Tag: Endoscopy

Directional movement guide for digital single-operator cholangioscopy system

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Post written by Justin Ryan L. Tan, MD, from the Section of Gastroenterology, Chinese General Hospital and Medical Center, Manila, Philippines, and Weigang Gu, MD, from the Department of Gastroenterology, Affiliated Hangzhou First People's Hospital, Hangzhou, China. Although cholangioscopy has undergone increasing therapeutic applications, standardized training remains a significant challenge. Our team has focused on simplifying device …

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Novel approach for weight reduction after Roux-en-Y gastric bypass with weight regain: a combination of Bariatric Anastomotic Reduction System with tubularization of residual gastric pouch

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Post written by Rakesh Kalapala, MD, DNB, from the Department of Medical Gastroenterology, AIG Hospitals and Asian Institute of Gastroenterology, Hyderabad, Telangana, India. The combination of the Bariatric Anastomotic Reduction System (BARS) with endoscopic sleeve gastroplasty (ESG) of the residual gastric pouch would cause significant anastomotic lumen reduction, with decrease of the size of the residual gastric pouch …

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The open accordion: a novel application of endoscopic sleeve gastroplasty for the treatment of refractory gastroparesis

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Post written by Alexander J. Podboy, MD, from the University of Virginia, Charlottesville, Virginia, USA. Gastroparesis is a debilitating condition that leads to poor quality of life. Although gastric peroral endoscopic myotomy (G-POEM) has emerged as a novel treatment, its success rates are variable, and options for patients with refractory symptoms remain limited. This video case introduces …

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A new artificial intelligence system for both stomach and small-bowel capsule endoscopy

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Post written by Xia Xie, MD, PhD, and Shi-Ming Yang, MD, PhD, from the Department of Gastroenterology, The Second Affiliated Hospital, The Third Military Medical University, Chongqing, China. This research primarily focuses on analysis of artificial intelligence (AI)’s capacity for recognizing lesions in the stomach and small intestine as well as its potential to augment the diagnostic …

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Recellularization via electroporation therapy of the duodenum combined with glucagon-like peptide-1 receptor agonist to replace insulin therapy in patients with type 2 diabetes: 12-month results of a first-in-human study

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Post written by Celine Busch, MD, and Annieke van Baar, MD, PhD, from Gastroenterology and Hepatology, Amsterdam University Medical Centers, Amsterdam, The Netherlands. The duodenum has proven to play a crucial role in glucose homeostasis. It is thought that obesogenic diets cause certain alterations in the duodenal mucosa, eventually leading to metabolic syndrome and type 2 diabetes …

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Virtual indigo carmine chromoendoscopy images: a novel modality for peroral cholangioscopy using artificial intelligence technology (with video)

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Post written by Ryosuke Sato, MD, and Kazuyuki Matsumoto, MD, PhD, from the Department of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan. Our study focused on developing and evaluating a novel imaging technique that combines artificial intelligence with peroral cholangioscopy to improve visualization of biliary strictures. We used cycle-consistent adversarial network (CycleGAN) technology to convert standard …

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Prevalence and sex differences in endoscopy-related injuries: comprehensive systematic review and meta-analysis

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Post written by Azizullah Beran, MD, from the Indiana University School of Medicine, Indianapolis, Indiana, USA. The aim of this systematic review and meta-analysis was to assess the prevalence, characteristics, and burden of endoscopy-related injury (ERI). GI endoscopy is a crucial part of a gastroenterologist’s daily practice. However, it is physically demanding and increases musculoskeletal injuries. As …

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EUS-guided glue injection for managing torrential bleeding during gastric neuroendocrine tumor endoscopic submucosal dissection: sealing the storm

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Post written by Radhika Chavan, MD, DNB, from the Ansh Clinic, Ahmedabad, Gujarat, India. A 24-year man diagnosed with a type II gastric neuroendocrine tumor (NET) (size <20 mm) underwent endoscopic submucosal dissection (ESD) after multidisciplinary discussion. During distal extension of the initial incision, bleeding started and abruptly became profuse. Initial attempts to control the bleeding using …

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Effects of glucagon-like peptide-1 receptor agonists on gastric mucosal visibility and retained gastric contents during EGD

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Post written by Ramzi Mulki, MD, from the University of Alabama at Birmingham, Birmingham, Alabama, USA. This study focused on evaluating the impact of glucagon-like peptide-1 receptor agonists (GLP-1RAs) on gastric mucosal visibility and retained contents during EGD. Specifically, it investigated whether GLP-1RAs use affects visibility scores (with validated scores) and retained contents, which could …

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Comparison of EMR versus endoscopic submucosal dissection for Barrett’s neoplasia and esophageal adenocarcinoma: a systematic review and meta-analysis

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Post written by Yusuke Fujiyoshi, MD, from the Department of Medicine, Division of Gastroenterology, University of Ottawa, Ottawa, Ontario, Canada. EMR and endoscopic submucosal dissection (ESD) are both accepted resection strategies for Barrett’s esophagus—related neoplasia and esophageal adenocarcinoma (EAC). This study aimed to systematically review and synthesize the evidence comparing EMR versus ESD in treating …

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