Jun-Chao Wu, MD, from the Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, in Sichuan, China discusses this New Methods article, "Endoscopic submucosal multi-tunnel dissection for circumferential superficial esophageal neoplastic lesions (with videos)." There are some technical challenges endoscopic submucosal tunnel dissection (ESTD) in treating circumferential esophageal neoplastic lesions. Based on the development …
Tag: gastrointestinal endoscopy
Endoscopic sphincterotomy using isolated-tip needle-knife papillotome
Ryosuke Tonozuka, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan shares this video case "Endoscopic sphincterotomy using an isolated-tip needle-knife papillotome after Billroth II gastrectomy." A needle knife papillotome (NKP) has been used instead of a standard sphincterotome knife for difficult endoscopic sphincterotomy (ES) in patients with a surgically altered …
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Stepwise endoscopic resection
Alejandro L. Suarez, MD, from the Division of Gastroenterology & Hepatology at the Medical University of South Carolina in Charleston, South Carolina, USA writes about this video case "Stepwise endoscopic resection of a large gastric lipoma causing gastric outlet obstruction and GI bleeding." Lipomas of the gastrointestinal tract are slow growing tumors commonly found incidentally. …
P-ESWL for stones coexisting with PPC
Zhao-Shen Li, MD, from the Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, in Shanghai, China discusses this Original Article, "Extracorporeal shock wave lithotripsy is a safe and effective treatment for pancreatic stones coexisting with pancreatic pseudocysts." The focus of this study was the application of pancreatic extracorporeal shock wave lithotripsy (P-ESWL) in …
EUS after failed ERCP
Joan B. Gornals, MD, PhD, from the Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de Bellvitge-IDIBELL, in Barcelona, Spain discusses this New Methods article "EUS-guided methylene blue cholangiopancreatography for benign biliopancreatic diseases after failed ERCP." The goal of this study was to describe and provide a new technique associated with interventional endoscopic ultrasound in …
Screening and surveillance for gastric cancer
Joo Ha Hwang, MD, PhD, from the Harborview Medical Center, University of Washington, in Seattle, Washington, USA reports on this Review article, "Screening and surveillance for gastric cancer in the United States: Is it needed?" This is a review article that examines the published data on risk factors for gastric cancer and methods for gastric …
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HMGA2 protein as a biomarker of dysplasia in IPMN
Christopher J. DiMaio, MD, FASGE, from the Icahn School of Medicine at Mount Sinai, Mount Sinai Medical Center, in New York, New York, USA discusses his article "Pancreatic cyst fluid concentration of high-mobility group A2 protein acts as a differential biomarker of dysplasia in intraductal papillary mucinous neoplasm." No reliable cyst fluid biomarkers exist that …
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Risk of recurrence of BE after successful endoscopic therapy
Rajesh Krishnamoorthi, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, at Mayo Clinic in Rochester, Minnesota, USA discusses this systematic review and meta-analysis "Risk of recurrence of Barrett’s esophagus after successful endoscopic therapy." Endoscopic therapy is currently the treatment of choice for Barrett’s esophagus (BE) related dysplasia and mucosal adenocarcinoma. While …
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Photodynamic therapy after CRT for esophageal cancer
Ken Hatogai, MD, from the Department of Gastroenterology, Endoscopy Division, at the National Cancer Center Hospital East, in Kashiwa, Chiba, Japan discusses this article, "Salvage photodynamic therapy for local failure after chemoradiotherapy for esophageal squamous cell carcinoma." The present study clarified the long-term results and prognostic factors of salvage photodynamic therapy (PDT) for local failure …
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Cost analysis for complex colon polyps
Ryan Law, DO¹ and Sachin Wani, MD² discuss their article "Endoscopic resection is cost-effective compared with laparoscopic resection in the management of complex colon polyps: an economic analysis." We performed a cost-effectiveness analysis comparing laparoscopic and endoscopic resection strategies in patients with complex colon polyps and sought to identify predictors that determine cost-effectiveness. Mounting evidence …
