Post written by Yohei Minato, MD, from NTT Medical Center Tokyo, Tokyo, Japan. The video case presents management of a delayed colonic perforation that occurred after endoscopic submucosal dissection (ESD) of a 40-mm superficial neoplastic lesion in the ascending colon. Although the ESD was uneventful, the patient developed abdominal pain the next day, and emergency colonoscopy revealed …
Tag: gastrointestinal endoscopy
Quality measures in the delivery of equitable endoscopic care to traditionally underserved patients in the United States
Post written by Kathy N. Williams, MD, MS, from the Division of Gastroenterology, Cooper University Hospital, Camden, New Jersey, USA. Our society document provides quality measures to guide endoscopy teams in the equitable delivery of high-quality endoscopic care to their patients. We focus on the delivery of endoscopic care to patients who may be disadvantaged on the …
Ampullectomy of an unusual dysplastic lesion after deroofing of a type III choledochocele
Post written by Elena De Cristofaro, MD, PhD, from the Gastroenterology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy, and Mathieu Pioche, MD, PhD, from the Gastroenterology and Endoscopy Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France. We report a rare case of a type III choledochocele with a polypoid lesion suspicious for dysplasia. …
Efficacy and safety of endoscopic hemostasis with a self-assembling peptide solution in patients with colonic diverticular bleeding: a multicenter pilot study (with video)
Post written by Daisuke Yamaguchi, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, and the Department of Gastroenterology, Ureshino Medical Center, Ureshino, Japan. This study evaluated the efficacy and safety of using a self-assembling peptide solution (PuraStat; 3-D Matrix, Tokyo, Japan) for endoscopic hemostasis in patients with colonic …
Endoscopic submucosal tunneling techniques versus flexible endoscopic septotomy for Zenker’s diverticulum: a systematic review and meta-analysis
Post written by Lucas Monteiro Delgado from the Universidade Federal de Minas Gerais, Belo Horizonte, and Gilmara Coelho Meine, MD, MSc, from the Division of Gastroenterology, Department of Internal Medicine, Feevale University, Novo Hamburgo, Brazil. Zenker’s diverticulum is the most common type of esophageal diverticulum, predominantly affecting elderly men. Although its incidence is low, it is expected to rise …
Comparison of quality performance metrics in screening and surveillance colonoscopy: a single-center experience
Post written by James Love, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA. Our study focused on comparing quality performance metrics between screening and surveillance colonoscopies. Although screening colonoscopies have well-established benchmarks, particularly for adenoma detection rate (ADR), surveillance procedures lack such validated metrics. This …
EUS-directed transgastric PEG for long-term enteral feeding in patients with Roux-en-Y gastric bypass anatomy
Post written by Christina S. Gainey, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. We present a novel method for placing a PEG tube into the excluded stomach of Roux-en-Y gastric bypass patients, allowing for bolus gastric feeding. Although percutaneous endoscopic jejunostomy tubes are standard …
Top tips for finding and treating serrated colon lesions (with video)
Post written by Evelien Dekker, MD, PhD, from the Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, University of Amsterdam, Cancer Center Amsterdam, Amsterdam Gastroenterology, Endocrinology & Metabolism, Amsterdam, The Netherlands. In this edition of Top Tips, this study highlights the clinical significance of serrated polyps, focusing on optimal recognition, removal, and appropriate follow-up strategies. In …
Continue reading Top tips for finding and treating serrated colon lesions (with video)
Endoscopic radical treatment of a giant ampullary tumor with biliopancreatic duct extensions using multimodality approaches
Post written by Kazuki Hama, MD, and Takao Itoi, MD, PhD, FASGE, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Ampullary tumors with intraductal extension are typically treated with pancreaticoduodenectomy, a procedure associated with significant morbidity, especially in elderly patients. Recently, endoscopic approaches using adjunctive ablative therapies such as intraductal radiofrequency ablation (ID-RFA) and argon …
Unveiling the effectiveness of Chat-GPT 4.0, an artificial intelligence conversational tool, for addressing common patient queries in gastrointestinal endoscopy
Post written by Roberta Maselli, MD, PhD, from the Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy. This study evaluates the effectiveness and reliability of Chat Generative Pre-Trained Transformer 4.0 (Chat-GPT 4.0; OpenAI, San Francisco, Calif, USA) in addressing common patient queries regarding GI endoscopy. By assessing responses in terms of reliability, accuracy, and comprehensibility, the …
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