Duodenoscopy-assisted diagnosis and management of a duodenal varix

Post written by Kar Wai Lau, MBBCh, BAO (Hon), MD, FRCP, from the Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, United Kingdom. This is a case of a patient who presented with significant upper GI bleeding with hemodynamic compromise. She had a history of alcohol excess, and there was suspicion of variceal …

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Automatic endoscopic gastroplasty for the treatment of obesity: results from a prospective multicenter study (with video)

Post written by Maria Valeria Matteo, MD, from Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy. This study is a prospective multicenter investigation aimed at assessing the safety, efficacy, and usability of the EndoZip suturing device (Nitinotes Ltd, Cesarea, Israel) for automatic endoscopic gastroplasty in the treatment of class 1 …

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Safety of cold snare resection techniques for removal of small colon polyps in patients taking clopidogrel and aspirin: a Korean Association for the Study of Intestinal Diseases prospective multicenter study

Post written by Tae-Geun Gweon, MD, from the Division of Gastroenterology, Department of Internal Medicine, The Catholic University of Korea, Seoul, South Korea. Polypectomy is a procedure associated with a high risk of bleeding. Guidelines recommend uninterrupted aspirin use during polypectomy, whereas cessation of clopidogrel 5 to 7 days before polypectomy is recommended.1 2 The cold snare …

Continue reading Safety of cold snare resection techniques for removal of small colon polyps in patients taking clopidogrel and aspirin: a Korean Association for the Study of Intestinal Diseases prospective multicenter study

Management of delayed colonic perforation after endoscopic submucosal dissection: the over-the-scope clip way

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 …

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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 …

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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. …

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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 …

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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 …

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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 …

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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 …

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