Post written by Andrew Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. Every procedural specialty in medicine has procedure-related issues that might “keep them up at night.” In therapeutic EUS, for example, the short time after a particularly challenging novel anastomosis creation procedure between the gallbladder and duodenum, liver and stomach, or intestine and stomach can …
Tag: gastrointestinal endoscopy
The “Asclepius tube”: a slim drainage tube wrapped around the distal part of the endoscope for cecal endoscopic submucosal dissection
Post written by Yoshikazu Hayashi, MD, PhD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan. Our article describes a 62-year-old patient with a laterally spreading tumor in the cecum. We developed “the Asclepius tube”—a modified, fenestrated 14F nasogastric tube (SF-GX1420, Terumo, Tokyo, Japan) wrapped around the distal end of the endoscope, allowing …
Unsedated transnasal endoscopy experience at a tertiary referral center in India
Post written by Ravi Teja Pasam, MBBS, MPH, from Wentworth-Douglass Hospital, Dover, New Hampshire, USA. Our study focuses on the unsedated transnasal endoscopy (uTNE) experience at a tertiary care center in India. Completion rate, tolerance, and adverse events of uTNE were studied. Tolerance of uTNE was compared with that of prior peroral EGD (PO-EGD) experience. PO-EGD is …
Continue reading Unsedated transnasal endoscopy experience at a tertiary referral center in India
Endoscopic incisional therapy for giant bridged pseudopolyposis of the esophagus in a patient with upper GI Crohn’s disease
Post written by Sarang Gupta, MD, and Jeffrey Mosko, MD, from St. Michael’s Hospital and the University of Toronto, Toronto, Canada. A 38-year-old man with stricturing esophageal Crohn’s disease (eCD) was referred for evaluation of progressive solid-food dysphagia despite medical therapy and prior dilation attempts. After balloon dilation of a proximal esophageal stricture, examination of the distal esophagus revealed a …
EUS-guided coiling plus glue injection compared with endoscopic glue injection alone in endoscopic treatment for gastric varices: a systematic review and meta-analysis
Post written by Cynthia Florencio de Mesquita from Federal University of Pernambuco, Recife, Brazil, and Stefano Baraldo, MD, from the Institute for Teaching and Research, Barretos Cancer Hospital, Barretos, Brazil. We aimed to compare 2 techniques for managing gastric varices: EUS-guided coiling plus glue versus endoscopic glue injection (EGI) through a systematic review and meta-analysis. Although widely used, EGI …
Video recording in GI endoscopy
Post written by Fateh Bazerbachi, MD, from CentraCare, Interventional Endoscopy Program, St Cloud Hospital, St Cloud, Minnesota, USA. This society document outlines the transformative potential of endoscopic video recording (EVR) in GI endoscopy. Although current endoscopic reporting relies on brief written documentation and static images, EVR can capture the complete procedural experience, offering new opportunities to enhance …
Novel hemostatic adhesive powder to prevent delayed bleeding after endoscopic submucosal dissection in the GI tract: first U.S. multicenter experience
Post written by Maham Hayat, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. This study aimed to evaluate the use of UI-EWD (Nexpowder; Medtronic, Minneapolis, Minn, USA), a novel hemostatic powder, for prophylaxis of delayed bleeding (DB) after endoscopic submucosal dissection (ESD) in the upper and lower GI tract. DB remains a …
Boosting efficiency in the endoscopy suite: integrating team workflows improves productivity and minimizes cost
Post written by Zoë Post, MD, MSc, and Neal A. Mehta, MD, from Rush University Medical Center, Chicago, Illinois, USA. The main purpose of our study was to improve turnover time in the endoscopy unit. We first defined the various components of the turnover process and identified the teams that are involved, such as anesthesiologists, nurses, technicians, and gastroenterologists. We then …
Revision of failed Nissen fundoplication using combined antireflux mucosal ablation and endoscopic full-thickness fundoplasty
Post written by Wasseem Skef, MD, from the Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine and Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA, and Jasmine Haydel, MD, from the Department of Medicine, Baylor College of Medicine. We performed a hybrid endoscopic procedure of antireflux mucosal ablation and fundoplasty using endoscopic suturing …
A single-center pilot study on the efficacy and safety of acetic acid–enhanced magnifying endoscopy with narrow-band imaging for diagnosis of colorectal epithelial neoplasms
Post written by Takeshi Shimizu, MD, from the Department of Gastroenterology, Sendai City Medical Center, Sendai, Japan. The focus of our study was to identify the ideal acetic acid (AA) concentration for AA-enhanced narrow-band imaging (NBI) magnifying endoscopy (ANBI-ME) in diagnosing colorectal epithelial neoplasms. We then compared its pit pattern diagnostic ability and diagnostic concordance with crystal …
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