Addition of dilute epinephrine to commercially available submucosal lifting agents for cold snare EMR

Post written by William Hirsch, MD, from the Division of Internal Medicine, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA, and Mohammad Bilal, MD, from the Division of Gastroenterology & Hepatology, Minneapolis VA Medical Center, University of Minnesota. Our video case details the process of adding dilute epinephrine to commercially available submucosa lifting agents. After …

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Marijuana and endoscopy: the effects of marijuana on sedation

Post written by Christopher Adam Bouvette, MD, and Mohammad Madhoun, MD, MS, FACP, from the University of Oklahoma College of Medicine and the Oklahoma City Veterans Health Administration Medical Center, Oklahoma City, Oklahoma, USA. Our patients are more frequently using marijuana amid varying degrees of legality and medical indication. We set out to describe any potential …

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Endoscopic treatment of nonoperable large postsurgical esophageal fistulas: retrospective analysis of a single tertiary center cohort

Post written by Sebastian Petruzzella, MSc, from the Department of Gastroenterology and Hepatology, CHUV, Lausanne’s University Hospital, Lausanne, and the Department of Surgery, Hôpital Riviera-Chablais, Rennaz, Switzerland. Our study focused on the efficacy of endoluminal treatment of postsurgical fistulas after esophagectomy. Not all patients are fit to be reoperated on after an anastomotic leak, and surgical …

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The use of a self-assembling peptide gel for stricture prevention in the esophagus after endoscopic submucosal dissection: a U.S. multicenter prospective study (with video)

Post written by Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Endoscopic submucosal dissection (ESD) has become an increasingly endorsed technique for the management of superficial neoplasia in the esophagus. The main limitation with ESD in the esophagus is the high rate of stricture formation. The aim of this multicenter …

Continue reading The use of a self-assembling peptide gel for stricture prevention in the esophagus after endoscopic submucosal dissection: a U.S. multicenter prospective study (with video)

Successful endoscopic removal of a retained guidewire in the intrahepatic bile duct using a novel tapered sheath dilator

Post written by Rintaro Fukuda, MD, and Naminatsu Takahara, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan, and Yousuke Nakai, MD, PhD, from the Department of Endoscopy and Endoscopic Surgery, Graduate School of Medicine, The University of Tokyo. Retained guidewire is not a rare adverse event …

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Definitive endoscopic repair of transected bile ducts after cholecystectomy using EUS-guided hepaticogastrostomy and retrograde cholangioperitoneoscopy

Post written by Manuel Perez-Miranda, MD, PhD, from Hospital Universitario Rio Hortega, Valladolid, Spain. A patient with a transected bile duct after cholecystectomy presenting with high-output bile leakage was successfully treated with staged endoscopy. EUS-guided hepaticogastrostomy was used first to internalize externally diverted bile flow. At a follow-up endoscopy, a cholangioscope by ERCP grasped a …

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Enhancing stent length and stability with a novel through-the-scope suturing platform: a case series

Post written by Shailendra Singh, MD, and Ayowumi A. Adekolu, MD, from West Virginia University, Morgantown, West Virginia, USA. We present a case series showing the use of a through-the-scope suturing (TTSS) system (X-Tack; Apollo Endosurgery, Austin, Tex, USA) for fixing 2 fully covered self-expandable metal stents (FCSEMSs) for creating longer stents as well as …

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Feasibility of esophageal endoscopic submucosal dissection after radiofrequency ablation treatment in patients with Barrett’s esophagus

Post written by Mako Koseki, MD, from the Gastroenterology, Hepatology, and Nutrition Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA, and the Department of Medicine, Icahn School of Medicine at Mount Sinai, Mount Sinai Beth Israel, New York, and Makoto Nishimura, MD, from the Gastroenterology, Hepatology, and Nutrition Service, Memorial Sloan Kettering …

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Endoscopic sleeve gastroplasty using mixed-tooth grasping forceps as an alternative to the tissue helix

Post written by Chase Wooley, BS, from True You Weight Loss, Cary, North Carolina, USA. In this video case, we demonstrate the advantages of using a mixed-tooth grasping forceps rather than the traditional tissue helix to acquire full-thickness gastric folds during the endoscopic sleeve gastroplasty (ESG) procedure. A customized animation highlights the risk of transmural tissue …

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A novel artificial intelligence–assisted “vascular healing” diagnosis for prediction of future clinical relapse in patients with ulcerative colitis: a prospective cohort study (with video)

Post written by Yasuharu Maeda, MD, PhD, and Takanori Kuroki, MD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Kanagawa, Japan. In the assessment of inflammation and prediction of outcomes in ulcerative colitis (UC), artificial intelligence (AI)—assisted image-enhanced endoscopy offers objective and more precise predictions. We developed an AI-assisted narrow-band imaging system called …

Continue reading A novel artificial intelligence–assisted “vascular healing” diagnosis for prediction of future clinical relapse in patients with ulcerative colitis: a prospective cohort study (with video)