Continuous saliva suction tube to prevent aspiration pneumonia during upper GI endoscopy

Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. We introduce a continuous saliva suction tube that can be used during endoscopy (Salsuction; Fujifilm Medical Co, Ltd, Tokyo, Japan). Not only is this device disposable and easy to set up with a mouthpiece, it also …

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Clip band ligation ablation

Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi. The author reports a 56-year-old woman with an 11-mm biopsy-proven duodenal bulb low-grade neuroendocrine tumor (NET) or carcinoid tumor. She was referred by surgery for endoscopic ablation. Using a multi-band ligator device (Saeed …

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Bilateral balloon expandable biodegradable stent (Y-stent) for postcholecystectomy perihilar biliary stricture

Post written by Sundeep Lakhtakia, MD, DM, and Harsh Vardhan Tevethia, MD, DM, from the Department of Medical Gastroenterology, AIG Hospitals and Asian Institute of Gastroenterology, Hyderabad, Telangana, India. Following complicated laparoscopic cholecystectomy, a young woman developed a biliary stricture that required several ERCP sessions. She presented with recurrent jaundice. MRCP revealed a perihilar stricture …

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Postpolypectomy bleeding of colorectal polyps in patients with continuous warfarin and short-term interruption of direct oral anticoagulants

Post written by Hideaki Harada, MD, from the Department of Gastroenterology, New Tokyo Hospital, Chiba, Japan. Our study aimed to clarify the risk of postpolypectomy bleeding (PPB) after endoscopic snare resection of colorectal polyps in patients receiving continuous warfarin and 1-day cessation of direct oral anticoagulants (O-DOACs) because the evidence for use of continuous anticoagulants …

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Leiomyomatosis masquerading as sigmoid achalasia: a rare occurrence

Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video, we performed peroral endoscopic myotomy in a young man diagnosed with sigmoid achalasia based on endoscopy, esophageal manometry, and barium swallow. During submucosal tunneling, a submucosal lesion was identified. Despite extensive dissection, the margins of the submucosal …

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EUS-guided gallbladder drainage versus laparoscopic cholecystectomy for acute cholecystitis

Post written by Anthony Yuen Bun Teoh, FRCSEd (Gen), from the Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong SAR. EUS-guided gallbladder drainage (EUS-GBD) is a safe alternative to percutaneous cholecystostomy (PT-GBD) for acute cholecystitis. How the procedure compares to laparoscopic cholecystectomy (LC) is uncertain. The aim of …

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Optical diagnosis of colorectal polyps: a randomized controlled trial comparing endoscopic image-enhancing modalities

Post written by Roupen Djinbachian, MD, from the Division of Internal Medicine, Montreal University Hospital Center (CHUM) and Montreal University Hospital Research Center (CRCHUM), Montreal, Quebec, Canada. The focus of this study was to compare a novel endoscopic image-enhancing modality (Optivista) to an existing precursor (iScan) for optical colorectal polyp diagnosis in a randomized controlled …

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Evaluation of colorectal 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. In this study, we evaluate the safety and efficacy of colorectal ESD using the SOUTEN snare. Although the SOUTEN snare was introduced for hybrid ESD, hybrid ESD involves partial submucosal dissection. So, we thought that “SOUTEN-ESD,” mean …

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Endoscopic submucosal dissection for superficial pharyngeal carcinoma using transnasal endoscope

Post written by Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. During endoscopic procedures, it is a great advantage that the diameter of the endoscope is small. It is possible to enter a narrow space, and it is also possible to approach a lesion that cannot be approached by the …

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Clinical utility of cricopharyngeal distensibility measurements during endoscopic myotomy for Zenker’s diverticulum

Post written by Linda Yun Zhang, MBBS, FRACP, from the Department of Gastroenterology & Hepatology, St George Hospital, Sydney, New South Wales, Australia. Flexible endoscopic cricopharyngeal myotomy allows minimally invasive treatment of patients with Zenker’s diverticulum. Despite its wide uptake there is a substantial retreatment rate, which is at least partly due to the lack …

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