Endoscopic therapy for Crohn’s fistula and abscess

Post written by Bo Shen, MD, FASGE, from the Interventional IBD Unit, the Cleveland Clinic Foundation, Cleveland, Ohio. Treatment of disease-related or surgery-related Crohn’s fistula, abscess, and surgical anastomotic leaks with endoscopy-guided fistulotomy and sinusotomy with electroincision, seton placement, through-the-scope or over-the-scope clipping, suturing, incision and drainage. Crohn’s disease has 3 phenotypes: inflammatory, structuring, and …

Continue reading Endoscopic therapy for Crohn’s fistula and abscess

Lactated Ringer’s Solution in Combination with Rectal Indomethacin

Post written by Shaffer R. S. Mok, MD, MBS, from Cooper University Hospital. The present fund of knowledge available for the prevention of pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP) is growing. With available data evaluating rectal indomethacin and early studies assessing lactated ringer’s (LR) infusion, we felt it necessary to study the combination of these …

Continue reading Lactated Ringer’s Solution in Combination with Rectal Indomethacin

Prediction model for non-curative resection of ESD

Post written by Jun Chul Park from the Division of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine. In deciding on a treatment method for EGC that is considered to be within the expanded criteria, both patients and doctors may feel burdened by the probability of additional surgery after ESD because …

Continue reading Prediction model for non-curative resection of ESD

Salvage resection of recurrent polyp after polypectomy

Post written by Michiko Wada, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan. We report a case of a 77-year-old woman who had undergone polypectomy for a polyp on the anastomosis of past laparoscopic sigmoidectomy but was referred to our endoscopy unit with recurrent polyp. …

Continue reading Salvage resection of recurrent polyp after polypectomy

Timing of upper endoscopy influences outcomes in patients with acute nonvariceal upper GI bleeding

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 patients admitted with acute nonvariceal upper gastrointestinal bleeding (UGIB) with lower-risk vs high-risk bleeding have different …

Continue reading Timing of upper endoscopy influences outcomes in patients with acute nonvariceal upper GI bleeding

Identification of volumetric laser endomicroscopy features predictive for early neoplasia

Post written by Anne-Fré Swager from the Academic Medical Center, Amsterdam, the Netherlands The focus of our study was to understand what we truly see on VLE: What do the VLE structures represent on histology? The aims were therefore to identify VLE features of Barrett's neoplasia and to develop a VLE prediction score. We used …

Continue reading Identification of volumetric laser endomicroscopy features predictive for early neoplasia

Overtube-assisted pneumatic dilation for achalasia in megaesophagus

Post written by Shashideep Singhal from the University of Texas Health Science Center at Houston. A 63-year-old man with a long-standing history of achalasia presented for pneumatic dilation. Several technical problems were associated with pneumatic balloo dilation in this case, which had resulted in failure of an earlier attempt. Because of a tortuous megaesophagus with …

Continue reading Overtube-assisted pneumatic dilation for achalasia in megaesophagus

Over-the-scope clip-assisted endoscopic full-thickness resection

Post written by Louis M. Wong Kee Song from the Mayo Clinic. The aim of the study was to evaluate the efficacy and safety of over-the-scope clip-assisted endoscopic full-thickness resection (EFTR) technique for removal of epithelial and subepithelial lesions in the GI tract. EFTR allows for definitive diagnosis and treatment of select subepithelial and epithelial …

Continue reading Over-the-scope clip-assisted endoscopic full-thickness resection

Linitis plastica: a harbinger of an unusual cause of gastric wall thickening

Post written by Debdeep Banerjee, Saikiran Raghavapuram, and Benjamin Tharian from the Division of Gastroenterology, Department of Internal Medicine, University of Arkansas for Medical Sciences and the School of Medicine, Texas Tech University Health Sciences Center. In this video submission, we describe a woman with a past history of breast cancer who had undergone mastectomy …

Continue reading Linitis plastica: a harbinger of an unusual cause of gastric wall thickening

Overbooking and recruitment increases uptake of appointments among African American patients

Post written by Folasade P. May, MD, PhD, from the Greater Los Angeles Veterans Affairs Network and UCLA Vatche and Tamar Manoukian Division of Digestive Diseases. African Americans see several disparities in healthcare utilization and healthcare outcomes. These disparities also occur in utilization of common gastroenterological procedures. African Americans are less likely than white Americans …

Continue reading Overbooking and recruitment increases uptake of appointments among African American patients