Closure in antireflux mucoplasty using anchor prong clips: dead space–eliminating technique

Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This study features the dead space—eliminating technique (DET) as a novel closure method during antireflux mucoplasty (ARM-P) for proton pump inhibitor refractory—dependent GERD. Other techniques such as antireflux mucosectomy and antireflux mucosal ablation have shown effectiveness in meta-analyses, …

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Learning curve of EUS-guided biliary duct drainage: systematic review and meta-analysis

Post written by Ishaan Vohra, MD, from the Division of Gastroenterology, Hepatology and Nutrition, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA. This study is a systematic review and meta-analysis to determine the number of procedures required to achieve proficiency in EUS-guided biliary drainage (EUS-BD). In addition, we assessed the clinical and technical …

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Salvage endoscopic resection for perforation site recurrence of colonic polyp

Post written by Deepak Madhu, MD, MRCP, DM, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. A 79-year-old patient underwent endoscopic submucosal dissection (ESD) for resection of a colonic polyp. The resection was complicated by an intraprocedural perforation, which an endoscopic omental patch closed. A surveillance endoscopy performed 1 year later showed …

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Editor’s Choice: EUS-guided hepaticogastrostomy versus EUS-guided hepaticogastrostomy with antegrade stent placement in patients with unresectable malignant distal biliary obstruction: a propensity score–matched case-control study

GIE Associate Editor Amy Tyberg, MD, FASGE, highlights this article from the July issue: “EUS-guided hepaticogastrostomy versus EUS-guided hepaticogastrostomy with antegrade stent placement in patients with unresectable malignant distal biliary obstruction: a propensity score–matched case-control study” by Hirotoshi Ishiwatari, MD, PhD, et al. The advanced endoscopist plays a key role in the palliation of patients with unresectable …

Continue reading Editor’s Choice: EUS-guided hepaticogastrostomy versus EUS-guided hepaticogastrostomy with antegrade stent placement in patients with unresectable malignant distal biliary obstruction: a propensity score–matched case-control study

Gel-immersion EMR for hemorrhagic gastric hyperplastic polyp

Post written by Naoki Akizue, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan. Viscoclear (Otsuka Pharmaceutical Factory, Tokushima, Japan) is a new gel without electrolytes that consists of xanthan gum, locust bean gum, concentrated glycerin, and purified water. The gel used for gel-immersion EMR is highly viscous and easily …

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Development of an endoscopy technician training certificate program in a community college

Post written by Gottumukkala S. Raju, MD, from The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. Our focus is the development and implementation of a formal training and certification program for endoscopy technicians (ETs) at Houston Community College. We conducted this study to develop a formal training program for ETs in a community …

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Top tips for EUS-guided pancreatic cyst chemoablation (with video)

Post written by Matthew T. Moyer, MD, MS, FASGE, from Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA. EUS-guided pancreatic cyst chemoablation is a rapidly developing, minimally invasive approach for treating appropriately selected mucinous pancreatic cysts. This article reviews best practices for this procedure including patient selection, setup, procedure performance, team structure, radiographic …

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Editor’s Choice: Comparing a 19-gauge fine-needle biopsy needle with a 22-gauge fine-needle biopsy needle for EUS-guided liver biopsy sampling: a prospective randomized study

GIE Senior Associate Editor Mohamed O. Othman, MD, highlights this article from the June issue: “Comparing a 19-gauge fine-needle biopsy needle with a 22-gauge fine-needle biopsy needle for EUS-guided liver biopsy sampling: a prospective randomized study” by David L. Diehl, MD, FASGE, AGAF, et al. EUS-guided liver biopsy is gaining traction and is frequently requested by referring …

Continue reading Editor’s Choice: Comparing a 19-gauge fine-needle biopsy needle with a 22-gauge fine-needle biopsy needle for EUS-guided liver biopsy sampling: a prospective randomized study

Safety and efficacy of direct percutaneous endoscopic jejunostomy tube placement compared with surgical jejunostomy: a tertiary care analysis

Post written by Shajan Peter, MD, from the Division of Gastroenterology and Hepatology, Basil Hirschowitz Center of Advanced Endoscopy, University of Alabama at Birmingham, Birmingham, Alabama, USA. We examined cases over 5 years of enteral tube feeding placement. We further divided the patients into cohorts for the traditional open laparotomy approach, laparoscopic jejunostomy, and direct percutaneous endoscopic …

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Successful EUS-guided pancreatic cyst chemoablation safely allows reduction in the frequency of radiographic surveillance: long-term follow-up of randomized prospective data

Post written by J. Westley Heinle, MPH, from the the Division of Gastroenterology and Hepatology, Penn State College of Medicine and Penn State Hershey Medical Center, Hershey, Pennsylvania, USA. The 2 randomized prospective Chemotherapy for Ablation and Resolution of Mucinous Pancreatic Cysts (ChARM) clinical trials investigate and develop alcohol-free EUS-guided pancreatic cyst chemoablation. The current investigation …

Continue reading Successful EUS-guided pancreatic cyst chemoablation safely allows reduction in the frequency of radiographic surveillance: long-term follow-up of randomized prospective data