Post written by Arunkumar Krishnan, MBBS, from the Section of Gastroenterology and Hepatology, West Virginia University School of Medicine, Morgantown, West Virginia, USA. We demonstrate a technique for the closure of pancreatocolonic fistulae (PCF) using an X-Tack Endoscopic HeliX System (Apollo Endosurgery, Austin, Tex, USA). GI tract fistulation is an uncommon but important consequence of acute …
Tag: Endoscopy
Endoscopic removal of a retained esophageal stent using the stent-in-stent technique
Post written by Jose Antonio Navarro Almario, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA. In this video, we demonstrate the use of the stent-in-stent technique to extract a retained esophageal stent. The formation of granulation tissue secondary to placement of an esophageal stent is common and can serve …
Reflections on Gastrointestinal Endoscopy: 8 years of editorship
Post written by Michael B. Wallace, MD, MPH, GIE Editor-in-Chief and Fred C. Andersen Professor of Medicine, Mayo Clinic, Chief of Gastroenterology and Hepatology: Sheikh Shakhbout Medical City, Abu Dhabi, UAE. It has been nearly 8 years since our team assumed responsibility for the editorship of GIE, and it is now our turn to pass the torch …
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A novel bedside swallowed optical sensor for detection of upper GI bleeding
Post written by Andrew C. Storm, MD, Director of Endoscopy, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. GI bleeding is among the most common admitting diagnoses within gastroenterology. Most GI bleeding occurs in the upper GI tract along a spectrum of severity ranging from massive variceal hemorrhage through mild or self-limited oozing associated …
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Environmental and health outcomes of single-use versus reusable duodenoscopes
Post written by Lyndon V. Hernandez, MD, MPH, from GI Associates and the Division of Gastroenterology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA. Concern about serious duodenoscope-related infection from multidrug-resistant organisms has facilitated single-use duodenoscopes (SDs) to permeate the market, promising a safer alternative to reusable duodenoscopes (RDs) by virtually eliminating this risk. Using mathematical modeling, …
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Mid-gut exploration: video-capsule endoscopy cannot always determine the insertion route of device-assisted enteroscopy
Post written by Michael Fernandez Y Viesca, MD, from the Department of Gastroenterology Hepatopancreatology and Digestive Oncology, Erasme Hospital, Brussels, Belgium. This video case shows how challenging it can be to choose the correct insertion route (anterograde vs retrograde) before an enteroscopy based on video-capsule time index landmarks. Indeed, these time indexes are not always reliable …
Comparison of technical failures and patient-related adverse events associated with 3 widely used mechanical lithotripters for ERCP: insights from the U.S. Food and Drug Administration Manufacturer and User Facility Device Experience database
Post written by Douglas G. Adler, MD, FACG, AGAF, FASGE, from the Center for Advanced Therapeutic Endoscopy, Centura Health, Denver, Colorado, USA, and incoming GIE Editor-in-Chief. We analyzed the U.S. Food and Drug Administration’s Manufacturer and User Facility Device Experience (MAUDE) database for all reports of patient-related adverse events and device failures associated with the 3 …
Bacterial contamination and organic residue after reprocessing in duodenoscopes with disposable distal caps compared with duodenoscopes with fixed distal caps: a randomized trial
Post written by Wiriyaporn Ridtitid, MD, and Rungsun Rerknimitr, MD, from the Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, and the Excellence Center for Gastrointestinal Endoscopy, King Chulalongkorn Memorial Hospital, Bangkok, Thailand. The focus of this randomized trial was to compare bacterial contamination evaluated by culture between duodenoscopes with disposable distal caps …
Protein biomarkers in pancreatic juice and serum for identification of pancreatic cancer
Post written by Iris J.M. Levink, MD, from the Department of Gastroenterology & Hepatology, Erasmus University Medical Center, Rotterdam, The Netherlands. We aimed to develop a panel of biomarkers from serum and pancreatic juice (PJ) to detect pancreatic ductal adenocarcinoma for future surveillance purposes. This study focused on the performance of proteins (interleukin-8 [IL-8]; interferon-γ [IFN-γ]; …
Safety and efficacy of over-the-scope clips versus standard therapy for high-risk nonvariceal upper GI bleeding: systematic review and meta-analysis
Post written by Jay Bapaye, MD, from the Department of Internal Medicine, Rochester General Hospital, Rochester, New York, USA. This study compared the safety and efficacy of over-the-scope clips (OTSCs) and standard therapy for high-risk nonvariceal upper GI bleeding (NVUGIB). Upper GI bleeding carries a high risk of morbidity and mortality. Endoscopic therapy aims at achieving …