Suture-assisted flange engagement (SAFE) technique for endoluminal stenting

James H. Tabibian, MD, PhD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA shares this VideoGIE case "Endoluminal stenting via the suture-assisted flange engagement technique." Gastrointestinal endoscopists are now more than ever encountering clinical scenarios where they are asked to provide endoscopic diversion or bridging of a leak site with fully-covered …

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EUS-RFA for pancreatic insulinoma with a novel needle electrode

Sundeep Lakhtakia, DM, from the Asian Institute of Gastroenterology in Hyderabad, India discusses this New Methods article "EUS-guided radiofrequency ablation for management of pancreatic insulinoma by using a novel needle electrode (with videos)." Insulinomas are one of the most common functional pancreatic neuroendocrine tumors. Surgical removal is the standard of care. However, patients who are …

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Next-generation sequencing and the clinical diagnosis of pancreatic cysts

Martha B. Pitman, MD, from the Department of Pathology, Massachusetts General Hospital, Harvard Medical School, in Boston, Massachusetts, USA discusses this Original Article "Impact of next-generation sequencing on the clinical diagnosis of pancreatic cysts." This study assesses the impact of testing pancreatic cyst fluid for genetic mutations on the clinical impression of cyst etiology based …

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Access balloon catheter for direct peroral cholangioscopy

Yun Nah Lee, MD, and colleagues from the Digestive Disease Center and Research Institute, Department of Internal Medicine, SoonChunHyang University School of Medicine, in Bucheon and Seoul, Korea discuss this New Methods article "A newly modified access balloon catheter for direct peroral cholangioscopy by using an ultraslim upper endoscope (with videos)." Direct peroral cholangioscopy (POC) …

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Ingested lithium batteries cause gastrojejunal fistula

V.G. Mohan Prasad, DM, FRCP (Edin), from the VGM Hospital, Coimbatore,  in Tamil Nadu, India presents this video case "Spontaneous magnetic gastrojejunal fistula caused by accidentally ingested lithium batteries." In this video, we demonstrate a case of a gastrojejunal (GJ) fistula created by accidental ingestion of lithium batteries. This young man of 25 had gulped batteries …

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Adenoma detection rate in high-risk patients

Madhusudhan R. Sanaka, MD, FASGE, FACG, from the Digestive Disease Institute, Cleveland Clinic, in Cleveland, Ohio, USA describes this Original Article, "Adenoma detection rate in high-risk patients differs from that in average-risk patients." The focus of this study was to determine and compare adenoma detection rates (ADRs) in high-risk versus average-risk individuals undergoing colonoscopy at …

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Antithrombotic agents for patients undergoing GI endoscopy

Ruben D. Acosta, MD, from the Fort Belvoir Community Hospital in Fort Belvoir, Virgina, USA, discusses this update to an ASGE document, “The management of antithrombotic agents for patients undergoing GI endoscopy.” The focus of this guideline is the safe and effective use of antithrombotic medications, to include antiplatelets and anticoagulants, in the periendoscopic period. …

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Transgastric biliary brushing

Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology at Weil Cornell Medical College, Cornell University in New York, New York, USA shares this VideoGIE case “Transgastric biliary brushing: a novel endoscopic technique.” This video describes a case of a patient with a history of pancreatic cancer status-post whipple procedure who presented with obstructive …

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Prevalence of metachronous polyps in traditional serrated adenomas

Tae Il Kim, MD, PhD, from the Department of Internal Medicine, Yonsei University College of Medicine, in Seoul, Korea discusses this Original Article "High-risk metachronous polyps are more frequent in patients with traditional serrated adenomas than in patients with conventional adenomas: a multicenter prospective study." Conventional adenomas (CAs) are major precursor lesions of colorectal cancer …

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Intragastric balloons

Sun-Chuan Dai, MD, from the Hospital of the University of Pennsylvania in Philadelphia, Pennsylvania, USA presents this VideoGIE "Intragastric balloons: an introduction and removal technique for the endoscopist." This is a video presentation of a 40-year-old female who had requested removal of an intragastric weight-loss balloon that had been placed 2 months to her presentation. …

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