Post written by Jaihwan Kim, MD, from the Seoul National University College of Medicine, Seoul National University Bundang Hospital. We want to introduce the feasibility, safety, long-term patency, and economic issue of EUS-GBD in patients with malignant cystic duct obstruction. In real practice, physicians meet some patients who need a long indwelling PTGBD which seriously …
Continue reading Percutaneous transhepatic versus EUS-guided gallbladder drainage
Associate Editor John R. Saltzman, MD, highlights this article from the February issue, “Non-adherence to the rule of 3 does not increase the risk of adverse events in esophageal dilation” by Karina V. Grooteman, Louis M. Wong Kee Song, Frank P. Vleggaar, Peter D. Siersema, and Todd H. Baron. This study challenges the prevailing wisdom …
Post written by Yasuki Hori, MD, PhD, from the Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. We focused on predictors for solid food intake after self-expandable metal stent (SEMS) placement for malignant gastric outlet obstruction, not only patient-related factors but also stent-related factors. We consider the identification …
Continue reading Patients undergoing covered and uncovered self-expandable metal stent placement
Post written by Christopher G. Chapman, MD, from the Center for Endoscopic Research and Therapeutics (CERT) at University of Chicago Medicine. The focus of this study was to determine the yield of routine bacterial surveillance cultures of post-high-level disinfection (HLD) reprocessed curvilinear array (CLA) echoendoscopes. The impetus for this study was the relative lack of …
Continue reading Risk of infection transmission in curvilinear array echoendoscopes
Post written by Rajesh N. Keswani, MD, MS, from the Northwestern University Feinberg School of Medicine. The objective of this study was to determine the hospital utilization patterns of patients with endoscopy-related adverse events (AEs), including death, after ambulatory endoscopy at 5 Chicago-area medical centers. We specifically aimed to investigate whether care fragmentation, which is …
Continue reading Distance from hospital impacts adverse event detection
Post written by Gian Eugenio Tontini, MD, PhD from IRCCS Policlinico San Donato, Gastroenterology & Digestive Endoscopy Unit, San Donato Milanese, Milano, Italy. CapsoCam SV is a new small bowel capsule with “panoramic view,” wire-free technology, and a long-lasting battery life. It is equipped with 4 high-frame rate cameras, resulting in a high number of …
Continue reading Small-bowel capsule endoscopy with panoramic view
Post written by Tomofumi Akasaka from the Department of Gastrointestinal Oncology at Osaka Medical Center for Cancer and Cardiovascular Disease. In this study, we used a bipolar needle-knife with a water jet function (Jet B-knife; Zeon Medical, Tokyo, Japan). After a circumferential incision, as performed for conventional ESD, esophageal lumen was filled and submucosal injection with …
Continue reading “Underwater” ESD for superficial esophageal neoplasms
Post written by Shusei Fukunaga, MD, PhD and Yasuaki Nagami, MD, PhD from the Department of Gastroenterology at Osaka City University Graduate School of Medicine in Osaka. Our study focused on the long-term outcomes, risk factors for mortality, and adverse events for patients with expanded-indication lesions of differentiated-type early gastric cancer (EGC) who underwent endoscopic …
Continue reading Comparison of prognosis between gastric ESD and surgery
Post written by Dr. Harry Aslanian from the Section of Digestive Diseases at Yale University. We thought it would be interesting for non-endosonographers to see how easily and quickly ROSE can provide diagnostic information. Among endosonographers, there is local variation in cytopathologists’ comfort level with pancreas cytology and variable interest in ROSE. While some centers have …
Continue reading Clinical Utility of Rapid On-site Cytopathology
Post written by Sergio Cadoni from the Digestive Endoscopy Unit at St. Barbara Hospital in Iglesias, Italy. Water exchange (WE) is the least painful insertion method during colonoscopy. However, its impact on postcolonoscopy discomfort has not been well-described. Carbon dioxide (CO2) insufflation has been consistently shown to decrease postcolonoscopy discomfort. We compared postcolonoscopy outcomes of various combinations …
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