Post written by Andrew Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. With the growth of novel transmural endoscopic ultrasound (EUS)—directed therapies in the gastrointestinal tract, awareness of the need for innovations to make these procedures safer and more reproducible is increasing. Such improvements are necessary to assure widespread access for patients who will benefit …
Tag: gastrointestinal endoscopy
Quality indicators for EUS
Post written by Girish Mishra, MD, MS, FASGE, from the Wake Forest University School of Medicine/Atrium Health, Winston-Salem, North Carolina, USA. The prior version of “Quality indicators for EUS” was published 10 years ago. Interventional EUS (iEUS) was only a concept back then; therapeutic interventions were limited. We highlighted the expanding indications for EUS and …
Transcecal endoscopic appendectomy and endoscopic submucosal dissection with hand-suturing–assisted traction and closure technique
Post written by Fatih Aslan, MD, from Koc University Hospital, Istanbul, Turkey. In this case, we performed an endoscopic treatment for a laterally spreading lesion involving the lumen of the appendix with poorly defined borders. The procedure included endoscopic submucosal dissection combined with transcecal endoscopic appendectomy. Hand suturing was used for traction and separate closure of the …
A convolutional neural network–based system for identifying neuroendocrine neoplasms and multiple types of lesions in the pancreas using EUS (with videos)
Post written by Zhen Li, MD, from the Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China. The focus of our study was to develop a convolutional neural network—based artificial intelligence (AI) system named iEUS to assist in diagnosing pancreatic neuroendocrine neoplasms (pNENs) and multiple types of pancreatic lesions (including pancreatic adenocarcinoma, autoimmune pancreatitis, and pancreatic …
Different endoscopic submucosal dissection techniques: a tailored approach
Post written by Shaimaa Elkholy, MD, Mohamed El Sherbiny, MD, and Karim Essam, MD, from the Gastroenterology Division, Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt. Endoscopic submucosal dissection (ESD) is a minimally invasive technique used for resection of GI lesions. Our recently published video article in VideoGIE presents a comparative and practical overview of ESD techniques. These include classic, …
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Impact of novel lightweight disposable gastroscope and duodenoscope on endoscopist muscle activation: a comparative study
Post written by Veronica Bessone, PhD, from Human Factors Engineering, Research & Development, Ambu Innovation, Augsburg, Germany. The focus of this study was to determine whether lightweight single-use endoscopes reduce muscle strain and fatigue in endoscopists, potentially improving their ergonomics and overall comfort during procedures. Interest is increasing in ergonomics in gastrointestinal endoscopy. This study is important …
Endoscopic subserosal dissection for early gastric cancer with severe fibrosis attributable to gastric ulcer scar
Post written by Shunya Takayanagi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan, and Department of Medicine and Bergen Research Group for Advanced Gastrointestinal Endoscopy (BRAGE), Haukeland University Hospital, Bergen, Norway. In this case, we attempted endoscopic submucosal dissection (ESD) for an intramucosal carcinoma on the lesser curvature of the gastric angle …
Optimizing EUS-guided choledochoduodenostomy with lumen-apposing metal stents for primary drainage of malignant distal biliary obstruction (SCORPION-IIp): a prospective pilot study
Post written by Roy van Wanrooij, MD, PhD, from the Department of Gastroenterology and Hepatology, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands. EUS-guided choledochoduodenostomy (EUS-CDS) is increasingly used in management of malignant distal biliary obstruction, not only as a rescue strategy after failed ERCP, but also as the primary drainage strategy. Its growing adaptation is driven …
Hybrid endoscopic resection combining underwater endoscopic mucosal resection and over-the-scope clip–assisted snare polypectomy for a recurrent colonic tumor with a hidden diverticulum
Post written by Takahiro Muramatsu, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, and the Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Tokyo, and Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. An 80-year-old man underwent piecemeal EMR for a lesion that extended …
Laser-assisted endoscopic removal of a foreign body impacted in the esophagus
Post written by Sugata Narayan Biswas, MD, DM, from the Department of Gastroenterology, Moti Lal Nehru Medical College, Prayagraj, Uttar Pradesh, India. We often see patients who accidentally ingest various foreign bodies that get lodged in the esophagus and bear risk of esophageal perforation. Prompt diagnosis and timely removal are the key to successful management. Endoscopic removal …
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