Post written by Aoi Kita, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine, Maebashi, Japan. Red Dichromatic Imaging (RDI), a novel image-enhanced endoscopy technology (IEE), has been reported to improve the visibility of deep vessels and bleeding points compared to white-light imaging. We present …
Tag: Endoscopy
Safety and effectiveness of peroral endoscopic myotomy in patients on antiplatelet or anticoagulant therapy
Post written by Enrique Rodríguez de Santiago, MD, MSc, from the Digestive Diseases Center, Showa University, Koto-Toyosu Hospital, Koto-Ku, Tokyo, Japan, and the Department of Gastroenterology and Hepatology, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, IRYCIS, Madrid, Spain. In this study, we aimed to investigate the safety of peroral endoscopic myotomy (POEM) in patients …
Successful duodenal endoscopic submucosal dissection using multiple clip-and-thread traction for a large tumor located in the duodenal bulb
Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 74-year-old man was referred to our institute for the treatment of a large flat-elevated tumor (diameter, 50 mm) in the duodenal bulb. We selected ESD for the en bloc resection of the lesion, and the …
Postfundoplication submucosal prolapse syndrome
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi. We report and describe a previously unrecognized pathology called postfundoplication submucosal prolapse syndrome (PFSPS); we coined the terminology based on the imaging and pathological findings. We hypothesized that the mucosa and submucosal layers …
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Double high-level disinfection versus liquid chemical sterilization for reprocessing of duodenoscopes used for ERCP
Post written by Mark A. Gromski, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA. This study aimed to answer whether there were any differences in 2 different duodenoscope reprocessing methods that fulfilled supplemental measures to enhance reprocessing: double high-level disinfection and liquid chemical sterilization. …
Second-generation distal attachment cuff improves adenoma detection rate
Post written by Harsh K. Patel, MBBS, and Viveksandeep Thoguluva Chandrasekar, MD, from the Department of Internal Medicine, Ochsner Clinic Foundation, New Orleans, Louisiana, and the Department of Gastroenterology, University of Kansas Hospital, Kansas City, Kansas, USA. The focus of our study was to compare the outcomes of standard high-definition white-light colonoscopy (SC) to second …
Continue reading Second-generation distal attachment cuff improves adenoma detection rate
Mucosa-preserving Zenker’s diverticulotomy
Post written by Linda Yun Zhang, MBBS, from the Division of Gastroenterology & Hepatology, Johns Hopkins Medicine, Baltimore, Maryland. We present a 78-year-old woman with a short-septum Zenker’s diverticulum successfully treated with a mucosa preserving Zenker’s diverticulotomy. In this technique, in contrast to the original Zenker’s peroral endoscopic myotomy (Z-POEM) technique, mucosal incision and entry …
Editor’s Choice: Second-generation distal attachment cuff improves adenoma detection rate
GIE Associate Editor, Dr. Seth Gross, highlights this article from the March issue “Second-generation distal attachment cuff improves adenoma detection rate: meta-analysis of randomized controlled trials” by Harsh K. Patel, MBBS, et al. This study shows the benefits of mechanical enhancement during colonoscopy, which can improve a key quality metric, adenoma detection rate. Colonoscopy is a …
Band ligation-assisted endoscopic mucosal resection of an intradiverticular polyp
Post written by Mohammed Barawi, MD, from the Division of Gastroenterology and Interventional Endoscopy, Ascension St John Hospital, Detroit, Michigan. In this video, we present the case of a healthy 50-year-old man who was seen for routine colonoscopy and was found to have a 7-mm polyp within the base of a diverticulum. The colonoscopy was …
Continue reading Band ligation-assisted endoscopic mucosal resection of an intradiverticular polyp
Safety and efficacy of a novel powered endoscopic debridement tissue resection device for management of difficult colon and foregut lesions
Post written by Vivek Kaul, MD, FACG, FASGE, AGAF, from the Department of Medicine, Division of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, New York, USA. Standard endoluminal resection using established EMR and ESD techniques can be difficult and risky when attempting to remove fibrotic or scarred lesions. For the first time, we …
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