Diagnostic accuracy of probe-based confocal laser endomicroscopy

Post written by Adriana Vaz Safatle-Ribeiro from the Cancer Institute, Department of Gastroenterology, University of São Paulo, Brazil. The focus was to evaluate the accuracy of probe-based confocal laser endomicroscopy (pCLE) for the diagnostic differentiation of non-neoplastic and neoplastic Lugol-unstained esophageal lesions in patients with head and neck cancer (HNC) under surveillance for a second …

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History of Diminutive and Small Colorectal Polyps

Post written by Jasper L.A. Vleugels from the Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. This study explored the natural history of diminutive polyps that were left without resection and were followed up. At a certain point, I was in the endoscopy room, and the patient undergoing colonoscopy asked why these diminutive polyps …

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Salvage therapy for colonic mechanical obstruction

Post written by Georgios Mavrogenis, MD, from the Endoscopy Department, Mediterraneo Hospital, Athens, Greece. This case illustrates the endoscopic management of a 7-cm-long obstruction of the distal colon that was not amenable to stenting, dilation, or surgery. The patient suffered from pseudo-diarrhea and gas retention. His abdomen was very distended and painful. CT scan and …

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Endoscopic therapy for Crohn’s fistula and abscess

Post written by Bo Shen, MD, FASGE, from the Interventional IBD Unit, the Cleveland Clinic Foundation, Cleveland, Ohio. Treatment of disease-related or surgery-related Crohn’s fistula, abscess, and surgical anastomotic leaks with endoscopy-guided fistulotomy and sinusotomy with electroincision, seton placement, through-the-scope or over-the-scope clipping, suturing, incision and drainage. Crohn’s disease has 3 phenotypes: inflammatory, structuring, and …

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Lactated Ringer’s Solution in Combination with Rectal Indomethacin

Post written by Shaffer R. S. Mok, MD, MBS, from Cooper University Hospital. The present fund of knowledge available for the prevention of pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP) is growing. With available data evaluating rectal indomethacin and early studies assessing lactated ringer’s (LR) infusion, we felt it necessary to study the combination of these …

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Prediction model for non-curative resection of ESD

Post written by Jun Chul Park from the Division of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine. In deciding on a treatment method for EGC that is considered to be within the expanded criteria, both patients and doctors may feel burdened by the probability of additional surgery after ESD because …

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Salvage resection of recurrent polyp after polypectomy

Post written by Michiko Wada, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan. We report a case of a 77-year-old woman who had undergone polypectomy for a polyp on the anastomosis of past laparoscopic sigmoidectomy but was referred to our endoscopy unit with recurrent polyp. …

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Timing of upper endoscopy influences outcomes in patients with acute nonvariceal upper GI bleeding

Post written by Navin L. Kumar, MD, and John R. Saltzman, MD, from the Brigham and Women’s Hospital, Division of Gastroenterology, Hepatology and Endoscopy and Harvard Medical School, Boston, Massachusetts. The focus of our study was to assess whether patients admitted with acute nonvariceal upper gastrointestinal bleeding (UGIB) with lower-risk vs high-risk bleeding have different …

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Identification of volumetric laser endomicroscopy features predictive for early neoplasia

Post written by Anne-Fré Swager from the Academic Medical Center, Amsterdam, the Netherlands The focus of our study was to understand what we truly see on VLE: What do the VLE structures represent on histology? The aims were therefore to identify VLE features of Barrett's neoplasia and to develop a VLE prediction score. We used …

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Linitis plastica: a harbinger of an unusual cause of gastric wall thickening

Post written by Debdeep Banerjee, Saikiran Raghavapuram, and Benjamin Tharian from the Division of Gastroenterology, Department of Internal Medicine, University of Arkansas for Medical Sciences and the School of Medicine, Texas Tech University Health Sciences Center. In this video submission, we describe a woman with a past history of breast cancer who had undergone mastectomy …

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