Band ligation-assisted endoscopic mucosal resection of an intradiverticular polyp

Post written by Mohammed Barawi, MD, from the Division of Gastroenterology and Interventional Endoscopy, Ascension St John Hospital, Detroit, Michigan. In this video, we present the case of a healthy 50-year-old man who was seen for routine colonoscopy and was found to have a 7-mm polyp within the base of a diverticulum. The colonoscopy was …

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Safety and efficacy of a novel powered endoscopic debridement tissue resection device for management of difficult colon and foregut lesions

Post written by Vivek Kaul, MD, FACG, FASGE, AGAF, from the Department of Medicine, Division of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, New York, USA. Standard endoluminal resection using established EMR and ESD techniques can be difficult and risky when attempting to remove fibrotic or scarred lesions. For the first time, we …

Continue reading Safety and efficacy of a novel powered endoscopic debridement tissue resection device for management of difficult colon and foregut lesions

Application of optical character recognition with natural language processing for large-scale quality metric data extraction in colonoscopy reports

Post written by Sobia Nasir Laique, MD, and Umar Hayat, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, Arizona, and Division of Gastroenterology, University of Minnesota, Minneapolis, Minnesota, USA. The focus of our study was to demonstrate the use of a new hybrid approach using natural language processing of charts that have …

Continue reading Application of optical character recognition with natural language processing for large-scale quality metric data extraction in colonoscopy reports

Evaluating learning curves and competence in colorectal EMR among advanced endoscopy fellows

Post written by Dennis Yang, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida, USA. The aim of this multicenter prospective pilot study was to evaluate colorectal endoscopic mucosal resection (EMR) training among advanced endoscopy fellows using a novel assessment tool. Despite the broad application of colorectal EMR, markers of training …

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A case of anal condyloma acuminatum observed by endocytoscopy

Post written by Fumihiro Inoue, MD, from the Gastrointestinal Center & Institute of Minimally-Invasive Endoscopic Care (i-MEC), Sano Hospital, Kobe, Japan. Anal condyloma acuminatum (CA) is known as one of the most common sexually transmitted diseases. It is a disease that is occasionally seen in daily practice and is sometimes difficult to distinguish from anal …

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Novel rigidizing overtube for colonoscope stabilization and loop prevention

Post written by Mike Tzuhen Wei, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University School of Medicine, Stanford, and Department of Gastroenterology and Hepatology, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA. Loop formation can impede scope advancement, destabilize the tip, and cause pain. While there are …

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Diagnostic yield and therapeutic impact of novel motorized spiral enteroscopy in small-bowel disorders

Post written by Mohan Ramchandani, MD, DM, from the Department of Gastroenterology, Asian Institute of Gastroenterology Hospitals, Hyderabad, India. The small bowel is long mobile organ in the peritoneum, which makes it difficult to be evaluated by conventional endoscopy. Deep enteroscopy (DE) is a cumbersome procedure; there are many shortcomings of balloon-assisted enteroscopy (BAE), which …

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Endoscopic suturing of a jejunal feeding tube extension to prevent recurrent gastric coiling

Post written by Nicholas M. McDonald, MD, from the Division of Gastroenterology and Hepatology, University of Minnesota, Minneapolis, Minnesota. A 23-year-old woman with a history of nausea, vomiting, and a 40-lb weight loss resulting in a BMI of 14.5 was referred for evaluation. Her symptoms were attributed to gastroparesis. Prior to referral, she had undergone …

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EUS-guided jejunojejunostomy to facilitate ERCP in a patient with unique Roux-en-Y gastric bypass anatomy

Post written by Ryan Law, DO, from the University of Michigan, Ann Arbor, Michigan. In our case presentation we describe a patient who presented to our institution with concern for biliary pathology in the setting of prior Roux-en-Y gastric bypass with an indwelling percutaneous biliary drain. Importantly, this patient underwent a sleeve gastrectomy prior to …

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Modified double-guidewire technique using a unique double-lumen sphincterotome for difficult biliary cannulation

Post written by Hideyuki Shiomi, PhD, MD, from the Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan. The double-guidewire technique (DGT) is considered as a promising salvage approach in difficult biliary cannulation cases. Nevertheless, with the interference of the pancreatic duct guidewire (P-GW) against cannulation devices, this technique …

Continue reading Modified double-guidewire technique using a unique double-lumen sphincterotome for difficult biliary cannulation