Tag: Endoscopy

Endoscopic resection of gastric subepithelial lesions: techniques and tips

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Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, and Fateh Bazerbachi, MD, from CentraCare, St. Cloud, Minnesota, USA. This article presents the different endoscopic modalities for resecting gastric subepithelial lesions (SELs) including: Submucosal tunneling endoscopic resection Full-thickness resection using the gastric full-thickness resection device Endoscopic submucosal dissection Exposed endoscopic full-thickness resection Laparoscopic endoscopic cooperative surgery …

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Usefulness of gel immersion endoscopy for endoscopic resection in stomachs with residue

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Post written by Hiroki Hayashi, MD, from the Division of Gastroenterology, Department of Medicine, Jichi Medical University, Shimotsuke, Japan. EMR and endoscopic submucosal dissection are widely used for treating intramucosal gastric neoplasms. However, securing a clear visual field in a stomach with residue is challenging. In this article, we present 2 cases in which tumors …

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Minimizing bleeding risks during gastric neuroendocrine tumor endoscopic submucosal dissection by pre-emptive EUS-guided epinephrine injection

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Post written by Radhika Chavan, MD, DNB, FISG, FASGE, from Bharati Vidyapeeth, Katraj, India. A 38-year woman presented with upper GI bleeding. During evaluation, it was detected she had a large subepithelial lesion in the midbody of the stomach. Further evaluation with EUS revealed a large hypoechoic lesion confined to the submucosa with a large …

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Surveillance findings in high-risk patients after baseline computer-assisted detection colonoscopy: a propensity score matching analysis

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Post written by Wai Keung Leung, MD, from the Department of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong, China. This study aimed to determine long-term colonoscopy outcomes in patients after computer-assisted detection (CADe) colonoscopy at baseline. Although CADe colonoscopy has been consistently demonstrated to increase the colorectal adenoma or polyp detection rate, …

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Endoscopic submucosal dissection for drainage of esophageal abscess with fish bone extraction

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Post written by Abel Joseph, MD, and Joo Ha Hwang, MD, PhD, from the Division of Gastroenterology and Hepatology, Stanford University,  Stanford, California, USA. A 49-year-old woman with systemic lupus erythematosus and pulmonary hypertension presented with severe odynophagia after accidentally ingesting a fish bone. Initial CT imaging revealed linear density in the upper esophagus. Although an initial endoscopy did not identify …

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Outcomes of interval cholecystectomy after EUS-guided gallbladder drainage: a systematic review and meta-analysis

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Post written by Suchapa Arayakarnkul, MD, and Rahul Karna, MD, from the University of Minnesota, Minneapolis, Minnesota, and Mohammad Bilal, MD, from the University of Colorado Anschutz School of Medicine, Aurora, Colorado, USA. In this systematic review and meta-analysis, we assessed the outcomes of interval cholecystectomy (CCY) after EUS-guided gallbladder drainage (EUS-GBD), with a focus on technical successes, surgical techniques, and procedural safety …

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Endoscopic submucosal dissection in the management of bleeding duodenal tumors refractory to conventional therapy

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Post written by Daryl Ramai, MD, MPH, MSc, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, USA. A 94-year-old woman presented with melena and a significant drop in hemoglobin. Imaging with computed tomography revealed an intramural gastric antral mass extending into the proximal duodenum, and endoscopy demonstrated a large, bleeding pedunculated …

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Superiority of linear-array EUS over MRCP in diagnosing pancreas divisum: evidence from a multicenter retrospective study in Oriental cohorts (with video)

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Post written by Jianbo Ni, MD, Yuqing Mao, MD, and Baiwen Li, MD, PhD, from the Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. Our multicenter study demonstrates that linear-array EUS (L-EUS) outperformed MRCP in diagnosing pancreas divisum (PD), particularly in symptomatic patients. With a sensitivity of 90.8% and an area under the receiver operating …

Continue reading Superiority of linear-array EUS over MRCP in diagnosing pancreas divisum: evidence from a multicenter retrospective study in Oriental cohorts (with video)

A multistep approach for managing a complex esophageal perforation

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Post written by Dronamraju Sujay Prabhath, MD, Shiran Shetty, DM, Balaji Musunuri, DNB, and Praveen M.C.S., MD, from the Department of Gastroenterology and Hepatology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Karnataka, India. An 85-year-old man with severe chest pain, difficulty breathing, and decreased air entry in the right-lower lung zone after endoscopic dilatation of a benign esophageal stricture was diagnosed with …

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Beyond the scope: endoscopic ultrasound—assisted appendicoscopy by use of a single-use cholangioscope for endoscopic appendicitis therapy: a case report

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Post written by Yang-Bor Lu, MD, from the Department of Digestive Diseases, Digestive Endoscopy Center, Xiamen Chang Gung Hospital, Xiamen, China. We performed single-operator endoscopic direct appendiceal therapy (EDAT) by first using a slim endoscopic ultrasound (EUS) miniprobe (Olympus UM-2R, Tokyo, Japan) to map the appendiceal axis then steering a disposable cholangioscope (VedVision, TY-ISS-L31; Vedkang, …

Continue reading Beyond the scope: endoscopic ultrasound—assisted appendicoscopy by use of a single-use cholangioscope for endoscopic appendicitis therapy: a case report