Associate Editor, Dr. Sharmila Anandasabapathy, highlights this article from the April issue “Association of gastric intestinal metaplasia and East Asian ethnicity with the risk of gastric adenocarcinoma in a U.S. population” by Alyssa Y. Choi, MD, et al. In the United States, gastric adenocarcinoma is the forgotten stepchild, often believed to be a disease of …
Continue reading Editor’s Choice: Risk factors for gastric adenocarcinoma
Post written by Sunguk Jang, MD, Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, Ohio, USA. This article compares the efficacy and safety of covered versus uncovered metallic biliary stents in patients with malignant biliary strictures. There remains a controversy over the increased risk of cholecystitis after the placement of covered metallic stents for malignant …
Post written by Erin Y. Chew, BS, Bibin T. Varghese, BS, and Robert J. Sealock, MD, from the Department of Gastroenterology, Baylor College of Medicine, Houston, Texas, USA. An 18-year-old woman presented to our hospital with diffuse abdominal pain and visible distention. She reported a history of acute pancreatitis 2 months earlier. Physical examination revealed …
Continue reading Pancreatic duct rendezvous with pancreatoscopy through the minor papilla
Post written by Sho Suzuki, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. We conducted this prospective, randomized, exploratory study to investigate the resection width and depth achieved by cold snare polypectomy (CSP) for small colorectal polyps compared to those achieved by hot snare …
Continue reading Width and depth of resection for small colorectal polyps
Post written by Sundeep Lakhtakia, MD, DM, from the Asian Institute of Gastroenterology, Hyderabad, India. An elderly male presented with obstructive jaundice due to malignant distal biliary obstruction related to pancreatic head mass. There was associated portal vein thrombosis causing portal cavernoma and large esophago-gastric varices along with ascites. Repeated attempts to drain the obstructed …
Continue reading Crossing the minefield: EUS-guided transesophageal biliary rendezvous
Post written by Rapat Pittayanon, MD, MSc, and Alan Barkun, MD, MSc, from the Division of Gastroenterology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital of the Thai Red Cross, Bangkok, Thailand, and the Division of Gastroenterology, McGill University and the McGill University Health Centre, Montreal, Canada. This study was focusing on prognostic …
Post written by Leonardo Zorron Cheng Tao Pu, MD, MSc, FBCS, FASGE, from the Department of Gastroenterology, Lyell McEwin Hospital, Adelaide, Australia. In our video a 61-year-old woman was submitted to piecemeal EMR for a large lateral spreading tumor at the recto-sigmoid junction. After the second piece was resected, we noted a suspicious area of …
Continue reading False sense of security: a case of retroperitoneal perforation after colonic EMR
Post written by Antti Siiki, MD, PhD, from the Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland. Our group (Siiki, Rinta-Kiikka, Sand, and Laukkarinen) reported the first long-term results of endoscopically inserted biodegradable stents in human bile duct. The novel stents were used in 2 indications in ERCP with a standard …
Continue reading Endoscopically inserted biodegradable biliary stents
Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. We describe a case of an 80-year-old female who was referred for management of persistent choledocholithiasis. She had a past history of carcinoid. The patient presented with symptomatic choledocholithiasis 2 years prior and underwent ERCP with plastic …
Post written by Shashideep Singhal, MD, from the Division of Gastroenterology, Hepatology & Nutrition, University of Texas Health Science Center at Houston, Houston, Texas, USA. An 81-year-old man was complaining of GERD. An EGD showed an incidental gastric body nodule. An EUS revealed a 1.5-cm by 1.4-cm submucosal tumor extending into the muscularis propria. Cytology from FNA showed spindle cells, suggestive …
Continue reading Endoscopic full-thickness resection of a gastric subepithelial tumor
endoscopedia.com 