Post written by Andrew C. Storm, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota. In this video manuscript, we describe a step-by-step setup and use of a new endoscopic tool for tissue closure and fixation using the X-Tack device. X-Tack consists of a series of tacks on a suture that may …
Tag: Endoscopy
Safety and efficacy of peroral endoscopic myotomy with standard myotomy versus short myotomy for treatment-naïve patients with type II achalasia
Post written by Deliang Liu, MD, PhD, from the Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, China. The study focus on comparing the outcomes between standard myotomy versus short myotomy for the management of treatment-naïve patients with type II achalasia. Numerous studies demonstrated that POEM was a safe and effective …
Evolution of re-epithelialization postcircumferential esophageal endoscopic submucosal dissection
Post written by Robert Bechara, MD, from the Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. The introduction of endoscopic submucosal dissection (ESD) has revolutionized the management of superficial gastrointestinal neoplasia. In the esophagus, the stricture rate after a circumstantial ESD (cESD) without any prophylaxis medications is virtually 100%. There have been many reported …
Underwater endoscopic mucosal resection of a rectal adenoma in the nondistensible rectum from severe fecal incontinence
Post written by Sukit Pattarajierapan, MD, from the Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. Our video presents a challenging case of difficult polypectomy in the nondistensible rectum from severe fecal incontinence. An 89-year-old woman with ischemic heart disease and hypertension underwent laparoscopic sigmoidectomy for stage II sigmoid …
Outcomes of thermal ablation of the defect margin after duodenal endoscopic mucosal resection
Post written by Mayenaaz Sidhu, MBBS, from the Department of Gastroenterology and Hepatology, Westmead Hospital, and Westmead Clinical School, The University of Sydney, Sydney, Australia. Endoscopic mucosal resection (EMR) for large (>10-mm), sporadic, non-ampullary duodenal laterally spreading lesions (LSLs) is established as an effective treatment. However, one of the major limitations of EMR is the issue …
EUS-guided hepaticogastrostomy for management of cholangitis, hepatolithiasis, and anastomotic stricture after Roux-en-Y hepaticojejunostomy
Post written by Rishi Pawa, MD, FACG, from the Wake Forest School of Medicine, Winston-Salem, North Carolina. A 43-year-old woman with history of Roux-en-Y hepaticojejunostomy (secondary to Strasberg type E1 common bile duct injury at the time of her cholecystectomy) presented with cholangitis, hepatolithiasis, and hepaticojejunostomy (HJ) anastomotic stricture. She initially underwent an EUS-guided hepaticogastrostomy …
Does provider gender matter in endoscopy? An international perspective
Post written by Pascale Anglade, MD, MBA, from the Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates. Studies have shown that physician gender can be a factor in patient-related outcomes. The goal of our perspective article was to review the current understanding, both in the U.S. and internationally, of patient-provider gender …
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Endoscopic retrieval of multiple sewing needles by using the tip of a magnetic tube
Post written by Shinichi Morita, MD, from the Department of Gastroenterology and Hepatology, Uonuma Institute of Community Medicine Niigata University Hospital, Niigata, Japan. Endoscopic foreign body retrieval is an established treatment for accidental ingestion. Although forceps are most frequently used, grasping may be difficult depending on the type and shape of the foreign body. The …
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Comparing a conventional and a spring-and-loop with clip traction method of endoscopic submucosal dissection for superficial gastric neoplasms
Post written by Mitsuru Nagata, MD, from the Department of Endoscopy, Shonan Fujisawa Tokushukai Hospital, Fujisawa-shi, Kanagawa, Japan. A spring-and-loop with clip (SLC; S–O clip; Zeon Medical, Tokyo, Japan) has been developed as a traction device for endoscopic submucosal dissection (ESD). Its great advantage is that it can provide traction in any direction. We hypothesized …
EUS-guided gastroenterostomy to treat gastric outlet obstruction in a patient with gastric lymphoma followed by pyloric recanalization using a rendezvous technique
Post written by Michael Lajin, MD, from Sharp Grossmont Hospital, La Mesa, California. A 66-year-old man was diagnosed with gastric lymphoma and received chemotherapy. He developed pulmonary tuberculosis and was started on TB medications. He presented with vomiting and 80-pound weight loss. Endoscopy revealed a pyloric ulcer resulting in outlet obstruction and proximal gastric ulcers. …
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