Diagnosis and predictors of sessile serrated adenoma

Post written by Dan Li, MD, from the Department of Gastroenterology, Kaiser Permanente Northern California, Santa Clara, California, USA. In this retrospective cohort study, we sought to investigate whether educational training significantly improved the diagnosis rate of sessile serrated adenoma (SSA) among community gastroenterologists and pathologists. In addition, we also examined patient-level predictors of SSA …

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EUS diagnosis of cystic pancreatic neuroendocrine tumors

Post written by Harry R. Aslanian, MD, from the Section of Digestive Disease, Yale New Haven Medical Center, School of Medicine, New Haven, Connecticut, USA. We present a series of cases highlighting the EUS features of cystic pancreatic neuroendocrine tumors. Pancreas neuroendocrine tumors are rare and are less commonly cystic. The recognition and targeting of wall …

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New methods of teaching the axis in ERCP: Can I write my name?

Post written by Ivo Boškoski, MD, PhD, from the Fondazione Policlinico Gemelli, Rome, Italy, and IHU, Istitut de Chirurgie Guidée par l’Image, Strasbourg, France. This is a unique video case in which we used the Boškoski-Costamagna ERCP trainer, a duodenoscope and a specially designed pen, to write the word ERCP. This video shows to young …

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Efficacy and safety of ESD for submucosal tumors of the colon and rectum

Post written by Ping-Hong Zhou, MD, PhD, from the Endoscopy Center, Zhongshan Hospital of Fudan University and Endoscopy Research Institute of Fudan University, Shanghai, China. We investigated the efficacy and safety of endoscopic submucosal dissection (ESD) of colorectal submucosal tumors (SMTs) in a large series of patients and examined its long-term outcomes in our study. …

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Editor’s Choice: Effect of scheduled second-look endoscopy on peptic ulcer bleeding

Associate Editor, Dr. John Saltzman, MD, FASGE, highlights this article from the February issue “Effect of scheduled second-look endoscopy on peptic ulcer bleeding: a prospective randomized multicenter trial” by Soo Jung Park, MD, PhD, et al.  Rebleeding remains an important cause of morbidity and mortality among patients undergoing endoscopic therapy for upper GI bleeding. Second-look …

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Flexible endoscopic management of Zenker’s diverticulum

Post written by Kondal Kyanam Kabir Baig, MBBS, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. We described a case of an elderly gentleman with cardiac comorbidities with symptomatic Zenker’s diverticulum and, in particular, a history of undergoing a Heimlich maneuver for choking. We used …

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Volume of surgery for benign colorectal polyps in the last 11 years

Post written by Maxime E.S. Bronzwaer, MD, from the Department of Gastroenterology and Hepatology, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. Over the past decade endoscopic resection techniques, such as piecemeal endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD), have progressed significantly to treat large and complex non-pedunculated colorectal polyps. Endoscopic resection …

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Esophageal triamcinolone acetonide–filling method

Post written by Kotaro Shibagaki, MD, PhD, from the Department of Gastroenterology, Faculty of Medicine, Shimane University, Izumo, Japan. The esophageal extensive ESD causes a postoperative severe stenosis, which requires endoscopic balloon dilation. The most popular preventive procedure is perhaps an endoscopic local injection of triamcinolone acetonide (TA), but it has a big problem in …

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ESD pocket technique for removal of recurrent colonic lesion

Post written by Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. This patient underwent an endoscopic piecemeal removal of an 11-mm flat lesion in the sigmoid colon in 2011. Her follow-up colonoscopy in 2016 revealed a 30-mm recurrent lesion at the …

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Role of dual red imaging to guide intravariceal sclerotherapy injection

Post written by Yoshihiro Furuichi, MD, PhD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Dual red imaging (DRI) is a novel image-enhanced endoscopy technique that can increase the visibility and predict the depth of esophageal varices (EVs). The recurrence rate of EVs after endoscopic-injection sclerotherapy (EIS) reportedly decreases by intravariceal …

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