Endoscopic suturing of a jejunal feeding tube extension to prevent recurrent gastric coiling

Post written by Nicholas M. McDonald, MD, from the Division of Gastroenterology and Hepatology, University of Minnesota, Minneapolis, Minnesota. A 23-year-old woman with a history of nausea, vomiting, and a 40-lb weight loss resulting in a BMI of 14.5 was referred for evaluation. Her symptoms were attributed to gastroparesis. Prior to referral, she had undergone …

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Delayed endoscopic closure of a giant gastric perforation

Post written by Ravishankar Asokkumar, MBBS, MRCP, from the Department of Gastroenterology and Hepatology, Singapore General Hospital, and DUKE-NUS Graduate Medical School, Singapore. We described a case demonstrating the endoscopic closure technique of a large iatrogenic gastric perforation presenting in a delayed fashion. The perforation was closed using multiple over-the-scope clips, and we avoided surgery. …

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Covered versus uncovered metal stents for malignant gastric outlet obstruction

Post written by Alberto Tringali, MD, Deborah Costa, MD, Andrea Anderloni, MD, Silvia Carrara, MD, Alessandro Repici, MD, and Douglas G. Adler, MD, from the Endoscopy Unit, Conegliano Hospital Italy, Conegliano, Italy, the Endoscopy Unit, Humanitas Hospital, Milan, Italy, and the Division of Gastroenterology and Hepatology, University of Utah Hospital, Salt Lake City, Utah, USA. …

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Loop combined endoscopic clip and cyanoacrylate injection to treat severe gastric varices with spleno-renal shunt

Post written by Ping Li, MD, from the Department of Gastroenterology and Hepatology, Beijing Ditan Hospital, Capital Medical University, Beijing, China. We employed a new method to obstruct severely isolated gastric varices with a massive spleno-renal shunt and to reduce embolic risk. This novel method did not only successfully prevent recurrent hemorrhage but also reduced …

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Performance of a computer-aided diagnosis system in diagnosing early gastric cancer using magnifying endoscopy videos with narrow-band imaging

Post written by Yusuke Horiuchi, MD, PhD, from the Department of Gastroenterology, Cancer Institute Hospital, Tokyo, Japan. The performance of magnifying endoscopy with narrow-band imaging (ME-NBI) using a computer-aided diagnosis (CAD) system in diagnosing early gastric cancer (EGC) is unclear. Here, the focus of our study is to clarify the differences in the diagnostic performance …

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Gastric injury secondary to button battery ingestions

Post written by Racha T. Khalaf, MD, from the Digestive Health Institute & Section of Pediatric Gastroenterology, Hepatology and Nutrition, Children’s Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado, USA. Through our study, we wanted to better define the spectrum of injury and understand which clinical factors are associated with injury from retained …

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Importance of endoscopy during permanent gastric stimulator placement

Post written by Gregg Wendorf, MD, from the University of Louisville, Louisville, Kentucky. Our case highlights a patient undergoing permanent gastric electrical stimulator (GES) placement. Part of this surgical procedure involves the surgeon attaching electrical leads from the GES to serosa of the stomach and inserting to the muscularis propria. Several adverse events related to …

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Bleeding malignant gastric ulcer: successful endoscopic hemostasis with an over-the-scope clip

Post written by João Carlos Silva, MD, Rolando Pinho, MD, from the Department of Gastroenterology, Centro Hospitalar Vila Nova de Gaia e Espinho, Porto, Portugal. We present a case of a 76-year-old male patient with medical history of Parkinson disease admitted to the ER for hematemesis. On EGD, an ulcerated neoformation with a large adherent …

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EUS-guided gastroenteric anastomosis as a bridge to definitive treatment in benign gastric outlet obstruction

Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA. We evaluated the use of EUS-guided gastroenteric anastomoses for patients with benign gastric outlet obstruction (GOO). We wanted to see if patients were able to successfully avoid surgery using this method. We …

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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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