Post written by William F. Abel, MD, from Carilion Clinic, Virginia Tech, Roanoke, Virginia, USA. Concomitant gastric outlet and biliary obstruction presents a unique challenge, as severe underlying illness often limits surgical treatment options. Our study details an observational experience to both relieve the gastric outlet obstruction and allow for biliary stenting as well as anticipated future …
Tag: Endoscopy
Feasibility and safety of EUS-guided biliary drainage in inexperienced centers: a multicenter study in southwest Japan
Post written by Yusuke Ishida, MD, PhD, and Takehiko Koga, MD, PhD, from the Department of Gastroenterology and Medicine, Fukuoka University Faculty of Medicine, Fukuoka, Japan. This study aimed to evaluate the feasibility and safety of EUS-guided biliary drainage (EUS-BD) in inexperienced centers. Although EUS-BD has shown high success rates in high-volume centers, its outcomes in newly adopting centers …
EUS-guided intervention in surgically altered anatomy to remove large biliary stone
Post written by Azimudin Haja, MD, DM, Aniruddha Pratap Singh, DM, and Sundeep Lakhtakia, MD, DM, from AIG Hospitals, Hyderabad, India. Our case highlights the challenges faced in managing a patient with complex clinical problems several years after major surgery. The index patient who underwent curative pancreatoduodenectomy surgery 13 years ago for periampullary cancer presented with cholangitis because of a large …
Continue reading EUS-guided intervention in surgically altered anatomy to remove large biliary stone
Practical steps to green your endoscopy unit: appropriate management of endoscopic waste
Post written by Rabia de Latour, MD, from NYU Grossman School of Medicine, Bellevue Hospital Center, New York, New York, USA. Endoscopy practice generates a large amount of waste and is a major contributor to healthcare’s carbon footprint. The goal of our society document was to provide readers with practical, impactful, and scalable action items to attempt …
Duodenoscopy-assisted diagnosis and management of a duodenal varix
Post written by Kar Wai Lau, MBBCh, BAO (Hon), MD, FRCP, from the Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, United Kingdom. This is a case of a patient who presented with significant upper GI bleeding with hemodynamic compromise. She had a history of alcohol excess, and there was suspicion of variceal …
Continue reading Duodenoscopy-assisted diagnosis and management of a duodenal varix
Automatic endoscopic gastroplasty for the treatment of obesity: results from a prospective multicenter study (with video)
Post written by Maria Valeria Matteo, MD, from Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy. This study is a prospective multicenter investigation aimed at assessing the safety, efficacy, and usability of the EndoZip suturing device (Nitinotes Ltd, Cesarea, Israel) for automatic endoscopic gastroplasty in the treatment of class 1 …
Safety of cold snare resection techniques for removal of small colon polyps in patients taking clopidogrel and aspirin: a Korean Association for the Study of Intestinal Diseases prospective multicenter study
Post written by Tae-Geun Gweon, MD, from the Division of Gastroenterology, Department of Internal Medicine, The Catholic University of Korea, Seoul, South Korea. Polypectomy is a procedure associated with a high risk of bleeding. Guidelines recommend uninterrupted aspirin use during polypectomy, whereas cessation of clopidogrel 5 to 7 days before polypectomy is recommended.1 2 The cold snare …
Management of delayed colonic perforation after endoscopic submucosal dissection: the over-the-scope clip way
Post written by Yohei Minato, MD, from NTT Medical Center Tokyo, Tokyo, Japan. The video case presents management of a delayed colonic perforation that occurred after endoscopic submucosal dissection (ESD) of a 40-mm superficial neoplastic lesion in the ascending colon. Although the ESD was uneventful, the patient developed abdominal pain the next day, and emergency colonoscopy revealed …
Quality measures in the delivery of equitable endoscopic care to traditionally underserved patients in the United States
Post written by Kathy N. Williams, MD, MS, from the Division of Gastroenterology, Cooper University Hospital, Camden, New Jersey, USA. Our society document provides quality measures to guide endoscopy teams in the equitable delivery of high-quality endoscopic care to their patients. We focus on the delivery of endoscopic care to patients who may be disadvantaged on the …
Ampullectomy of an unusual dysplastic lesion after deroofing of a type III choledochocele
Post written by Elena De Cristofaro, MD, PhD, from the Gastroenterology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy, and Mathieu Pioche, MD, PhD, from the Gastroenterology and Endoscopy Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France. We report a rare case of a type III choledochocele with a polypoid lesion suspicious for dysplasia. …
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