An organ-sparing approach: endoscopic submucosal hydrodissection followed by appendectomy to remove giant synchronous adenomas in a patient with prior left hemicolectomy

Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, HM Hospitales Group, Boadilla del Monte, and the Department of Clinical Sciences. School of Medicine, University of CEU San Pablo, Boadilla del Monte, Madrid, Spain. In this video case report, we present a patient  who had a previous left …

Continue reading An organ-sparing approach: endoscopic submucosal hydrodissection followed by appendectomy to remove giant synchronous adenomas in a patient with prior left hemicolectomy

Horibe GI bleeding prediction score: a simple score for triage decision-making in patients with suspected upper GI bleeding

Post written by Masayasu Horibe, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan, and the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Our study validates a recently developed simple scoring system in patients with suspected upper GI bleeding, called the …

Continue reading Horibe GI bleeding prediction score: a simple score for triage decision-making in patients with suspected upper GI bleeding

Single-operator peroral cholangioscopy cystic duct cannulation for transpapillary gallbladder stent placement

Post written by Wiriyaporn Ridtitid, MD, Panida Piyachaturawat, MD, and Rungsun Rerknimitr, MD, from the Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand. The focus of our study was to determine the efficacy and safety of single-operator peroral cholangioscopy (SOC) for helping …

Continue reading Single-operator peroral cholangioscopy cystic duct cannulation for transpapillary gallbladder stent placement

Effect of referral pattern and histopathology grade on surgery for nonmalignant colorectal polyps

Post written by Dennis Yang, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida, USA. The incidence of surgery for nonmalignant colorectal polyps has continued to rise. We aimed to evaluate referral patterns and factors associated with surgery for nonmalignant colorectal polyps at a large tertiary care center. Endoscopic resection should …

Continue reading Effect of referral pattern and histopathology grade on surgery for nonmalignant colorectal polyps

Endoscopic closure assisted by a novel traction device after duodenal ESD

Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 58-year-old man was found to have a flat-elevated lesion of 20 mm in size in the second portion of the duodenum. We selected endoscopic submucosal dissection (ESD) for en bloc resection because endoscopic mucosal resection …

Continue reading Endoscopic closure assisted by a novel traction device after duodenal ESD

Impact of submucosal saline solution injection for cold snare polypectomy of small colorectal polyps

Post written by Yuichi Shimodate, MD, from the Department of Gastroenterology and Hepatology, Kurashiki Central Hospital, Okayama, Japan. We compared the complete resection, which was defined if muscularis mucosa in the resected specimen was present under the tumor along more than 80% of the tumor’s horizontal dimension, rates of cold snare polypectomy with submucosal saline …

Continue reading Impact of submucosal saline solution injection for cold snare polypectomy of small colorectal polyps

Randomized trial comparing fork-tip and side-fenestrated needles for EUS-guided fine-needle biopsy of solid pancreatic lesions

Post written by Stefano Francesco Crinò, MD, from the Gastroenterology and Digestive Endoscopy Unit, The Pancreas Institute, Department of Medicine, G.B. Rossi University Hospital, Verona, Italy. Different needles for EUS-guided fine-needle biopsy (EUS-FNB) are currently available. Side-fenestrated and end-cutting types are both widespread and available in different calibers. This is the first randomized study directly …

Continue reading Randomized trial comparing fork-tip and side-fenestrated needles for EUS-guided fine-needle biopsy of solid pancreatic lesions

COVID-19 polymerase chain reaction testing before endoscopy

Post written by Juan E. Corral, MD, and Michael B. Wallace, MD, MPH, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA. In the first months of the 2019 novel coronavirus (COVID-19) pandemic, hospitals and endoscopy centers across the world had to stop performing endoscopies leading to significant health and economic losses. …

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Outcomes in lower GI bleeding comparing weekend with weekday admission

Post written by Daniel J. Stein, MD, MPH, from the Division of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. We know that acute lower gastrointestinal bleeding is common in the inpatient setting and can require urgent intervention. Our focus was to determine …

Continue reading Outcomes in lower GI bleeding comparing weekend with weekday admission

Editor’s Choice: The safety and efficacy of 2% vitamin C solution spray for relief of mucosal irritation caused by Lugol chromoendoscopy

GIE Associate Editor, Dr. Fauze Maluf-Filho, highlights this article from the September issue “The safety and efficacy of 2% vitamin C solution spray for relief of mucosal irritation caused by Lugol chromoendoscopy” by Duochen Jin, PhD, et al.  Lugol chromoendoscopy is necessary for the identification of superficial esophageal squamous cell carcinoma. Lugol solution is alcoholic, …

Continue reading Editor’s Choice: The safety and efficacy of 2% vitamin C solution spray for relief of mucosal irritation caused by Lugol chromoendoscopy