Hybrid resection of GI stromal tumor with endoscopic submucosal dissection and the full-thickness resection device

Post written by Varun Angajala, MD, MS, and Ara Sahakian, MD, from the Department of Internal Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA. We are excited to share our hybrid resection technique for a gastric subepithelial lesion (SEL). We performed submucosal dissection to unroof and expose the surface of the …

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Comparison of endoscopic sleeve gastroplasty versus surgical sleeve gastrectomy: a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database analysis

Post written by Anuragh R. Gudur, MD, from the Division of Gastroenterology, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA. Our study used a large, multicentered, bariatric-specific data registry to analyze short-term outcomes after endoscopic sleeve gastroplasty (ESG) in comparison with surgical sleeve gastrectomy (SG). We also sought to examine which factors were associated with …

Continue reading Comparison of endoscopic sleeve gastroplasty versus surgical sleeve gastrectomy: a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database analysis

Timing of colonoscopy in acute lower GI bleeding: a multicenter retrospective cohort study

Post written by Yasutoshi Shiratori, MD, MPH, PhD, from the Department of Gastroenterology, St. Luke’s International University, and Naoki Ishii, MD, MPH, PhD, from the Department of Gastroenterology, Tokyo Shinagawa Hospital, Tokyo, Japan. Acute lower GI bleeding (ALGIB) is a primary cause of hospital admissions from the emergency department and is associated with a 3.4% mortality. …

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The interventional direct peroral cholangioscopy toolbox for endoscopic snare resection of a high-grade biliary intraductal neoplasia

Post written by Jerry Yung-Lun Chin, MBBS, FRACP, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA, and the Department of Gastroenterology and Hepatology, Waikato Hospital, Te Whatu Ora, Hamilton, New Zealand. Direct peroral cholangioscopy (DPOC) is a valuable diagnostic and therapeutic tool for various biliary disorders. It also is economically favorable compared …

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Covered versus uncovered double bare self-expandable metal stent for palliation of unresectable extrahepatic malignant biliary obstruction: a randomized controlled multicenter trial

Post written by Jae Hee Cho, MD, PhD, and Seungmin Bang, MD, PhD, from the Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. A double bare metal stent (DBS) is a newly developed metal stent that is woven into a cross and hook structure with braided nitinol, and it has a …

Continue reading Covered versus uncovered double bare self-expandable metal stent for palliation of unresectable extrahepatic malignant biliary obstruction: a randomized controlled multicenter trial

Letter from the new GIE Editor-in-Chief

Post written by Douglas G. Adler, MD, FACG, AGAF, FASGE, Director, Center for Advanced Therapeutic Endoscopy (CATE), PEAK Gastroenterology, Porter Adventist Hospital, Denver, Colorado, USA. It is my great pleasure to write to you as the new Editor-in-Chief of Gastrointestinal Endoscopy. I enter into this new role with a sense of incredible excitement and optimism for the future, …

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EUS-guided jejuno-enterostomy in a patient with total gastrectomy with Roux-en-Y esophagojejunostomy to facilitate cholangioscopy with electrohydraulic lithotripsy

Post written by Yervant Ichkhanian, MD, from the Department of Medicine, Henry Ford Hospital, Detroit, Michigan, USA. A 67-year-old man with a history of total gastrectomy before Roux-en-Y esophagojejunostomy reconstruction in the setting of gastric adenocarcinoma presented with extensive choledocholithiasis with a benign terminal bile duct stricture. In our case, the patient underwent jejuno-enterostomy using a …

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Endoscopic full-thickness resection with retroperitoneal dissection for duodenal myogenic cyst with adjustable traction from an independently controlled snare

Post written by Ding-Ek Toh, MD, from the Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, and Chu-Kuang Chou, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, and the Obesity Center, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan. This video represents a novel method to …

Continue reading Endoscopic full-thickness resection with retroperitoneal dissection for duodenal myogenic cyst with adjustable traction from an independently controlled snare

Implementation of optical diagnosis with a “resect and discard” strategy in clinical practice: DISCARD3 study

Post written by Ahmir Ahmad, MRCP, from the Wolfson Unit for Endoscopy, St Mark’s Hospital, Harrow, London, UK. Real-time optical diagnosis (OD) is now possible because of image-enhancing technologies offering the potential for huge cost and time savings associated with histopathology.  Despite several GI societies endorsing a “resect and discard” strategy for low-risk diminutive polyps, there …

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Cryotherapy for removal of an embedded, partially covered esophageal stent

Post written by Aman Deep, MD, from the Department of Nephrology, Asante Rogue Regional Medical Center, Medford, Oregon, USA. Esophageal stents are used to relieve obstruction in diverse benign and malignant esophageal conditions. However, excessive granulation tissue may make the removal of such stents challenging, and it increases the risk of adverse events such as bleeding …

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