Post written by Mohan Ramchandani, MD, from the Asian Institute of Gastroenterology Hospitals, Hyderabad, India. The aim of this study was to assess the diagnostic accuracy of digital single-operator cholangioscopy (DSOC) compared with ERCP-based assessment using traditional sampling technology in patients with indeterminate biliary strictures (IBS). Indeterminate biliary stricture was defined as a suspected intrinsic …
Tag: Endoscopy
Salvage endoscopic submucosal tunneling dissection using IT knife nano for an elderly patient with circumferential residual esophageal squamous cell carcinoma after radiotherapy
Post written by Mai Ego, MD, and Seiichiro Abe, MD, PhD , from Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. A 96-year-old man underwent definitive radiotherapy for extensive early esophageal squamous cell carcinoma (SCC) involving the middle esophagus. Three months after radiotherapy, a residual tumor was detected during esophagogastroduodenoscopy. A 50-mm circumferential flat lesion …
Impact of en bloc resection on long-term outcomes after EMR
Post written by Mayenaaz Sidhu, MBBS, from the Department of Gastroenterology and Hepatology, Westmead Hospital, and Westmead Clinical School, The University of Sydney, Sydney, New South Wales, Australia. The focus of this study was to assess long-term outcomes of sized-matched laterally spreading colorectal lesions (LSL) resected en bloc (e-EMR) as compared to piece-meal resection (p-EMR). …
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ESD for Barrett’s-associated adenocarcinoma in a patient with decompensated cirrhosis and esophageal varices
Post written by Sonmoon Mohapatra, MD, from the Division of Gastroenterology and Hepatology, Saint Peter’s University Hospital/Rutgers—RWJ Medical School, New Brunswick, New Jersey, USA. A 65-year-old woman with a history of Barrett’s esophagus, decompensated alcoholic cirrhosis (MELD 8, Child Pugh class B) complicated by ascites, esophageal varices, gastric antral vascular ectasia, hepatic encephalopathy, and severe …
ESD for a laterally spreading tumor involving the colon diverticulum using a knife with water supply function
Post written by Akira Yoshida, MD, PhD, from the Division of Medicine and Clinical Science, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University, Yonago, Japan. A 50-mm diameter laterally spreading tumor (Paris 0-IIa) that involved the diverticulum on the oral side of the tumor was pointed out at the ascending colon. Colon tumor …
Applications Open for Peer-Review Mentorship Program
Guidelines for peer review abound, but nothing beats one-on-one learning with a seasoned researcher. The deadline to apply for the 2020 program is June 15, with the next cohort beginning on July 1. Please contact the GIE editorial office for more information or to apply. GIE is grateful for the mentors who generously shared their …
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Optimal stent placement strategy for malignant hilar biliary obstruction
Post written by Bing Hu, MD, PhD, from the Department of Endoscopy, Eastern Hepatobiliary Hospital, Second Military Medical University, Yangpu District, and the Department of Gastroenterology, Third Affiliated Hospital, Second Military Medical University, Jiading District, Shanghai, China. We compared, for the first time, 4 major stenting modalities simultaneously to determine an optimal strategy for the …
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Removal of proximally migrated biliary stents by using single-operator cholangioscopy
Post written by Abed Al Lehibi, MD, from Gastroenterology and Hepatology, King Fahad Medical City, Riyadh, Saudi Arabia. Our series included 3 patients whose cases, while being treated for difficult biliary stones, were complicated by proximal stent migration. Two patients had migrated plastic stents, whereas the other had a migrated metal one. Single-operator cholangioscopy (Boston …
Pathology definitions and resection strategies for early colorectal neoplasia
Post written by Makoto Nishimura, MD, from the Gastroenterology, Hepatology and Nutrition Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA. Well-known discrepancies exist between the East and West classifications of colorectal neoplasia. For example, ‘intra-mucosal carcinoma’ in Japan is recognized as ‘high-grade dysplasia’ in the U.S. To resolve these interobserver discrepancies between …
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A novel clip-band traction device to facilitate colorectal ESD and defect closure
Post written by Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. Adequate visualization of the submucosal dissection plane is critically important for both safety and efficacy in endoscopic submucosal dissection (ESD). Recently, a novel clip-band traction device was introduced to the U.S. market (Elastic …
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