Histologic intestinal metaplasia and endoscopic atrophy are predictors of gastric cancer development after Helicobacter pylori eradication

Satoki Shichijo and Yoshihiro Hirata from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, describe this Original Article published in GIE. We reported a retrospective, endoscopy-based, long-term cohort study to elucidate the risk factors for gastric cancer development after Helicobacter pylori (H. pylori) eradication.  We assessed histologic and endoscopic findings of gastritis …

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ERCP development in the largest developing country: a national survey from China in 2013

Lei Xin, Liang-Hao Hu, and Zhao-Shen Li from Changhai Hospital, The Second Military Medical University, Shanghai, China describe their article published in the October issue of GIE. This study evaluated the ERCP development in the largest developing country, China, between 2006 and 2012, when the ERCP volume in developed countries decreased. In developed countries, the …

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The first European family with gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS)

Post written by Darina Kohoutova from the 2nd Department of Internal Medicine - Gastroenterology, Charles University in Praha, Faculty of Medicine at Hradec Kralove, University Teaching Hospital, Hradec Kralove, Czech Republic Gastric adenocarcinoma and proximal polyposis of the stomach (GAPPS) has to date been recognized in only 8 families worldwide. Recently, different point mutations within …

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A case of ampullary follicular lymphoma

  Victoria Gomez, MD and Lady Katherine Mejia Perez, MD from the Department of Gastroenterology and Hepatology at the Mayo Clinic, Jacksonville, Florida present this video case. We describe the case of a 65-year-old man who was diagnosed with follicular lymphoma of the ampulla of Vater. He underwent an EGD for evaluation of long-standing symptoms …

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Needle-based confocal endomicroscopy for pancreatic cysts

Kunal Karia, MD from the Division of Gastroenterology and Hepatology at Weill Cornell Medical College in New York, New York discusses "Needle-based confocal endomicroscopy for pancreatic cysts: the current agreement in interpretation." With the increasing use of abdominal cross-sectional imaging, more and more pancreatic cystic lesions (PCLs) are being identified.  Accurate diagnosis and understanding the …

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Incarcerated, retroflexed endoscope associated with a paraesophageal hernia

Herbert C. Wolfsen, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA describes this video case "Incarcerated, retroflexed endoscope associated with a paraesophageal hernia." An elderly woman underwent upper endoscopy in our ASC to evaluate GERD symptoms and dysphagia in setting of PEH. Unfortunately, the endoscope could not be easily passed …

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CO2 vs air insufflation during colonoscopy in children

Matjaž Homa, MD, PhD from The Children’s Hospital at the University Medical Centre of Ljubljana in Ljubljana, Slovenia discusses "Randomized, double-blind trial of CO2 versus air insufflation in children undergoing colonoscopy." The focus of this study was to prove for the first time in children that CO2 insufflation during endoscopy is better and associated with …

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Technical difficulty in colorectal ESD

Kenichiro Imai, MD from the Division of Endoscopy, Shizuoka Cancer Center in Shizuoka, Japan discusses "Preoperative indicators of failure of en bloc resection or perforation in colorectal endoscopic submucosal dissection: implications for lesion stratification by technical difficulties during stepwise training." This study assessed predictors for failure of en bloc resection and perforation in colorectal endoscopic …

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Bolster technique demonstrates hidden Schatzki rings

Caroline Jouhourian, MD from Tufts Medical Center in Boston, Massachusetts, USA discusses "Abdominal compression during endoscopy (the Bolster technique) demonstrates hidden Schatzki rings (with videos)." Our focus was to look at means to increase the detection rate of Schatzki rings from an endoscopic approach. Literature has shown that radiographic studies such as Barium swallow studies …

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Combined Mirizzi syndrome with Bouveret syndrome

Austin L. Chiang, MD, from Brigham and Women’s Hospital in Boston, Massachusetts, USA, presents this video case "Combined Mirizzi syndrome with Bouveret syndrome." An 87-year-old man initially presented with hematemesis and was found on CT scan to have a large gallstone in the duodenum with a possible cholecystoduodenal fistula, both of which were also noted on …

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