Post written by Zachary L. Smith, DO, from the Division of Gastroenterology, Washington University School of Medicine, St Louis, Missouri, USA. The focus of this study was to evaluate the use of general endotracheal anesthesia (GEA) versus monitored anesthesia care (MAC) during ERCP in high-risk patients. Historically, our institution sedated the vast majority of patients …
Tag: Endoscopy
Comparison of monopolar hemostatic forceps with soft coagulation versus hemoclip for peptic ulcer bleeding
Post written by Bilal Toka, MD, from the Department of Gastroenterology, Sakarya University Faculty of Medicine, Sakarya, Turkey. Mechanical and thermal endoscopic methods are the most commonly used methods for the treatment of gastrointestinal (GI) bleeding. The hemoclip is one of the most common mechanical methods used. Monopolar hemostatic forceps soft coagulation (MHFSC) is a …
Rescue of a delayed spontaneously migrated lumen-apposing metal stent placed to facilitate transluminal ERCP
Post written by Prabhleen Chahal, MD, FACG, FASGE, and C. Roberto Simons-Linares, MD, MSc, from the Gastroenterology and Hepatology Department, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA. We present a case of a delayed spontaneously migrated lumen-apposing metal stent (LAMS) that was placed in a patient with a history of Roux-en-Y gastric bypass …
Outcome of EMR in Barrett’s esophagus determined by systematic quantification of epithelial glands using VLE
Post written by Amrit K. Kamboj, MD, and Cadman L. Leggett, MD, from the Department of Internal Medicine and Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Volumetric laser endomicroscopy (VLE) is an advanced imaging modality that uses optical coherence tomography to capture real-time, high-resolution, cross-sectional images of the esophagus. Epithelial glands are …
Modified attachment method using an S-O clip for gastric ESD
Post written by Mitsuru Nagata, MD, from the Department of Endoscopy, Shonan Fujisawa Tokushukai Hospital, Kanagawa, Japan. In this report, we present 2 cases of gastric neoplasm treated using S-O clip-assisted endoscopic submucosal dissection (ESD) and discuss the use of the S-O clip for gastric ESD. The S-O clip (Zeon Medical, Tokyo, Japan) is a …
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Successful hemostasis of active lower GI bleeding using a hemostatic powder as mono-, combination, or rescue therapy
Post written by Lawrence Hookey, MD, from the Hotel Dieu Hospital, Kingston, Ontario, Canada. This study is the largest to prospectively evaluate the hemostatic powder TC-325 in lower GI bleeding. We included 50 patients with bleeding from different sources, and performed extensive efficacy and safety follow-up. TC-325 is a newer product (having just received regulatory …
Editor’s Choice: GEA vs MAC in high-risk patients undergoing ERCP
GIE Associate Editor, Dr. Sharmila Anandasabapath, highlights this article from the April issue “A randomized controlled trial evaluating general endotracheal anesthesia versus monitored anesthesia care and the incidence of sedation-related adverse events during ERCP in high-risk patients” by Zachary L. Smith, DO, et al. This is one of the few studies which compare, via a randomized …
Continue reading Editor’s Choice: GEA vs MAC in high-risk patients undergoing ERCP
