Post written by Renata Nobre, PhD, from Sao Paulo Cancer Institute, Sao Paulo, Brazil, Noriya Uedo, PhD, from Osaka International Cancer Institute, Osaka, Japan, Ryu Ishihara, PhD, from Osaka International Cancer Institute, and Fauze Maluf-Filho, MD, PhD, FASGE, from Sao Paulo Cancer Institute. This article focuses on raising awareness among Western endoscopists regarding the importance of oral and pharyngeal endoscopic evaluation of high-risk patients. …
Tag: Endoscopy
Two-stage endoscopic resection for a huge gastric tumor at the fornix
Post written by Nao Takeuchi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. Our video presents a case of two-stage endoscopic resection (TSER) for a large gastric tumor located at the fornix. The tumor, over 10 cm in size, had a villous structure, and a biopsy suggested pyloric gland adenoma. Because of …
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EUS-guided radiofrequency ablation for pancreatic adenocarcinoma
Post written by Curtis J. Wray, MD, MS, from the Department of Surgery, Section of Surgical Oncology, and Nirav Thosani, MD, from the Department of Surgery, Section of Interventional Gastroenterology, University of Texas Health Science Center at Houston, Houston, Texas, USA. This manuscript details our initial institutional experience using EUS-guided radiofrequency ablation (EUS-RFA) combined with systemic chemotherapy for treatment …
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Peroral cholecystoscopy–guided interventions through a lumen-apposing metal stent after EUS-guided gallbladder drainage: proof-of-concept study in a swine model
Post written by Naminatsu Takahara, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. Diagnosing gallbladder neoplasms is challenging because of difficulties in direct visualization and tissue sampling of the tumor. As a result, cholecystectomy is sometimes performed as a diagnostic procedure, but it can result in unnecessary surgery, which …
A novel approach to treating buried bumper complicating PEG gastropexy
Post written by Andrew Storm, MD, and Navtej Buttar, MD, from Mayo Clinic, Rochester, Minnesota, USA. Managing buried bumper that is complicating PEG tube placement may be challenging and risky, particularly when this occurs acutely after PEG tube placement, where simple PEG tube removal to permit healing is impossible. In this case, we describe the use of OverStitch …
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Risk factors for metachronous colorectal cancer or advanced lesions after endoscopic resection of serrated polyps: a systematic review and meta-analysis
Post written by Sandra Baile-Maxía, MD, PhD, and Rodrigo Jover, MD, PhD, from Servicio de Medicina Digestiva, Hospital General Universitario Dr Balmis, Instituto de Investigación Biomédica Instituto de Investigación Sanitaria y Biomédica de Alicante, Universidad Miguel Hernández, Alicante, Spain. We performed a systematic review and meta-analysis with the aim of comparing metachronous colorectal cancer and advanced polyp …
Endoscope traction technique to facilitate over-the-wire biliary cannulation during EUS-guided rendezvous
Post written by Ahmed Altonbary, MD, FRCP, FESGE, from Mansoura Specialized Medical Hospital, Mansoura University, Mansoura, Egypt. We describe the "endoscope traction" technique to facilitate over-the-wire biliary cannulation during EUS-guided rendezvous, an effective salvage technique for failed biliary cannulation during ERCP. Technically challenging steps in this technique include biliary puncture, guidewire manipulation, and biliary cannulation using the …
Endoscopic vacuum therapy
Post written by Samuel Han, MD, MS, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA, and Mohit Girotra, MD, FASGE, and the Digestive Health Institute, Swedish Medical Center, Seattle, Washington, USA. The goal of this Technology Status Evaluation Report was to discuss the indications for performing endoscopic vacuum therapy (EVT) and outline various techniques for …
Cap-assisted snare capture technique for resection of fibrotic large polyps
Post written by Muhammad Nadeem Yousaf, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology, University of Missouri–Columbia, Columbia, Missouri, USA, and Ahmed Saeed, MD, from the the Department of Medicine, Division of Gastroenterology and Hepatology, University of Missouri–Columbia, and HCA Midwest Health, Kansas City, Kansas, USA. EMR of nonlifting or fibrotic polyps may pose challenges, especially …
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Incomplete mucosal layer excision during EMR: a potential source of recurrent adenoma (with video)
Post written by David J. Tate, MBBS, MRCP, PhD, from the Department of Gastroenterology and Hepatology, University Hospital of Ghent, Ghent, Belgium, and the Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia. This study primarily focuses on identifying incomplete mucosal layer excision during EMR and understanding its role as a potential risk factor for recurrence of adenoma. …
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