. The aim of our study was to evaluate the efficacy of blue-laser imaging (BLI) in the detectability of colorectal lesions. Most studies have not reported …
Post written by Theodore James, MD, from the University of North Carolina at Chapel Hill. We describe a case of a woman with dysphagia, found to have an esophageal duplication cyst. These are rare entities in adults and have classically required surgical resection. We describe a novel technique for endoscopic fenestration of the cyst in …
Continue reading Endoscopic fenestration of a symptomatic esophageal duplication cyst
Post written by Parit Mekaroonkamol, MD, Sunil Dacha, MD, and Qiang Cai, MD, PhD, from Emory University School of Medicine. Gastric per-oral endoscopic pyloromyotomy (GPOEM) is an emerging endoscopic procedure for treatment of gastroparesis. Due to its novelty, the existing data on its safety and efficacy is lacking. The purpose of our study was to …
Continue reading Outcomes and quality-of-life assessment after GPOEM
Associate Editor, Dr. Lisa Strate, highlights this article from the August issue “The colonoscopist's guide to the vocabulary of colorectal neoplasia: histology, morphology, and management” by Douglas K. Rex, MD, Cesare Hassan, MD, and Michael J. Bourke, MD This is a wonderfully comprehensive yet concise guide to the vocabulary regarding colonoscopy with polypectomy and its …
Post written by Madhav Desai, MD, MPH, from the University of Kansas Medical Center. Proximal or right-sided colon lesions are often missed even after a meticulous screening colonoscopy and can often contribute to interval colon cancer. Cap-attached colonoscopy has the potential to increase yield in the right side of colon. Our goal was to assess …
Continue reading Impact of cap-assisted colonoscopy on detection of proximal colon adenomas
Post written by Malay Sharma from the Jaswant Rai Speciality Hospital. We present a case of acute cholangitis due to biliary ascariasis mimicking biliary stent on ultrasonography. Biliary ascariasis is not commonly seen in western countries, hence the reason for showcasing this video. A 50-year-old-man presented with acute cholangitis. He underwent multiple ERCP procedures with …
Continue reading Biliary ascariasis: mimicker of biliary stent
Post written by Bing Hu, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, West China Hospital, Sichuan University, China. This video presents a case in which EGD showed a huge mass in the duodenum. There was a Forrest-type 2B ulcer at the distal end. CT and EUS characteristics were consistent for lipoma. On …
Continue reading En bloc resection of a large symptomatic duodenal lipoma by ESD
endoscopedia.com 