Post written by Guilherme Piovezani Ramos, MD, from the Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA. We aimed to assess safety and effectiveness of endoscopic intervention for management of gastrointestinal bleeding in the setting of thrombocytopenia. Thrombocytopenia is frequently seen in populations at higher risk of gastrointestinal bleeding, such as patients with liver …
Tag: gastrointestinal endoscopy
Pocket ESD with countertraction and partial full-thickness excision as salvage therapy for advanced colonic adenoma
Post written by Georgios Mavrogenis, MD, from the Mediterraneo Hospital, Athens, Greece. This video presents a complex ESD in the setting of postradiation stenosis and fibrosis. It illustrates several techniques that are useful in the management of severe fibrosis such as pocket ESD, clip and snare countertraction, and full-thickness resection. ESD is a non-predictable procedure …
Gastric mucosal devitalization is safe and effective in reducing body weight and visceral adiposity in a porcine model
Post written by Vivek Kumbhari, MD, from the Department of Medicine and Division of Gastroenterology and Hepatology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. The metabolic improvements seen in bariatric surgery are out of proportion to what one would expect from weight loss alone. The underlying mechanisms that result in these changes are largely …
Colorectal ESD for a lesion on the dentate line area resected with a scissor-type knife
Post written by Naohisa Yoshida, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan. A lesion on the dental line area is challenging for ESD because it has lots of vessels, and the anal duct is narrow for approach. We described how …
Systematic review and meta-analysis in GI endoscopy
Post written by Fauze Maluf-Filho, MD, PhD, from the Department of Gastroenterology of University of São Paulo, Institute of Cancer of University of São Paulo (ICESP-FMUSP), São Paulo, Brazil. The focus of the study was to clarify the methodology involved in conducting a systematic review with meta-analysis (SRMA), trying to help the GIE audience to …
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Balloon overtube-assisted cholangioscopy and laser lithotripsy of large bile duct stones
Post written by Jaehoon Cho, MD, and Ara B. Sahakian, MD, from the Department of Internal Medicine, Los Angeles County Hospital and University of Southern California Medical Center, and the Division of Gastrointestinal and Liver Diseases, University of Southern California Keck School of Medicine, Los Angeles, California, USA. In this video, we describe successful balloon …
Enteral nutrition and quality of life in patients undergoing chemoradiotherapy for esophageal carcinoma
Post written by I-Chen Wu, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. This study prospectively evaluated esophageal squamous cell carcinoma (ESCC) patients who received chemoradiation therapy (CRT) to compare the efficacy, safety, and quality of life among patients using different methods to maintain enteral nutrition. …
EUS-guided cystesophagostomy using a LAMS for drainage of a pancreatic fluid collection in a pediatric patient
Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. An 8-year-old boy was referred for abdominal pain of unclear etiology, dysphagia, and failure to thrive. He had multiple visits to the emergency room over a 5-year period for abdominal pain of unclear etiology. After routine evaluation …
Secondary tumors of the GI tract: origin, histology, and endoscopic findings
Post written by Cord Langner, MD, and Magdalena M. Gilg, MD, from the Institute of Pathology, Medical University Graz, Graz, Austria. Secondary tumors of the gastrointestinal tract (GIT) are a rare finding with a dismal prognosis because they are only found with advanced cancers. This study aimed to investigate clinical, endoscopic, and pathological features of …
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EUS-directed transgastric ERCP
Post written by Antonio Mendoza Ladd, MD, from the Department of Medicine, Division of Gastroenterology, Texas Tech University Health Sciences Center at El Paso, El Paso, Texas, USA. This is a case of a patient with impending ascending cholangitis secondary to choledocolithiasis in the setting of a Roux-en-Y anatomy. Given her surgical anatomy, we discussed …
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