Post written by Justin J. Forde, MD, from the Department of Medicine, University of Florida, Gainesville, Florida, USA. The role of endoscopic submucosal dissection (ESD) in Barrett's esophagus (BE) is not well established. This meta-analysis aimed to evaluate the safety and efficacy of ESD for the management of early BE neoplasia. ESD is an advanced technique that …
Continue reading Endoscopic submucosal dissection for early Barrett’s neoplasia
Post written by Chaitanya Allamneni, MD, from the Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. A young woman with a medical history of primary sclerosing cholangitis/autoimmune hepatitis overlap syndrome diagnosed at age 2, complicated by decompensated cirrhosis, underwent orthotopic liver transplantation (OLT). During OLT she underwent a standard Roux-en-Y hepaticojejunostomy. Twenty-four …
Post written by Ji Yong Ahn, MD, and Young Kwon Choi, MD, from the Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. We compared the clinical outcomes of ESD for gastric neoplasms between cirrhosis and noncirrhosis patients. In addition, we analyzed the Child–Pugh classification status before and after ESD …
Continue reading Efficacy and safety of ESD between cirrhosis and noncirrhosis patients
Post written by Shashideep Singhal, MD, FASGE, from the Gastrointestinal Care Consultants, Houston, Texas, USA. Walled-off necrosis (WON) develops as a sequel to acute pancreatitis. Approximately 15% of patients with acute pancreatitis can experience WON. EUS-guided transmural drainage of WON has been a safe, efficacious, and widely used therapeutic modality in recent times. The …
Post written by Tatsuma Nomura, MD, and Shinya Sugimoto, MD, from the Department of Gastroenterology, Kinan Hospital, Minamimuro, and the Department of Gastroenterology, Ise Red Cross Hospital, Ise, Japan. We conducted endoscopy training for endoscopic angle manipulation using the transparent sheet and the EGD Simulator. The video and figure show the animation and the actual …
Continue reading Endoscopic angle manipulation training for endoscopic submucosal dissection
Post written by Kulwinder S. Dua, MD, FASGE, FACP, FRCP, from the Department of Gastroenterology and Hepatology, Medical College of Wisconsin, Milwaukee, USA. Lumen-apposing metal stents (LAMSs) have a large internal diameter and hence are routinely used to manage walled-off pancreatic necrosis. Secondary to their simplicity in deployment as a single-step procedure, LAMSs are also …
Post written by Vivian Ortiz, MD, Muhammad Nadeem Yousaf, MD, and Harry R. Aslanian, MD, from the Department of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, Yale-New Haven Hospital, New Haven, Connecticut, USA. A 47-year-old woman with alcohol-related chronic pancreatitis, chronic portal vein thrombosis and, left-sided pleural effusion presented with a …
Post written by Jasper L.A. Vleugels, MD, from the Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. We compared endoscopic detection rates and distribution of sessile serrated lesions in Lynch syndrome patients to a matched control population in this case-control study. Cancers in Lynch syndrome are generally assumed to …
Continue reading Endoscopic detection rate of sessile serrated lesions in Lynch syndrome patients
Post written by Zaheer Nabi, MD, DNB, from the Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India. A 3-year-old girl presented with a history of constipation since early infancy. Anorectal manometry was performed, and the absence of recto-anal inhibitory reflex raised the suspicion of Hirschsprung’s disease (HD). To confirm the diagnosis of HD, rectal …
Post written by Takashi Kanesaka, MD, Noriya Uedo, MD, and Tsung-Chun Lee, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan, and the Department of Internal Medicine, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan. Gastric cancer remains the third leading cause of cancer-related death globally. …
Continue reading Computer-aided diagnosis for identifying and delineating early gastric cancers
