Post written by Naminatsu Takahara, MD, PhD, and Yousuke Nakai, MD, PhD, from the Department of Endoscopy and Endoscopic Surgery, The University of Tokyo, Tokyo, Japan. A 51-year-old man was referred for the management of malignant biliary obstruction (MBO) and gastric outlet obstruction (GOO) due to pancreatic head cancer. A biliary covered metallic stent and …
Tag: Endoscopy
Failure of over-the-scope clip to control duodenal ulcer bleeding despite successful application
Post written by Calvin J. Koh, MBBS, from the Division of Gastroenterology and Hepatology, Medicine, National University Hospital, and Faculty of Medicine, National University of Singapore, Singapore. This case shows a patient with a large, oozing (Forrest 1b) duodenal ulcer for which an over-the-scope clip was deployed successfully to the ulcer base with the bleeding …
Comparison between fine-needle biopsy and fine-needle aspiration for EUS-guided sampling of subepithelial lesions
Post written by Antonio Facciorusso, MD, PhD, from the Gastroenterology Unit, University of Foggia, Foggia, Italy. Endoscopic ultrasound (EUS) fine-needle aspiration (FNA) did not prove to outperform bite-on-bite biopsy in patients with subepithelial lesions (SELs) showing a pooled diagnostic yield as high as 60%. Based on this evidence, current guidelines recommend EUS-guided sampling only in …
Thoughts on an academic endoscopy career
Post written by Amitabh Chak, MD, MS, from the University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA. I want to thank Dr. G.S. Raju, VideoGIE Editor-in-Chief for asking me to do an article on an academic endoscopy career. It made me reflect back on 28 years that have …
A risk-scoring system to predict clinical failure for patients with achalasia after peroral endoscopic myotomy
Post written by Ping-Hong Zhou, MD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China. As a novel treatment approach for achalasia, POEM has achieved satisfactory long-term effectiveness. However, there are still around 10% of patients facing treatment failure, and there are currently no clinical predictive rules that could characterize …
Utility of EUS elastography in the diagnosis of gastric subepithelial tumors: a pilot study
Post written by In Kyung Yoo, MD, PhD, from the Department of Gastroenterology, Cha Bundang Medical Center, Cha University College of Medicine, Seongnam-si, Korea. EUS elastography is a real-time imaging technique that displays the tissue elasticity differences between diseased and normal tissues on the conventional B-mode ultrasound images. It analyzes the degree of tissue deformation …
Usefulness of a multibending endoscope in gastric endoscopic submucosal dissection
Post written by Koichi Hamada, MD, from the Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, Fukushima and the Department of Gastroenterology, Southern-Tohoku General Hospital, Koriyama. This case study presents a series of patients with early gastric cancer undergoing endoscopic submucosal dissection (ESD) using a multibending endoscope (GIF-2TQ260M; Olympus Medical Corp, Tokyo, …
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Hemostatic powder for the intraductal treatment of biliary cancer bleeding
Post written by Lorenzo Fuccio, MD, and Vito Sansone, MD, from the Gastroenterology Unit, Department of Medical and Surgical Sciences, S. Orsola-Malpighi University Hospital, Bologna, Italy. The patient we described is a 87-year old woman, diagnosed with a Klatskin cholangiocarcinoma which was unsuitable for curative treatments, whom obtained a complete biliary drainage only after positioning …
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Macroscopic appearance of the major duodenal papilla influences bile duct cannulation
Post written by Erik Haraldsson, MD, from the Division of Surgery, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, and the Department of Surgery, Skaraborg Hospital, Skövde, Sweden. The focus of the study was to evaluate to what extent the various endoscopic appearances of the major duodenal papilla influence bile duct cannulation, utilizing …
A challenging case of gastric endoscopic submucosal dissection
Post written by Seiichiro Abe, MD, PhD, from the Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. A 62-year-old woman underwent screening esophagogastroduodenoscopy, and a suspicious 80-mm elevated, laterally spreading lesion was found involving the greater curvature of the upper gastric body. Biopsy showed well-differentiated tubular adenocarcinoma. The patient opted for endoscopic submucosal dissection (ESD). …
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