GIE Associate Editor Monique Barakat, MD, highlights this article from the December issue: “Magnetic compression anastomosis for the treatment of complete biliary obstruction after cholecystectomy” by Sung Ill Jang, MD, PhD, et al. Post-cholecystectomy biliary strictures are generally managed endoscopically. However, when complete occlusion of the duct occurs, management with entirely endoscopic approaches is not possible. This study describes …
Tag: gastrointestinal endoscopy
Top tips for pneumatic dilation of the lower esophageal sphincter (with video)
Post written by David L. Diehl, MD, FASGE, AGAF, FACP, from the Department of Gastroenterology and Hepatology, Geisinger Commonwealth School of Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA. Although pneumatic dilation (PD) of the lower esophageal sphincter has had a long—and successful—history of use in the management of achalasia and related disorders, the advent of peroral endoscopic …
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Pancreas and biliary ablation devices
Post written by Dennis Chen, MD, from the Center for Endoscopic Research and Therapeutics, University of Chicago, Chicago, Illinois, USA. This Technology Status Evaluation Report evaluates the available ablative therapy devices for pancreatic and biliary ductal conditions and reviews the devices, techniques, indications, efficacy, and safety profiles of the existing technology. Ablative therapies have been increasingly used …
TeXture and color enhancement Imaging-assisted precutting: 3 case reports
Post written by Atsushi Saito, MD, Shugo Fujibayashi, MD, PhD, Tamaki Momoi, MD, and Tsuneshi Fujii, MD, PhD, from the Department of Gastroenterology, Japanese Red Cross Asahikawa Hospital, Asahikawa, Hokkaido, Japan. We discussed 3 cases of successful biliary cannulation using precutting with TeXture and color enhancement Imaging (TXI) in patients with obstructive jaundice caused by pancreatic head cancer. In all 3 cases, the …
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Directional movement guide for digital single-operator cholangioscopy system
Post written by Justin Ryan L. Tan, MD, from the Section of Gastroenterology, Chinese General Hospital and Medical Center, Manila, Philippines, and Weigang Gu, MD, from the Department of Gastroenterology, Affiliated Hangzhou First People's Hospital, Hangzhou, China. Although cholangioscopy has undergone increasing therapeutic applications, standardized training remains a significant challenge. Our team has focused on simplifying device …
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Novel approach for weight reduction after Roux-en-Y gastric bypass with weight regain: a combination of Bariatric Anastomotic Reduction System with tubularization of residual gastric pouch
Post written by Rakesh Kalapala, MD, DNB, from the Department of Medical Gastroenterology, AIG Hospitals and Asian Institute of Gastroenterology, Hyderabad, Telangana, India. The combination of the Bariatric Anastomotic Reduction System (BARS) with endoscopic sleeve gastroplasty (ESG) of the residual gastric pouch would cause significant anastomotic lumen reduction, with decrease of the size of the residual gastric pouch …
The open accordion: a novel application of endoscopic sleeve gastroplasty for the treatment of refractory gastroparesis
Post written by Alexander J. Podboy, MD, from the University of Virginia, Charlottesville, Virginia, USA. Gastroparesis is a debilitating condition that leads to poor quality of life. Although gastric peroral endoscopic myotomy (G-POEM) has emerged as a novel treatment, its success rates are variable, and options for patients with refractory symptoms remain limited. This video case introduces …
A new artificial intelligence system for both stomach and small-bowel capsule endoscopy
Post written by Xia Xie, MD, PhD, and Shi-Ming Yang, MD, PhD, from the Department of Gastroenterology, The Second Affiliated Hospital, The Third Military Medical University, Chongqing, China. This research primarily focuses on analysis of artificial intelligence (AI)’s capacity for recognizing lesions in the stomach and small intestine as well as its potential to augment the diagnostic …
Recellularization via electroporation therapy of the duodenum combined with glucagon-like peptide-1 receptor agonist to replace insulin therapy in patients with type 2 diabetes: 12-month results of a first-in-human study
Post written by Celine Busch, MD, and Annieke van Baar, MD, PhD, from Gastroenterology and Hepatology, Amsterdam University Medical Centers, Amsterdam, The Netherlands. The duodenum has proven to play a crucial role in glucose homeostasis. It is thought that obesogenic diets cause certain alterations in the duodenal mucosa, eventually leading to metabolic syndrome and type 2 diabetes …
Virtual indigo carmine chromoendoscopy images: a novel modality for peroral cholangioscopy using artificial intelligence technology (with video)
Post written by Ryosuke Sato, MD, and Kazuyuki Matsumoto, MD, PhD, from the Department of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan. Our study focused on developing and evaluating a novel imaging technique that combines artificial intelligence with peroral cholangioscopy to improve visualization of biliary strictures. We used cycle-consistent adversarial network (CycleGAN) technology to convert standard …
