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 …

Continue reading Comparing a conventional and a spring-and-loop with clip traction method of endoscopic submucosal dissection for superficial gastric neoplasms

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. …

Continue reading EUS-guided gastroenterostomy to treat gastric outlet obstruction in a patient with gastric lymphoma followed by pyloric recanalization using a rendezvous technique

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 …

Continue reading Use of cyanoacrylate glue in gastric variceal bleed: a modified technique without using lipiodol

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 …

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

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 …

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

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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