Tag: Endoscopy

Submucosal injection to facilitate needle-knife sphincterotomy: a novel technique

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Post written by Kambiz Kadkhodayan, MD, and Muhammad K. Hasan, MD, FACG, FRCP (Glasg), from the Center for Interventional Endoscopy, AdventHealth Orlando, Orlando, Florida, USA. We present a patient with obstructive jaundice and a flat (type 1) ampulla in whom conventional biliary cannulation using a standard sphincterotome was unsuccessful despite prolonged attempts. Given the unfavorable papillary morphology and need for …

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Evaluating the outcomes and safety of underwater ampullectomy versus traditional (gas insufflation) ampullectomy (with video)

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Post written by Anand Kumar, MD, MPH, from Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. We compared outcomes such as rates of histologic negative margins, procedure times, and recurrence of underwater ampullectomy (UA) with traditional (gas insufflation) ampullectomy (TA) for polyps involving the ampulla. Underwater resection has proven advantages of higher en bloc resection, lower recurrence, and …

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Endoscopic ultrasound—guided duodenojejunostomy for a duodenal duplication cyst presenting with duodenal obstruction

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Post written by Shanshan Shen, MD, PhD, from the Department of Gastroenterology, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China. A 50-year-old woman with refractory vomiting and severe electrolyte imbalance was diagnosed with a cystic-communicating duodenal duplication causing duodenal obstruction. As the patient declined surgical intervention, we performed EUS-guided duodenojejunostomy (EUS-DJ). Under the guidance …

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Clinical outcomes of endoscopic ultrasound–guided gallbladder drainage in patients with acute cholecystitis with ≥1 year of follow-up: a systematic review and meta-analysis

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Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, TidalHealth Peninsula Regional Medical Center, Salisbury, Maryland, USA. The aim of this study was to investigate mid-term clinical outcomes after EUS-guided gallbladder drainage (EUS-GBD), with a focus on clinical success and the rate of recurrent cholecystitis. Although a multitude of studies have demonstrated the …

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Thulium laser–assisted colorectal endoscopic submucosal dissection

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Post written by Robert Bechara, MD, from Queen's University, Kingston Health Sciences Center, Kingston, Ontario, Canada. This video demonstrates the use of a thulium laser system for colorectal endoscopic submucosal dissection (ESD) in a 68-year-old man with a 3.5-cm rectal lesion detected following a positive fecal immunochemical test result. The lesion was classified as Paris Is and …

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Tumor enhancement by magnetic resonance imaging after endoscopic ultrasound–guided radiofrequency ablation for small pancreatic neuroendocrine tumors

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Post written by José Celso Ardengh, PhD, from the Digestive Endoscopy Service, Hospital Moriah, São Paulo, and Department of Surgery and Anatomy, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, and André Orsini Ardengh, MD, from the Digestive Endoscopy Service, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. …

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Gastroscope-assisted oral cavity and nasopharynx examination

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Post written by Aman Yadav, MD, and Alexander Huelsen, MD, from Department of Gastroenterology & Digestive Health, Gold Coast University Hospital, Southport, Australia. In our video, we demonstrate a simple and reproducible gastroscope-assisted method to examine the oral cavity and nasopharynx during routine EGD. With the use of a standard diagnostic gastroscope equipped with a distal cap, the oral …

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Best of artificial intelligence in GI endoscopy

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Post written by Michael B. Wallace, MD, MPH, from Mayo Clinic Florida, Jacksonville, Florida, USA. This is part of a series of invited reviews focusing on the best articles of the past year. "Best of artificial intelligence in GI endoscopy" allows our endoscopic community to get a rapid overview of the top publications in the field of artificial …

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Peroral endoscopic 2-way tunneling and lumen restoration for complete esophageal obstruction

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Post written by Prakash Zacharias, MD, DM, and Mathew Philip, MD, DM, from the Lisie Institute of Gastroenterology, Hepatology and Transplantation, Lisie Hospital, Kochi, India. This article highlights the application of a third-space endoscopic technique to restore luminal continuity in a patient with complete esophageal obstruction at the postcricoid region. We successfully created a neo-lumen by performing submucosal tunneling from …

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Safety and feasibility of intensive endoscopic interventions for delayed perforation after colorectal endoscopic submucosal dissection (with video)

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Post written by Satoki Shichijo, MD, PhD, from Osaka International Cancer Institute, Osaka, Japan. Endoscopic submucosal dissection (ESD) was performed for 1763 patients with 1845 lesions (right-sided colon, 1018; left-sided colon, 827) between February 2011 and April 2023. Thirty-two delayed perforations (26 between 2011 and 2020; 6 between 2021 and 2023) occurred. Muscle injury occurred during ESD …

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