Post written by Brian C. Jacobson, MD, MPH, from the Boston Medical Center and the Boston University School of Medicine, Boston, Massachusetts, USA. We sought to better understand how often endoscopists cancel a colonoscopy during the triage phase (ie, before colonoscope insertion) because of concern that the patient’s bowel preparation will be inadequate. An important …
Tag: Endoscopy
Increased risk of metachronous large serrated polyps in individuals with 5- to 9-mm proximal hyperplastic polyps
Post written by Joseph C. Anderson, MD, from the Department of Medicine, Geisel School of Medicine at Dartmouth, Hanover, and the New Hampshire Colonoscopy Registry, Lebanon, New Hampshire, USA. The goal of our study was to examine the risk of metachronous large serrated polyps (SPs) and advanced adenomas in patients with 5- to 9-mm proximal …
Usefulness of a thin-endoscope ESD using the traction device for early gastric cancer in a patient with esophageal stricture
Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. The video describes the usefulness of a thin-endoscope endoscopic submucosal dissection (ESD) using the traction device for early gastric cancer in a patient with an esophageal stricture. A 72-year-old man was referred to our hospital for …
Novel suture placement to affix overlapping metal stents in the treatment of an acute leak after sleeve gastrectomy
Post written by Jessica Yu, MD, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan. We present a case of a 45-year-old woman who presented with a leak and peri-gastric fluid collection 6 weeks after a vertical sleeve gastrectomy (VSG). This was initially treated with percutaneous drainage and placement of a …
Efficacy of EUS-guided celiac plexus neurolysis compared with medication alone for unresectable pancreatic cancer in the oxycodone/fentanyl era
Post written by Yoshihide Kanno, MD, from the Department of Gastroenterology, Sendai City Medical Center, Miyagi, Japan. The focus of our study was to evaluate the value of routine performance of EUS-guided celiac plexus neurolysis (EUS-CPN) at an early cancer-pain stage. EUS-CPN has been reported to be effective for patients with upper abdominal pain due …
A simple and cost-effective method: piecemeal cold snare polypectomy without injection for a large sessile serrated lesion ≥20 mm
Post written by Yoshiaki Kimoto, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. A flat and fold-over 25-mm lesion covered with rich mucus was pointed out at the ascending colon. We diagnosed the lesion as SSL without dysplasia. Using a 10-mm oval-type snare (SnareMaster Plus; Olympus, Tokyo, Japan), the near …
Nonvariceal upper GI hemorrhage after percutaneous coronary intervention for acute myocardial infarction
Post written by Mohammad Bilal, MD, from the Division of Gastroenterology & Hepatology, The University of Texas Medical Branch, Galveston, Texas, and the Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. Coronary artery disease is the leading cause of mortality in the United States, and acute myocardial …
Endoscopic submucosal dissection using a new super-soft hood and the multipoint traction technique
Post written by Yusuke Fujiyoshi, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This video shows an endoscopic submucosal dissection of a 25-mm 0-IIa+Is lesion in the gastric cardia. A newly developed super-soft hood (Space Adjuster, TOP Corp, Tokyo, Japan) was used as a distal attachment of the endoscope. A …
Accuracy of artificial intelligence on histology prediction and detection of colorectal polyps
Post written by Wai K. Leung, MD, from the Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong. This study reviewed and summarized the latest data on the use of artificial intelligence on histology prediction and detection of colorectal polyps. With the rapid development and increasing application of artificial intelligence (AI) in …
Gastric overtube use to prevent duodenoscope loop formation during EUS-directed transgastric ERCP procedure
Post written by Shelini Sooklal, MD, from the Division of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic Foundation, Cleveland, Ohio, USA. This video case demonstrates the technique of using a disposable gastric overtube device to aid passage of the duodenoscope through a previously placed lumen apposing metal stent (LAMS), from the roux limb to the remnant …
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