Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. We presented endoscopic submucosal dissection (ESD) for a tumor located completely within a colonic diverticulum using a traction device in the video. The lesion was a flat-elevated tumor completely located within a colonic diverticulum in the …
Tag: Endoscopy
Esophageal ESD on postendoscopic variceal ligation scars with injection under red dichromatic imaging
Post written by Kurato Miyazaki, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, and the Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. Red dichromatic imaging (RDI) is a recently developed novel image-enhanced endoscopy that enables one to visualize blood vessels …
Endoscopic ultrasound–guided liver biopsy: needle types and suction methods
Post written by Catherine Vozzo, DO, from the Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio. Endoscopic ultrasound-guided liver biopsy is gaining traction amongst the advanced endoscopy and hepatology community. It is safe and effective at delivering adequate liver biopsy specimens. In this tools and techniques article, we describe the variety of needles and …
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The use of the cap and underwater technique as an aid in endoscopic diagnosis and treatment of upper gastrointestinal bleeding
Post written by Fernando Lander Mota, MD, from the Department of Digestive Endoscopy, Hospital Sírio-Libanês, São Paulo, Brazil. Here we describe 4 cases where the use of cap and underwater technique was decisive in the management of gastrointestinal bleeding of different etiologies. The attachment of a simple transparent plastic cap allowed us to push aside …
Usefulness of a newly designed laser-cut metal stent with an anchoring hook and thin delivery system for EUS-guided hepaticogastrostomy in experimental settings
Post written by Masayuki Kitano, MD, PhD, from the Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan. We developed a partially covered self-expandable metal stent with a thin delivery system (7.2 Fr) that has 2 advantages for EUS-guided hepaticogastrostomy (EUS-HGS). First, using a thin delivery system with a tapered tip, the stent can …
Effects of endoscopic gastric plication on portal pressure gradient in a patient with nonalcoholic steatohepatitis cirrhosis
Post written by Pichamol Jirapinyo, MD, MPH, from the Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts. The current treatment for nonalcoholic steatohepatitis (NASH) remains limited to weight loss via lifestyle modification. While bariatric surgery can be considered in otherwise eligible patients who suffer from obesity with concomitant NASH, less than 2% of …
Freestyle endoscopic submucosal dissection using a multifunctional snare
Post written by Jun Arimoto, MD, PhD, from the Department of Gastroenterology, Omori Red Cross Hospital, Tokyo, Japan. A novel multifunctional snare (SOUTEN; Kaneka Medics, Tokyo, Japan) was introduced to enable successful hybrid ESD procedures. Although this multifunctional snare was introduced for hybrid ESD, hybrid ESD involves partial submucosal dissection, and we have previously reported …
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POEM: 10-year outcomes from a large, single-center U.S. series with high follow-up completion and comprehensive analysis of long-term efficacy, safety, objective GERD, and endoscopic functional luminal assessment
Post written by Stavros N. Stavropoulos, MD, from the Division of Gastroenterology, Hepatology & Nutrition, NYU-Winthrop Hospital, Mineola, New York, USA. Our study aimed to provide a comprehensive, in-depth analysis of long-term POEM outcomes from the largest prospective database of POEM procedures in the U.S. (currently at ~800 POEMs, with the longest and most complete …
The use of double-pigtailed stents to relieve obstruction of a previous endoscopic gastrojejunal lumen-apposing metal stent
Post written by Corey O’Brien, MD, from the Department of Hospital Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania. The case involved an elderly woman with locally advanced pancreatic adenocarcinoma. She was recently admitted for malignant gastric outlet obstruction and underwent successful placement of a gastrojejunal LAMS. She was readmitted shortly thereafter with occlusion of the …
Linked color imaging, mucosal exposure device, their combination, and standard colonoscopy for adenoma detection
Post written by Satimai Aniwan, MD, from the Gastrointestinal Endoscopy Excellence Center, Division of Gastroenterology, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. Colonoscopy primarily aims to detect and remove colorectal adenomas, which is a precancerous lesion. Most postcolonoscopy colorectal cancer is attributed to the missed lesion at the previous …
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