Post written by Bachir Ghandour, MD, from Johns Hopkins Medicine, Baltimore, Maryland, USA. EUS-guided gastroenterostomy (EUS-GE) is a minimally invasive procedure that is increasingly performed for the management of patients with gastric outlet obstruction (GOO). Stent misdeployment (SM) during EUS-GE remains the most common cause for technical failure and adverse events, hindering its widespread dissemination. …
Tag: Gastric
Endoscopic band ligation in the treatment of gastric antral vascular ectasia
Post written by Babu P. Mohan, MD, from the Department of Gastroenterology & Hepatology, University of Utah Health School of Medicine, Salt Lake City, Utah, USA. Treatment of GAVE is traditionally done by endoscopic thermal therapy like argon plasma coagulation (APC) or radiofrequency ablation (RFA). However, recently, endoscopic band ligation has been reported as an …
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Effects of endoscopic gastric plication on portal pressure gradient in a patient with nonalcoholic steatohepatitis cirrhosis
Post written by Pichamol Jirapinyo, MD, MPH, from the Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts. The current treatment for nonalcoholic steatohepatitis (NASH) remains limited to weight loss via lifestyle modification. While bariatric surgery can be considered in otherwise eligible patients who suffer from obesity with concomitant NASH, less than 2% of …
An effective method for removing surgical staples during endoscopic submucosal dissection for early gastric cancer on the suture line of remnant stomach
Post written by Yugo Suzuki, MD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. This is the first report to show the utility and feasibility of removing surgical staples during endoscopic submucosal dissection (ESD) for residual gastric cancer in the remnant stomach. The surgical staples were removed using the Dual Knife, and we electrified …
The pocket-creation method facilitates gastric ESD and overcomes challenging situations
Post written by Masafumi Kitamura, MD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan. Gastric ESD using the PCM can be performed with a uniform strategy, regardless of the location of the lesion, and it is more straightforward for the operator than conventional methods. We here present 2 representative cases …
How to trick artificial intelligence: rectal heterotopic gastric lateral spreading tumor
Post written by Matteo Badalamenti, MD, from the Department of Biomedical Sciences, Humanitas University, and the IRCCS Humanitas Research Hospital, Digestive Endoscopy Unit, Division of Gastroenterology, Milan, Italy. A 54-year-old came to our attention for a follow-up colonoscopy. During the exam we visualized in the rectum a granular homogeneous lateral spreading tumor (LST), macroscopically covered …
Gastric peroral endoscopic myotomy for the treatment of refractory gastroparesis
Post written by Mohammad Al-Haddad, MD, from the Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, USA. The study focused on prospectively assessing the safety and efficacy of gastric peroral endoscopic myotomy in improving symptoms, quality of life, and healthcare resource utilization in a cohort of gastroparesis patient that had failed …
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Comparing a conventional and a spring-and-loop with clip traction method of endoscopic submucosal dissection for superficial gastric neoplasms
Post written by Mitsuru Nagata, MD, from the Department of Endoscopy, Shonan Fujisawa Tokushukai Hospital, Fujisawa-shi, Kanagawa, Japan. A spring-and-loop with clip (SLC; S–O clip; Zeon Medical, Tokyo, Japan) has been developed as a traction device for endoscopic submucosal dissection (ESD). Its great advantage is that it can provide traction in any direction. We hypothesized …
EUS-guided gastroenterostomy to treat gastric outlet obstruction in a patient with gastric lymphoma followed by pyloric recanalization using a rendezvous technique
Post written by Michael Lajin, MD, from Sharp Grossmont Hospital, La Mesa, California. A 66-year-old man was diagnosed with gastric lymphoma and received chemotherapy. He developed pulmonary tuberculosis and was started on TB medications. He presented with vomiting and 80-pound weight loss. Endoscopy revealed a pyloric ulcer resulting in outlet obstruction and proximal gastric ulcers. …
Use of cyanoacrylate glue in gastric variceal bleed: a modified technique without using lipiodol
Post written by Pankaj N. Desai, MS, FASGE Gastro, from the Department of Endoscopy & Endosonography, and the Department of Clinical Research, Surat Institute of Digestive Sciences (SIDS), Surat, India. Our video describes a simple technique of injection of cyanoacrylate glue for the management of gastric variceal bleed. We use 0.5ml aliquots of n butyl …
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