Post written by Ameya Deshmukh, DO, from the Department of Internal Medicine, Saint Louis University – SOM, St. Louis, Missouri, USA. EndoGel (Sunnarow Limited, Tokyo, Japan) is an ex vivo gel-based simulator that is designed to behave similarly to intestinal mucosa. It uses polyvinyl alcohol hydrogel materials, enabling this gel-based model to accurately mimic en vivo …
Continue reading Ex vivo nonbiomaterial gel-based model for endoscopic training
Post written by Sahaj Rathi, MD, DM, MRCP, from the Department of Hepatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India. Noncontact thermoablation is often used for mucosal bleeding during endoscopy, as it has the advantage of thermal injury limited to superficial layers. Practically, argon plasma coagulation (APC) is the only modality most centers …
Post written by Il Sang Shin, MD, PhD, Jong Ho Moon, MD, PhD, and Yun Nah Lee, MD, PhD, from the Digestive Disease Center and Research Institute, Department of Internal Medicine, SoonChunHyang University School of Medicine, Bucheon, Cheonan, and Seoul, Korea. Indirect diagnostic modalities such as CT, magnetic resonance imaging, and ERCP are sometimes unsatisfactory for …
Post written by Teppei Masunaga, MD, and Motohiko Kato, MD, PhD, from the Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. Endoscopic defect closure techniques have been applied to reduce the incidence of adverse events after colorectal endoscopic submucosal dissection (ESD). This retrospective observational study aimed …
GIE Associate Editor Thiruvengadam Muniraj, MD, highlights this article from the May issue: “Underwater versus conventional EMR of large nonpedunculated colorectal lesions: a multicenter randomized controlled trial” by Joaquín Rodríguez Sánchez, MD, PhD, et al. This study is valuable because it explores alternate options for endoscopic submucosal dissection (ESD). This is one of the very few randomized …
Post written by Rungsun Rerknimitr, MD, FRCP (London), FASGE, from Chulalongkorn University, Bangkok, Thailand. Our case is about a 10-year-old girl with known tropical chronic pancreatitis with mutation at the transition c.206C>T in exon 4 of the SPINK1 gene who underwent pancreatic sphincterotomy via major papilla with pancreatic stone extraction 6 months prior. The patient presented with a new episode of epigastric pain and elevation …
Post written by Antonio Facciorusso, MD, PhD, from the Gastroenterology Unit, Department of Surgical and Medical Sciences, University of Foggia, Foggia, Italy. In the last decade, several EUS fine-needle biopsy (FNB) sampling needles have been developed, and newer end-cutting FNB needles, which feature alterations of the cutting tip, have been found to outperform other needles in …
Post written by Arjun Chatterjee, MD, from the Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA. A 61-year-old man presented with intermittent right-upper-quadrant pain, nausea, and vomiting. A CT scan of his abdomen revealed choledocholithiasis and large cholelithiasis. His medical and surgical history included severe obesity, Roux-en-Y gastric bypass, bowel perforation with extensive resection, …
Post written by Rishi Pawa, MD, from the Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. A 31-year-old woman presented with right-upper-quadrant pain and imaging findings of acute cholecystitis. She underwent an open subtotal cholecystectomy because of extensive adhesive disease involving the gallbladder. Initially, the patient did well postoperatively but started having recurrent symptoms …
Post written by Ryan Law, DO, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. The focus of this manuscript was very simple. I aimed to identify what I believe are the most important pearls for successful endoscopic management of patients with biliary hilar obstruction. The goal was to simplify this topic into …
Continue reading Top tips for endoscopic biliary stenting for hilar obstruction
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