Post written by Fabian Emura, MD, PhD, FASGE, from the Division of Gastroenterology, Universidad de La Sabana, Chía, and the Advanced GI Endoscopy, EmuraCenter LatinoAmerica, Bogotá DC, Colombia. The procedure initiated from the esophagus in direct view and continued from the stomach in the retroflexion view using the IT-Knife2. A small perforation occurred when the …
Tag: Endoscopy
Covered versus uncovered metal stents for malignant gastric outlet obstruction
Post written by Alberto Tringali, MD, Deborah Costa, MD, Andrea Anderloni, MD, Silvia Carrara, MD, Alessandro Repici, MD, and Douglas G. Adler, MD, from the Endoscopy Unit, Conegliano Hospital Italy, Conegliano, Italy, the Endoscopy Unit, Humanitas Hospital, Milan, Italy, and the Division of Gastroenterology and Hepatology, University of Utah Hospital, Salt Lake City, Utah, USA. …
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A case of duodenal polyp at superior duodenal angle successfully treated by cap-assisted endoscopic mucosal resection
Post written by Ippei Tanaka, MD, from the Department of Gastroenterology, Sendai Kousei Hospital, Miyagi, Japan. A 72-year-old woman had a duodenal polyp at the superior duodenal angle (SDA). We performed cap-assisted endoscopic mucosal resection (EMRC) and successfully removed the lesion. Endoscopic observation and resection of duodenal polyps at SDA are extremely difficult because of …
New safety measure for the endoscopic procedures during the COVID-19 pandemic: New STEP
Post written by Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. Endoscopic procedures pose the risk of contact, droplet, and aerosol infections. Infection control is therefore important during these procedures, but it has not always been adequately achieved. With the advent of the COVID-19 pandemic, infection control during endoscopy is …
High-risk main-duct intraductal papillary mucinous neoplasm successfully treated with EUS-guided chemoablation
Post written by Kayla M. Hartz, DO, from the Penn State Hershey Medical Center, Hershey, Pennsylvania. This case is an example of a successful EUS-guided chemoablation of a patient with a high-risk, main-duct IPMN that was not a surgical candidate. This case highlights that certain high-risk features of pancreatic cysts that would have otherwise been …
Salvage circumferential ESD for refractory dysplastic Barrett’s esophagus
Post written by Robert Bechara, MD, from the Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. A 64-year-old woman with a complex Barrett’s history was referred to our esophageal center. Her treatment history included endoscopic mucosal resection (EMR) with M3 intramucosal carcinoma and incomplete response to radiofrequency ablation (RFA) of the remaining Barrett’s, as …
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Uncommon cause of cholangitis due to a migrated pancreatic stone into the common bile duct
Post written by David M. de Jong, BSc, from the Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands. A 62-year-old man was referred to our tertiary hospital for endoscopic therapy of previously diagnosed alcoholic chronic pancreatitis. After initial stent placement, he underwent electrohydraulic lithotripsy (EHL) of 2 pancreatic duct stones …
Axis-keeping shortening technique for colonic intubation
Post written by Shunsuke Yamamoto, MD, PhD, Yasushi Sano, MD, PhD, Nima Mottacki, MD, and Helmut Neumann, MD, PhD, from the Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital, Osaka, Japan, the Gastrointestinal Center, Sano Hospital, Kobe, Japan, the Department of Internal Medicine, Division of Gastroenterology, Sahlgrenska University Hospital, Goteborg, Sweden, …
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Editor’s Choice: Impact of fellow participation on colon adenoma detection rates
GIE Associate Editor, Dr. James Buxbaum, highlights this article from the December issue “Impact of fellow participation on colon adenoma detection rates” by Antonio Facciorusso, MD, PhD, et al. While the need to train endoscopists mandates fellow participation in colonoscopy, there has been a bias that procedures performed only by attending physicians may have greater …
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Efficacy and safety of cold-snare endoscopic mucosal resection for colorectal adenomas 10 to 14 mm in size
Post written by Yohei Yabuuchi, MD, and Kenichiro Imai, MD, from the Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan. Recently, cold-snare endoscopic mucosal resection (EMR), which combines submucosal injection and cold-snare polypectomy, has been adapted in a piecemeal fashion as a safe and effective procedure for colorectal polyps of 10 mm or more. However, …
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