GIE Senior Associate Editor David L. Diehl, MD, highlights this article from the September issue: “EUS-guided thrombin injection and coil implantation for gastric varices: feasibility, safety, and outcomes” by Joanne O’Rourke, MBChB, et al. One of the pillars of endohepatology is EUS-guided treatment of gastric varices. Although endoscopic glue injection with cyanoacrylate (CYA) has been a standard approach for …
Tag: Endoscopy
Antireflux mucosectomy as an effective treatment for GERD after laparoscopic sleeve gastrectomy
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. To our knowledge, this study reports the first instance of antireflux mucosectomy (ARMS) successfully treating GERD after laparoscopic sleeve gastrectomy (LSG). Although LSG is the most common bariatric procedure, accounting for up to 60% of global cases, it also …
Modified submucosal tunneling endoscopic resection for the management of a large leiomyoma in the gastric fundus
Post written by Yasi Xiao, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We present a video of a 61-year-old woman with a symptomatic large subepithelial lesion (SEL) in the gastric fundus. This SEL was biopsied on EUS and found to be a leiomyoma. After multidisciplinary discussion with thoracic …
Simulation-based training of endoscopic hemostasis for Japanese pediatric endoscopy learners: a pilot program
Post written by Takeshi Kanno, MD, PhD, from the Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, and the R & D Division of Career Education for Medical Professionals, Medical Education Center, Jichi Medical University, Shimotsuke, Japan. The focus of our study was to determine the potential benefits of simulator-based training (SBT) in improving …
Biliary cast syndrome in Roux-en-Y hepaticojejunostomy anatomy
Post written by Erica Park, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. We describe a case of a patient who underwent an orthotopic liver transplantation from a donation after circulatory death. Dehiscence of the biliary anastomosis complicated her post-transplant course, requiring return to …
Continue reading Biliary cast syndrome in Roux-en-Y hepaticojejunostomy anatomy
EUS-guided FNA and biopsy for cytohistologic diagnosis of gallbladder cancer: a multicenter retrospective study
Post written by Jae Hee Cho, MD, PhD, and Seungmin Bang, MD, PhD, from the Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea. Gallbladder (GB) cancer (GBC) is a rare but highly aggressive malignancy, often diagnosed at an advanced stage. Because most patients have unresectable diseases, accurate nonsurgical diagnosis is crucial for …
Retrograde balloon pull-through technique for benign esophageal strictures: a single-center pilot experience
Post written by Shae Patel, DO, from Loma Linda University, Loma Linda, California, USA, and Wasseem Skef, MD, from the Michael E. DeBakey Veterans Affairs Medical Center, Baylor College of Medicine, Houston, Texas, USA. The focus of this study was to evaluate the efficacy and safety of retrograde balloon dilation compared with traditional antegrade savary dilation …
Novel endoscopic scoring system for immune mediated colitis: a multicenter retrospective study of 674 patients
Post written by Yinghong Wang, MD, PhD, from the Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. To our knowledge, this is the largest multicenter study to develop an endoscopic scoring system for guiding management of immune-mediated colitis (IMC) in cancer care. This scoring system has demonstrated …
Peroral endoscopic myotomy with diverticulotomy using a double tunnel technique: finding your way to an elusive lower esophageal sphincter in spastic achalasia and epiphrenic diverticulum
Post written by Maham Hayat, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Our case is that of an 86-year-old woman with a history of achalasia and symptomatic epiphrenic diverticulum (ED) who was referred for peroral endoscopic myotomy (POEM) with simultaneous diverticulotomy. Endoscopy revealed a large ED and an …
Administration of oral prednisolone to prevent esophageal stricture after balloon-type radiofrequency ablation for ultralong-segment esophageal neoplasia
Post written by Wen-Lun Wang, MD, PhD, and Ching-Tai Lee, MD, from the Department of Gastroenterology and Hepatology, E-Da Hospital, Kaohsiung, Taiwan. Endoscopic radiofrequency ablation (RFA) has shown good efficacy and safety in eradicating Barrett’s neoplasia as well as flat-type early esophageal squamous cell neoplasia (ESCN). However, a post-RFA stricture is still a major concern, especially …
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