Post written by Rahul Karna, MD, from the University of Minnesota, Minneapolis, Minnesota, USA, and Mohammad Bilal, MD, from the University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA. In this case, we describe management of a 35-mm malignant colon polyp in a patient at high risk for surgery. Colonoscopic exam revealed a nonpolypoid lesion (Paris classification IIa+IIc) in the …
Tag: gastrointestinal endoscopy
Management of ERCP-related perforation: a large multicenter study
Post written by Tomoya Emori, MD, PhD, from Wakayama Rosai Hospital, Wakayama, Japan. This study retrospectively evaluated the characteristics and clinical outcomes of patients with ERCP-related duodenal perforations according to the mechanism of injury. Perforation is a rare but serious adverse event associated with ERCP. There is no consensus to guide clinicians in the management of ERCP-related …
Continue reading Management of ERCP-related perforation: a large multicenter study
Coagulation forceps-sparing techniques for pre-emptive sealing of blood vessels during third-space endoscopy
Post written by Zaheer Nabi, MD, DNB, FASGE, FISG, FSGEI, from the Asian Institute of Gastroenterology, Hyderabad, India. This video presents a series of coagulation forceps-sparing techniques used during third-space endoscopy, including peroral endoscopic myotomy. Using various electrosurgical knife-based and bipolar coagulation methods, we demonstrate how large blood vessels encountered during submucosal dissection can be …
Cold- versus hot-snare endoscopic mucosal resection of colorectal polyps: meta-analysis of randomized controlled trials
Post written by Aamir Saeed, MD, from Vanderbilt University Medical Center, Nashville, Tennessee, USA. We aimed to conduct a meta-analysis of randomized controlled trials (RCTs) to compare cold EMR versus hot EMR for colorectal polyps. Interest in cold EMR for colorectal polyps has been growing, and cold EMR has gained popularity owing to its lower risk of …
Successful pancreatic duct cannulation using a double-lumen catheter and an antegrade percutaneous transhepatic wire with Roux-en-Y anatomy
Post written by Yuka Kawazoe, MD, from the Department of Gastroenterology, Kameda Medical Center, Kamogawa, Japan. This video presents a case that demonstrates the use of an uneven double-lumen cannula combined with a percutaneous rendezvous technique to achieve pancreatic duct access in a patient with complex postoperative anatomy. We chose to showcase this video because it illustrates …
Endoscopic background mucosal resurfacing to prevent metachronous recurrence of superficial esophageal squamous cell cancer after curative endoscopic submucosal dissection: randomized pilot study with 5-year follow-up (with video)
Post written by Wen-Lun Wang, MD, PhD, and Ching-Tai Lee, MD, from the Department of Gastroenterology and Hepatology, E-Da Hospital, Kaohsiung, Taiwan. Metachronous recurrence frequently develops in patients with superficial esophageal squamous cell carcinomas (ESCCs) after curative endoscopic submucosal dissection (ESD), especially in those with multiple (>10) small Lugol-voiding lesions (LVLs) over the esophageal background mucosa (ie, speckled pattern). …
Diagnosing high-grade pancreatic intraepithelial neoplasia in surgically altered anatomy using pancreatic juice cytology
Post written by Soma Fukuda, MD, from the Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan. This case features the use of balloon-assisted enteroscopy and serial pancreatic juice aspiration cytologic examination (SPACE) via an endoscopic nasopancreatic drainage (ENPD) tube to diagnose high-grade pancreatic intraepithelial neoplasia (HG-PanIN) in a patient with altered anatomy after …
Repeat peroral endoscopic myotomy: technical difficulty and risk factors
Post written by Li-Yun Ma, MD, from the Endoscopy Center and Endoscopy Research Institute, Shanghai Collaborative Innovation Center of Endoscopy, Zhongshan Hospital, Fudan University, Shanghai, China. Repeat peroral endoscopic myotomy (Re-POEM) has appeared to be a promising salvage option for patients with persistent/recurrent symptoms after initial peroral endoscopic myotomy (POEM), but it may be more technical challenging. …
Continue reading Repeat peroral endoscopic myotomy: technical difficulty and risk factors
Challenges and solutions in endoscopic full-thickness resection
Post written by Fatih Aslan, MD, from Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. In this video case, we present a step-by-step demonstration of endoscopic full-thickness resection (EFTR) for a GI stromal tumor located on the greater curvature of the distal body. The tumor, originating from the muscularis propria and measuring 20 mm, was completely …
Continue reading Challenges and solutions in endoscopic full-thickness resection
Necrosectomy and its timing in relation to clinical outcomes of EUS-guided treatment of walled-off pancreatic necrosis: a multicenter study
Post written Masahiro Tsujimae, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Hyogo, and Yousuke Nakai, MD, PhD, from the Department of Internal Medicine, Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan. The aim of our study was to investigate associations of the use of endoscopic necrosectomy (EN) and …
endoscopedia.com 