Post written by Suchapa Arayakarnkul, MD, and Rahul Karna, MD, from the University of Minnesota, Minneapolis, Minnesota, and Mohammad Bilal, MD, from the University of Colorado Anschutz School of Medicine, Aurora, Colorado, USA. In this systematic review and meta-analysis, we assessed the outcomes of interval cholecystectomy (CCY) after EUS-guided gallbladder drainage (EUS-GBD), with a focus on technical successes, surgical techniques, and procedural safety …
Tag: gastrointestinal endoscopy
Endoscopic submucosal dissection in the management of bleeding duodenal tumors refractory to conventional therapy
Post written by Daryl Ramai, MD, MPH, MSc, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, USA. A 94-year-old woman presented with melena and a significant drop in hemoglobin. Imaging with computed tomography revealed an intramural gastric antral mass extending into the proximal duodenum, and endoscopy demonstrated a large, bleeding pedunculated …
Superiority of linear-array EUS over MRCP in diagnosing pancreas divisum: evidence from a multicenter retrospective study in Oriental cohorts (with video)
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 …
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 …
Continue reading A multistep approach for managing a complex esophageal perforation
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 …
Continue reading Tip palpation of the intraduodenal biliary segment for needle-knife fistulotomy
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