Post written by Jianbo Ni, MD, Yuqing Mao, MD, and Baiwen Li, MD, PhD, from the Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. Our multicenter study demonstrates that linear-array EUS (L-EUS) outperformed MRCP in diagnosing pancreas divisum (PD), particularly in symptomatic patients. With a sensitivity of 90.8% and an area under the receiver operating …
Tag: gastrointestinal endoscopy
A multistep approach for managing a complex esophageal perforation
Post written by Dronamraju Sujay Prabhath, MD, Shiran Shetty, DM, Balaji Musunuri, DNB, and Praveen M.C.S., MD, from the Department of Gastroenterology and Hepatology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Karnataka, India. An 85-year-old man with severe chest pain, difficulty breathing, and decreased air entry in the right-lower lung zone after endoscopic dilatation of a benign esophageal stricture was diagnosed with …
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Beyond the scope: endoscopic ultrasound—assisted appendicoscopy by use of a single-use cholangioscope for endoscopic appendicitis therapy: a case report
Post written by Yang-Bor Lu, MD, from the Department of Digestive Diseases, Digestive Endoscopy Center, Xiamen Chang Gung Hospital, Xiamen, China. We performed single-operator endoscopic direct appendiceal therapy (EDAT) by first using a slim endoscopic ultrasound (EUS) miniprobe (Olympus UM-2R, Tokyo, Japan) to map the appendiceal axis then steering a disposable cholangioscope (VedVision, TY-ISS-L31; Vedkang, …
Utility of texture and color enhancement and red dichromatic imaging during endoscopic resection
Post written by Maham Hayat, MD, and Dennis Yang, MD, FACG, FASGE, AGAF, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Our video submission showcases the real-time use of novel image-enhanced endoscopy (IEE) modalities available on newer-generation video processors. Through a case series, we demonstrate how these features enhance assessment of lesion morphology and visualization of submucosal structures facilitating …
Gastroenterologists’ goals for ergonomic colonoscopes: results of a national survey
Post written by Neena Mohan, MD, from the Division of Gastroenterology, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA. This article evaluated gastroenterologists’ goals for ergonomic colonoscope design changes. This study was important to conduct to identify the importance of ergonomics in endoscopy to gastroenterologists and the ergonomic colonoscope design changes that are a priority …
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Percutaneous cholangioscopy-assisted rendezvous endoscopic retrograde cholangiography technique for a difficult postliver transplant anastomotic stricture
Post written by Pankaj Singh, DM Gastroenterology, Vikas Singla, DM Gastroenterology, and Akash Goel, DNB Gastroenterology, from the Centre of Gastroenterology, Hepatology and Endoscopy, Max Super Specialty Hospital, New Delhi, India. Postliver transplant anastomotic site strictures are one of the common adverse events following liver transplants. It is imperative to achieve adequate biliary drainage in such cases to preserve graft function. …
The evolution of single-use duodenoscope utilization at a large-volume endoscopic retrograde cholangiopancreatography tertiary care center
Post written by Yervant Ichkhanian, MD, and Mark A. Gromski, MD, from the Indiana University School of Medicine, Indianapolis, Indiana, USA. Duodenoscope-related infections—especially those involving multidrug-resistant organisms—have driven innovation in endoscopic technology. This study, conducted at a high-volume tertiary care center, explores the evolving integration of single-use duodenoscopes into routine endoscopic retrograde cholangiopancreatography (ERCP) practice. The goal was to examine, over …
Tip palpation of the intraduodenal biliary segment for needle-knife fistulotomy
Post written by Allison Franz, MD, and David Liu, MD, from the Department of Gastroenterology, Hepatology and Nutrition, University of Louisville, Louisville, Kentucky, USA. We highlight cases in which tip palpation of the bile duct prior to needle-knife fistulotomy was effectively performed to achieve successful cannulation. To our knowledge, this case series is the first demonstration of this technique. Our …
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Single-session endoscopic retrograde cholangiopancreatography and endoscopic ultrasound—guided gallbladder drainage for management of biliary obstruction and gallbladder disease
Post written by Christina Gainey, MD, from the University of North Carolina, Chapel Hill, North Carolina, USA. We wanted to study the feasibility, safety, and effectiveness of performing endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS)—guided gallbladder drainage (EUS-GBD) in a single session to provide definitive management of biliary obstruction and prevent future biliary adverse events without …
Endoscopic submucosal dissection of a giant gastric polyp
Post written by Fatih Aslan, MD, from Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. This video demonstrates en bloc endoscopic submucosal dissection (ESD) of a giant gastric polyp extending from the cardia to the antrum in a 36-year-old woman presenting with alarm symptoms including nausea, vomiting, weight loss, and iron deficiency anemia requiring monthly parenteral …
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