Post written by Sooraj Tejaswi, MD, MSPH, from UC Davis School of Medicine, Sacramento, California, USA. We describe a multidisciplinary approach to obstructive jaundice due to 2 concurrent etiologies. A 75-year-old man was transferred from an outside hospital for unresolving jaundice and elevated CA 19-9, despite a functioning percutaneous biliary drain (PBD) placed for biliary …
Tag: Endoscopy
Endoscopically directed single-port intragastric fundoplication, sleeve gastroplasty, and myotomy: a preclinical study in a porcine model
Post written by Andrew C. Storm, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. A tool commonly used in laparoscopic surgeries is the articulating stapler. This allows for efficient tissue removal or remodeling with the push of a button. As miniaturization permitting a stapler to fit through a scope’s working …
Colorectal cancer patients advocating screening to their siblings: a randomized behavioral intervention
Post written by Ker-Kan Tan, PhD, from the Division of Colorectal Surgery, University Surgical Cluster, National University Health System, Singapore. The aim of this study was twofold. First, we sought to understand if colorectal cancer (CRC) patients would be willing to advocate cancer screening to their siblings (who would be considered higher-risk, first-degree relatives [FDRs]). …
Prediction and management of bleeding during endoscopic necrosectomy for pancreatic walled-off necrosis: results of a large retrospective cohort at a tertiary referral center
Post written by Ian Holmes, MD, from Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. Over the last 10 years, the management of pancreatic walled-off necrosis (WON) has evolved with the development of minimally invasive endoscopic approaches to cystgastrostomy and necrosectomy. Endoscopic necrosectomy (EN) has become a widely favored strategy because of the low rates of …
Efficacy and factors affecting procedure results of short-type single-balloon enteroscopy–assisted ERCP for altered anatomy: a multicenter cohort in Japan
Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. ERCP is considered challenging in patients with surgically altered anatomy. Procedural outcomes using a conventional endoscope have not been satisfactory. A short-type single-balloon enteroscopy (short SBE)–assisted ERCP has been reported as useful in patients with …
Cost-effectiveness analysis of optimal diagnostic strategy for patients with symptomatic cholelithiasis with intermediate probability for choledocholithiasis
Post written by Faisal S. Ali, MD, from the Center for Interventional Gastroenterology at UTHealth (iGUT), University of Texas Health Science Center at Houston, Houston, Texas, USA. Our study aimed to provide further guidance on evaluating intermediate probability choledocholithiasis (IPC) in patients with cholelithiasis. The updated American Society for Gastrointestinal Endoscopy (ASGE) guideline recommends endoscopic …
Endoscopic submucosal dissection for a laterally spreading ampullary carcinoma
Post written by Osamu Dohi, MD, PhD, from Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine Graduate School of Medical Science, Kyoto, Japan. We performed endoscopic submucosal dissection (ESD) for a laterally spreading ampullary carcinoma 3 cm in size because it was expected to be difficult to completely resect the lesion by endoscopic papillectomy …
Continue reading Endoscopic submucosal dissection for a laterally spreading ampullary carcinoma
Performance of perioperative antibiotics against post–endoscopic submucosal dissection coagulation syndrome: a multicenter randomized controlled trial
Post written by Yoji Takeuchi, MD, FJGES, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Post—endoscopic submucosal dissection (ESD) coagulation syndrome (PECS) sometimes occurs after colorectal ESD and leads to extended hospitalization. Although the efficacy of perioperative antibiotics preventing PECS had been uncertain, perioperative antibiotics had been used to prevent PECS …
EUS-guided hepaticogastrostomy using a rendezvous technique to treat left intrahepatic duct stones in a patient with recurrent pyogenic cholangitis
Post written by Michael Lajin, MD, from SHARP Health, San Diego, California, USA. A 51-year-old male presented with abdominal pain due to recurrent pyogenic cholangitis. MRCP showed severe intrahepatic ductal dilatation involving the lateral segment of the left liver lobe with multiple intraductal stones. A transpapillary cholangioscope was unable to reach the targeted peripheral ducts. …
Top tips regarding EUS-guided liver biopsy
Post written by David L. Diehl, MD, FACP, FASGE, from the Department of Gastroenterology and Nutrition, Geisinger Medical Center, Danville, Pennsylvania, USA. The editors of GIE wanted a Top Tips section in the Journal in 2022, and I feel very honored to be asked to craft an article for this series on “Top tips regarding …
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