Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. A 73-year-old man with a history of distal gastrectomy presented with jaundice and 20-pound weight loss. Abdominal CT with intravenous contrast showed cholelithiasis and a dilated biliary tree without evidence of choledocholithiasis or neoplasm. MRCP was not possible because of shrapnel. He …
Tag: Endoscopy
A modified approach for closing endoscopic submucosal dissection defects using clip with line pulley securing technique and endoloop
Post written by Yohei Minato, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. We modified the clip with line pulley suturing (CLiPS) technique using a plastic detachable snare. A clip with a string is placed at the distal margin of the mucosal defect. A second clip is then hooked onto …
Applications accepted for GIE mentorship program
Interested in learning more about reviewing? A new round of GIE’s mentorship program is about to begin! GIE invites GI fellows and those in the early stages of their career to join its mentorship program. Mentees will be paired with mentors, who will provide valuable guidance for completing reviews of manuscripts for the journal. Don’t …
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Fixation of the proximal flange of a lumen-apposing metal stent using a through-the-scope endoscopic suturing system to prevent stent migration in single-session EUS-directed transgastric ERCP: a pilot study
Post written by Hafiz Muzaffar Akbar Khan, MD, from the Division of Gastroenterology and Azhar Hussain, MBBS, from the Division of Medicine, State University of New York Upstate Medical University, Syracuse, New York, USA. The aim of our study was to evaluate and describe safe and effective use of a through-the-scope endoscopic suturing system for anchoring …
Closure in antireflux mucoplasty using anchor prong clips: dead space–eliminating technique
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This study features the dead space—eliminating technique (DET) as a novel closure method during antireflux mucoplasty (ARM-P) for proton pump inhibitor refractory—dependent GERD. Other techniques such as antireflux mucosectomy and antireflux mucosal ablation have shown effectiveness in meta-analyses, …
Learning curve of EUS-guided biliary duct drainage: systematic review and meta-analysis
Post written by Ishaan Vohra, MD, from the Division of Gastroenterology, Hepatology and Nutrition, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA. This study is a systematic review and meta-analysis to determine the number of procedures required to achieve proficiency in EUS-guided biliary drainage (EUS-BD). In addition, we assessed the clinical and technical …
Salvage endoscopic resection for perforation site recurrence of colonic polyp
Post written by Deepak Madhu, MD, MRCP, DM, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. A 79-year-old patient underwent endoscopic submucosal dissection (ESD) for resection of a colonic polyp. The resection was complicated by an intraprocedural perforation, which an endoscopic omental patch closed. A surveillance endoscopy performed 1 year later showed …
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Editor’s Choice: EUS-guided hepaticogastrostomy versus EUS-guided hepaticogastrostomy with antegrade stent placement in patients with unresectable malignant distal biliary obstruction: a propensity score–matched case-control study
GIE Associate Editor Amy Tyberg, MD, FASGE, highlights this article from the July issue: “EUS-guided hepaticogastrostomy versus EUS-guided hepaticogastrostomy with antegrade stent placement in patients with unresectable malignant distal biliary obstruction: a propensity score–matched case-control study” by Hirotoshi Ishiwatari, MD, PhD, et al. The advanced endoscopist plays a key role in the palliation of patients with unresectable …
Gel-immersion EMR for hemorrhagic gastric hyperplastic polyp
Post written by Naoki Akizue, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan. Viscoclear (Otsuka Pharmaceutical Factory, Tokushima, Japan) is a new gel without electrolytes that consists of xanthan gum, locust bean gum, concentrated glycerin, and purified water. The gel used for gel-immersion EMR is highly viscous and easily …
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Development of an endoscopy technician training certificate program in a community college
Post written by Gottumukkala S. Raju, MD, from The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. Our focus is the development and implementation of a formal training and certification program for endoscopy technicians (ETs) at Houston Community College. We conducted this study to develop a formal training program for ETs in a community …
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