Peroral cholangioscopy–guided probe-based confocal laser endomicroscopy for preoperative diagnosis of pancreatic cancer

Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 79-year-old man was referred to our hospital because of jaundice. He had previously undergone Billroth-II gastrectomy for gastric cancer. ERCP was performed. At first, we used a SIF-H290S (Olympus Medical Systems, Tokyo, Japan) with …

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Long-term outcomes of endoscopic treatment of aberrant hepatic duct injuries after cholecystectomy

Post written by Andrea Tringali, MD, PhD, from the Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, and the Centre for Endoscopic Research Therapeutics and Training, Università Cattolica del Sacro Cuore, Rome, Italy. Our study is focused on 32 patients who underwent endoscopic treatment of “aberrant” hepatic duct injuries following cholecystectomy. “Aberrant” hepatic ducts …

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Double-tunneling butterfly method for endoscopic submucosal dissection of extensive rectal neoplasms

Post written by Noriko Suzuki, MD, PhD, from The Wolfson Unit for Endoscopy, St Mark’s Hospital, London, United Kingdom. We demonstrated the application of the double-tunneling (DoT) butterfly method for ESD on 4 cases with extensive rectal neoplasms. The key feature of the DoT butterfly method is the creation of 2 tunnels that are transformed …

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A novel artificial intelligence system for the assessment of bowel preparation

Post written by Honggang Yu, MD, from the Department of Gastroenterology, Renmin Hospital of Wuhan University, the Key Laboratory of Hubei Province for Digestive System Disease, Renmin Hospital of Wuhan University, and the Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, China. The current study retrospectively …

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EUS-guided duodenojejunostomy by use of a 2-cm LAMS to treat proximal jejunal stricture in a patient with chronic pancreatitis

Post written by Michael Lajin, MD, from the Sharp Grossmont Hospital, La Mesa, California, USA. A 26-year-old man presented with a 2-week history of nausea and vomiting. His medical history was significant for recurrent pancreatitis secondary to hypertriglyceridemia, infected walled-off necrosis requiring cystogastrostomy, splenic vein thrombosis resulting in severe portal hypertensive gastropathy, and large gastric …

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Novel use of endoscopic morcellator to clear large obscuring clot in patient with upper-GI bleed

Post written by John Gubatan, MD, from the Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California, USA. We present a case of a 79-year-old woman with a history of cirrhosis who presented with hematemesis and was found to have a large blood clot in the lesser curvature and fundus of the …

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Editor’s Choice: TC-325 hemostatic powder versus current standard of care in managing malignant GI bleeding

GIE Senior Associate Editor, Dr. John R. Saltzman, MD, FASGE, highlights this article from the February issue “TTC-325 hemostatic powder versus current standard of care in managing malignant GI bleeding” by Yen-I Chen, MD, et al.  Gastrointestinal bleeding from a malignancy is a difficult management challenge as no current endoscopic therapy has been proven effective. …

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Greater-curvature POEM with diverticuloseptotomy for the treatment of achalasia in a patient with a large epiphrenic diverticulum

Post written by Ryan Law, DO, from the Department of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. We present a 93-year-old man with classic symptoms and manometric findings consistent with type III achalasia with an associated large epiphrenic esophageal diverticulum. He underwent an anterior POEM at an outside institution. He presented to …

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Endoscopic sleeve gastroplasty versus high-intensity diet and lifestyle therapy

Post written by Vivek Kumbhari, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. The goal of this study was to assess the potential value of endoscopic sleeve gastroplasty (ESG) as a treatment for obesity; this study aimed to compare weight loss outcomes of …

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Impact of a real-time automatic quality control system on colorectal polyp and adenoma detection

Post written by Yan-Qing Li, MD, PhD, from the Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China. We focused on investigating the real clinical impact of an automatic quality control system on colorectal polyp and adenoma detection. Quality control should be conducted for daily colonoscopy examinations routinely. Artificial intelligence showed the potential for …

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