Top tips for the management of iatrogenic colon perforations

Post written by Mark Benson, MD, from the University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA. Colonoscopy is one of the most common endoscopic procedures completed throughout the world.  Although rare, procedure-related perforations are one of the most feared adverse events of colonoscopy because of the potential for unfavorable patient outcomes. The focus …

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Open Zenker’s-peroral endoscopic myotomy: novel treatment for Zenker’s diverticulum

Post written by Kapil Sharma, DM, from the Department of Gastroenterology, Sarvodaya Hospital and Medical Research Centre, Faridabad, Haryana, India. We describe a novel approach to managing a case of absolute dysphagia caused by a large Zenker’s diverticulum (ZD) in an elderly man. The procedure, termed open Zenker’s-peroral endoscopic myotomy (OZ-POEM), incorporates submucosal tunneling to conduct cricopharyngeal …

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Unique closure of large colonic endoscopic submucosal dissection defect using zigzag clip with line pulley securing technique

Post written by Kohei Ono, MD, from NTT Medical Center Tokyo, Tokyo, Japan. In this video, we present a simple, easy, and robust method for closing mucosal defects after colorectal endoscopic submucosal dissection using reopenable clips, nylon thread, and an endoloop in a short period. Various methods for suturing mucosal defects after endoscopic treatment have been reported, …

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Percutaneous needle decompression for tension pneumoperitoneum during GI endoscopy: a step-by-step guide

Post written by Natalie Wilson, MD, from the Department of Internal Medicine, University of Minnesota, Minneapolis, Minneapolis, USA, and Mohammad Bilal, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. Our video Review Article illustrates the use of percutaneous needle decompression to manage pneumoperitoneum during advanced endoscopic procedures. This video features …

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Use of artificial intelligence improves colonoscopy performance in adenoma detection: a systematic review and meta-analysis

Post written by Jonathan Makar, BSc, from The University of Melbourne, Melbourne, Victoria, Australia. Our study focuses on the impact of computer-aided detection (CADe) systems and their role in improving adenoma detection during colonoscopy. These novel artificial intelligence (AI) systems aim to address endoscopist recognition failure and improve colonoscopy performance, as they are not subject to human …

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Pancreatoscopy-assisted removal of Ascaris from main pancreatic duct

Post written by Vikas Sengar, MD, DM, Alok Gupta, MD, DM, and Arun Khanduri, MD, DM, from the Department of Gastroenterology, Medihelp Hospital, Kanpur, India. As gastroenterologists practicing in India, we frequently encounter patients with worms in the gut. They may be as tiny as pinworms and as huge as Taenia (tapeworms). They suck blood and food materials and sometimes block the …

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Repeated endoscopic dilation and needle-knife stricturotomy for Crohn’s disease strictures

Post written by Julien D. Schulberg, MBBS, PhD, and Michael A. Kamm, MBBS, PhD, from the Department of Gastroenterology, St Vincent’s Hospital, and the Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia. The focus of this study was to evaluate the safety, feasibility, and efficacy of intensive endoscopic therapy for treating symptomatic Crohn’s disease—related strictures. It compares standard …

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Endoscopic resection of a giant pedunculated colonic polyp using a detachable snare and scissors-type knife

Post written by Sukit Pattarajierapan, MD, from the Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. A 60-year-old man presented with intermittent abdominal pain. An abdominal CT scan showed colocolonic intussusception of the sigmoid with a 50-mm polypoid mass as the leading point. We performed a colonoscopy and found a giant …

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Prospective, single-arm multicenter, international, observational postmarket study to assess the safety and efficacy of a triangulation platform for treating patients requiring endoscopic gastroplasty

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, international, observational postmarket registry aimed at assessing the safety and efficacy of the Endomina triangulation platform (Endo Tools Therapeutics, Gosselies, Belgium) for endoscopic gastroplasty in treating obesity. It specifically evaluates …

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Lost ampullary opening post endoscopic submucosal dissection: EUS-guided rendezvous shows the path

Post written by Darshan Parekh, MS, from Mumbai Institute of Gastroenterology, Mumbai, India, and Ken Ohata, MD, PhD, from NTT Medical Center Tokyo, Tokyo, Japan. An 80-year-old man underwent resection of an approximately 30-mm ampullary tumor by endoscopic submucosal dissection (ESD). Post-ESD biliary and pancreatic diversion was attempted, but the ampullary opening could not be visualized in the post-ESD ulcer. Hence, …

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