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. …
Tag: Endoscopy
Gender dynamics in education and practice of gastroenterology
Post written by Loren Galler Rabinowitz, MD, from the Icahn School of Medicine at Mount Sinai, New York, New York, USA. This study focuses on the impact of gender dynamics on teaching and learning endoscopic skills as well as on gastroenterologists’ experiences in the endoscopy suite. As more women join the field of gastroenterology, the …
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Applications Open for Peer-Review Mentorship Program
Students of peer review: Where are you in your S-curve? The S-curve illustrates how we tailor the mentorship program to your own learning curve. Progress is slow in the initial phase, but this is followed by almost exponential growth in learning. The wide spectrum of how individuals take on specific tasks is often overlooked—some acquire skills quicker, …
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Use of cyanoacrylate glue in gastric variceal bleed: a modified technique without using lipiodol
Post written by Pankaj N. Desai, MS, FASGE Gastro, from the Department of Endoscopy & Endosonography, and the Department of Clinical Research, Surat Institute of Digestive Sciences (SIDS), Surat, India. Our video describes a simple technique of injection of cyanoacrylate glue for the management of gastric variceal bleed. We use 0.5ml aliquots of n butyl …
Successful endoscopic management of adult ileocecal intussusception secondary to a large ileal lipoma
Post written by Akira Teramoto, MD, from the Gastrointestinal Center, Sano Hospital, Kobe, Japan. Our video presents a case of adult ileocecal intussusception due to a lipoma. The intussusception was endoscopically repositioned, and the lipoma was removed by polypectomy. Although ileocecal intussusception is not a common disease, we believe that many institutions do experience 1 …
Automated software-assisted diagnosis of esophageal squamous cell neoplasia using high-resolution microendoscopy
Post written by Mimi C. Tan, MD, MPH, from the Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, Texas. High-resolution microendoscopy (HRME) is an ‘optical biopsy’ technology that provides sub-cellular imaging of esophageal mucosa at the time of endoscopy. The endoscopist is able to assess nuclear size, crowding, and pleomorphisms …
Small-bowel aspiration during upper esophagogastroduodenoscopy: Rao technique
Post written by Satish S.C. Rao, MD, PhD, from the Digestive Health Center, Department of Medicine, Augusta University, Augusta, Georgia. Small intestinal bacterial overgrowth (SIBO) is a common yet underrecognized problem. Because symptoms alone are poor predictors of SIBO, diagnostic testing is required. Today, most experts agree, and the recent American College of Gastroenterology guidelines …
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Vascularity can distinguish neoplastic from non-neoplastic bile duct lesions during digital single-operator cholangioscopy
Post written by Carlos Robles-Medranda, MD, from the Gastroenterology and Endoscopy, Instituto Ecuatoriano de Enfermedades Digestivas, Guayaquil, Ecuador. Accurately diagnosing indeterminate biliary lesions on clinical practice is a challenging task. Endoscopists may use Digital single operator cholangioscopy (DSOC) to evaluate those lesions, acquire histologic specimens, and to guide clinical management. Various DSOC classification systems and …
Endoscopic radiofrequency ablation for palliative treatment of hilar cholangiocarcinoma
Post written by Ana Luísa Lopes dos Santos Silva, MD, from the Gastroenterology Department, Centro Hospitalar São João, Porto, Portugal. Our video reports 3 patients with a diagnosis of perihilar cholangiocarcinoma, who underwent endoscopic radiofrequency ablation with palliative intent. In all cases, endoscopic retrograde cholangiopancreatography with single-operator cholangioscope was performed due to cholestasis symptoms to …
Comparison of EUS-guided endoscopic transpapillary and percutaneous gallbladder drainage for acute cholecystitis
Post written by Anthony Yuen Bun Teoh, FRCSEd (Gen), from the Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China. The optimal method of gallbladder drainage for acute cholecystitis in nonsurgical candidates is uncertain. The aim of the current study was to conduct a network meta-analysis comparing …
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