Post written by Hidenobu Hara, MD, from the Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan. EUS-guided hepaticogastrostomy (EUS-HGS) has become an effective method for biliary drainage, particularly in cases of hilar bile duct obstruction. This report presents the case of an 84-year-old woman with unresectable perihilar cholangiocarcinoma of bismuth type IV. …
Tag: gastrointestinal endoscopy
Deconstructing the steps of pull-type PEG tube insertion
Post written by Carlos Paolo D. Francisco, MD, FPCP, DPSG, DPSDE, from Singapore General Hospital, Singapore, and St. Luke’s Medical Center, Global City, Philippines. PEG is the preferred feeding route for patients requiring long-term enteral nutrition. The procedure involves percutaneously placing a tube into the stomach with the assistance of endoscopy, as described by Gauderer et …
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Outcomes of cold snare EMR of nonampullary duodenal adenomas ≥1 cm: a multicenter study
Post written by Natalie J. Wilson, MD, from the Department of Internal Medicine, University of Minnesota, and Mohammad Bilal, MD, from Advanced Endoscopy, Division of Gastroenterology and Hepatology, Minneapolis Veteran Affairs Medical Center, and University of Minnesota, Minneapolis, Minnesota, USA. This study focuses on evaluating the efficacy and safety of cold snare EMR (cs-EMR) for nonampullary …
Successful endoscopic laser lithotripsy in 2 cases of Bouveret syndrome and cholecystocolonic fistulae–induced colonic obstruction: a minimally invasive approach
Post written by Eduardo A. Vega, MD, from St. Elizabeth’s Medical Center, Boston University School of Medicine, Boston, MA, USA. This article presents 2 successful cases of endoscopic treatment for Bouveret syndrome and cholecystocolonic fistulae leading to large-bowel obstruction. Bouveret syndrome and cholecystocolonic fistulae, though rare, represent severe adverse events of cholelithiasis. These cases highlight the …
Endoscopic diagnosis and treatment of a pyriform sinus-cutaneous fistula in a non-pediatric patient: thinking outside the box
Post written by iGIE iNTERNATIONAL Associate Editor Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, Post-PhD, from the Gastrointestinal Endoscopy Division, Hospital Vila Nova Star, Instituto D’Or de Pesquisa e Ensino, and the Gastrointestinal Endoscopy Unit, Gastroenterology Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. The goal of this …
Endoscopic repair of a perforated duodenal ulcer: time to close the gap
Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. In this video, we demonstrate full-thickness endoscopic closure of an acute duodenal perforation using an over-the-scope suturing system. A 70-year-old patient with a history of abdominal surgeries and concerns for a duodenal perforation was …
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Endoscopic submucosal dissection with versus without traction for pathologically staged T1B esophageal cancer: a multicenter retrospective study
Post written by Abel Joseph, MD, from the Department of Gastroenterology, Stanford University, Stanford, California, and Kornpong Vantanasiri, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Our study delves into endoscopic submucosal dissection (ESD) for treating T1b esophageal cancer (EC). Specifically, we compared 2 approaches: ESD with traction (Tr-ESD), which uses …
A novel blood-sensing capsule for rapid detection of upper GI bleeding: a prospective clinical trial
Post written by Andrew C. Storm, MD, Chair of Gastrointestinal Endoscopy, Rochester, Minnesota, USA. GI bleeding is the most common indication for admission to the hospital in gastroenterology. Determining the source and location of bleeding can be challenging and often requires procedures such as upper endoscopy, colonoscopy, and small-bowel enteroscopy for diagnosis and treatment. Ideally, physicians …
Clinical predictive value of renalase in post-ERCP pancreatitis
Post written by Thiruvengadam Muniraj, MD, from the Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA. Post-ERCP pancreatitis (PEP) is the most common adverse event after ERCP. Despite adoption of several strategies such as rectal indomethacin, pancreatic duct stent placement, and aggressive fluid administration, incidence of PEP remains substantial. Identifying patients who are likely to develop …
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Utility of prophylactic clipping after colorectal cold snare polypectomy in patients on oral antithrombotic agents
Post written by Kenichiro Okimoto, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan. Prophylactic clipping may be unnecessary to prevent delayed bleeding (DB) after colorectal cold snare polypectomy (CSP) in patients on antithrombotic agents. There is no consensus on the effectiveness of prophylactic clipping after colonic CSP. This study …
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