Post written by Yuki Tanisaka, MD, PhD, from Saitama Medical University International Medical Center, Saitama, Japan. A 61-year-old woman was referred to our hospital for obstructive jaundice because of unresectable pancreatic cancer. We performed endoscopic sphincterotomy before fully covered self-expandable metallic stent placement. The following day, the patient presented with tarry stools. Endoscopic examination was performed …
Tag: Endoscopy
Three-dimensional CT reconstruction for visualization of esophageal varices after injection with combined cyanoacrylate and Lipiodol (with video)
Post written by Calvin J. Koh, MBBS, FRCP, FASGE, from The Gastroenterology Group, Gleneagles Hospital, and the Division of Gastroenterology and Hepatology, National University Hospital, and the Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore. The method of N-butyl-2-cyanoacrylate and Lipiodol injection is more commonly used for hemostasis in gastric …
Diagnostic yield of random colon biopsy sampling in patients with chronic diarrhea and normal colonoscopy: a systematic review and meta-analysis
Post written by Priyadarshini Loganathan, MD, from University Medical Associates, University of Texas Health Science Center, San Antonio, Texas, USA. The focus of our study was to identify the pooled diagnostic value of random colonic biopsy sampling in patients with chronic nonbloody diarrhea and a normal colonoscopy examination. There is a need to quantify the pooled …
Long-term outcomes of local resection versus surgical resection for high-risk T1 colorectal cancer: a systematic review and meta-analysis
Post written by Yuxiang Chen, MM, and Kai Deng, MD, from the Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, and Sichuan University–Oxford University Huaxi Gastrointestinal Cancer Centre, Department of Gastroenterology & Hepatology, West China Hospital, Sichuan University, Chengdu, China. Our study was performed as a systematic retrieval of data from existing studies and pooled …
Risk of post-sphincterotomy bleeding with antiplatelet and anticoagulant use: a propensity-matched analysis of the U.S. Collaborative Network
Post written by Saurabh Chandan, MD, from Creighton University School of Medicine, Omaha, Nebraska, USA. The main focus of our study was to assess the outcomes of ERCP with sphincterotomy among patients on anticoagulant (AC) and antiplatelet (APT) agents. We performed a retrospective analysis using the TriNetX database, which is a global, federated research network providing …
Long per-rectal endoscopic myotomy for a case of Hirchsprung’s disease
Post written by Akshay Kulkarni, DM, from Midas Multi-Specialty Hospital, Nagpur, India. This video case shows the procedure of per-rectal endoscopic myotomy (PREM) for a case of Hirchsprung’s disease. It was a particularly difficult case requiring a long (25 cm) myotomy, and a delayed perforation complicated recovery. However, it was successfully managed endoscopically, and the patient …
Continue reading Long per-rectal endoscopic myotomy for a case of Hirchsprung’s disease
Deploying automated machine learning for computer vision projects: a brief introduction for endoscopists
Post written by Neal Mahajan, ScB, from the Division of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, and Indiana University School of Medicine, Indianapolis, Indiana, USA. Our team has worked for several years on the use of machine learning (ML) in endoscopy and helped validate its additive effect in the endoscopy suite. We have noticed …
Full-thickness resection closure using reopenable-clip over-the-line method inside a submucosal pocket
Post written by Tatsuma Nomura, MD, from Mie Prefectural Shima Hospital, Shima, Mie, Japan. We recently developed a new procedure known as full-thickness resection closure using a reopenable-clip over-the-line method inside a submucosal pocket (ROLM-SP) procedure. During this procedure, the first mucosal incision was made at 20 mm from the center, and a calibrated, small-caliber tip, …
EUS-guided choledochoantrostomy as an alternative for biliary decompression in malignant distal biliary obstruction with duodenal invasion
Post written by Ahmed Altonbary, MD, FRCP, from Mansoura Specialized Medical Hospital, Mansoura University, Mansoura, Egypt. We describe a case of unresectable pancreatic cancer with extrahepatic biliary obstruction and duodenal invasion that was successfully treated with a variant of EUS-guided biliary drainage by performing EUS-guided choledochoantrostomy (EUS-CAS). EUS-guided choledochoduodenostomy (EUS-CDS) is commonly performed for biliary decompression …
EUS-guided fine-needle biopsy sampling of solid pancreatic tumors with 3 versus 12 to-and-fro movements: a multicenter prospective randomized controlled study
Post written by Kosuke Takahashi, MD, PhD, from the Department of Gastroenterology and Hepatology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan, and Ichiro Yasuda, MD, PhD, from the Third Department of Internal Medicine, University of Toyama, Toyama, Japan. In this study, a novel EUS-guided fine-needle biopsy sampling (EUS-FNB) needle enabled physicians to obtain sufficient …
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