Post written by Frieder Berr, MD, PhD, from the Department of Medicine I and Institute of Pathophysiology, Paracelsus Medical University, Salzburg, Austria. Annual hands-on endoscopic submucosal dissection (ESD) courses (3.3 days; Paracelsus Medical University, Salzburg, Austria, 2009-2018) were conducted by leading Japanese experts to prime a senior endoscopist from 135 tertiary referral centers across Europe (plus …
Tag: gastrointestinal endoscopy
Submucosal tunneling endoscopic full-thickness resection for management of a rare case of esophageal GI stromal tumor
Post written by Chukwunonso Benedict Ezeani, MD, from Baton Rouge General Medical Center, Baton Rouge, Louisiana, USA. This is a case of a patient with compensated alcohol-related cirrhosis (MELD-Na 7 points, Child Turcotte Pugh class A) who underwent an upper EGD for variceal screening. She was incidentally found to have a 1-cm well-circumscribed upper esophageal …
Safety and adverse events of EUS-guided gallbladder drainage using lumen-apposing metal stents and percutaneous cholecystostomy tubes: a systematic review and meta-analysis
Post written by Umar Hayat, MD, MPH, from Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania, USA. EUS-guided gallbladder drainage using lumen-apposing metal stents (EUS-GBD-LAMSs) and percutaneous cholecystostomy for gallbladder drainage (PTGBD) are the alternative treatment modalities in high-risk surgical patients with acute cholecystitis (AC). This study aimed to compare the safety of these procedures for …
Full-depth evaluation of the bile duct with a 7F cholangioscope and its possibility for guiding therapeutics
Post written by Carlos Robles-Medranda, MD, AGAF, FASGE, from the Instituto Ecuatoriano de Enfermedades Digestivas, Guayaquil, Ecuador. In this review article, we present 4 instances where the 7F cholangioscope emerged as a valuable tool for assessment of challenging biliary ducts, along with a comparative analysis among available cholangioscopes. In case 1, the 7F cholangioscope facilitated identification …
EUS-directed transenteric ERCP with giant intrahepatic stone lithotripsy after a LAMS-in-LAMS rescue in response to a misdeployment
Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Milan, Italy. Our video case shares a compelling demonstration of EUS-directed transenteric ERCP (EDEE) in managing complex biliary adverse events in a patient with surgically altered anatomy. An 80-year-old woman with a history of Roux-en-Y hepaticojejunostomy presented with …
Radiation exposure to patients undergoing conventional and novel endoscopy procedures
Post written by Anmol Singh, MBBS, and Venkata Akshintala, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA. Our study highlights the quantity of radiation exposure incurred during common and novel endoscopic procedures and elucidates the factors affecting it. There has been an upward trend in …
Analyzing methods for reducing recurrence rates after EMR of large nonpedunculated colorectal polyps: an indirect pairwise comparison
Post written by Dhruvil Radadiya, MD, from the University of Kansas Medical Center, Kansas City, Kansas, USA. The focus of our study was to compare EMR with snare tip soft coagulation (STSC), EMR with argon plasma coagulation (APC), and underwater EMR (U-EMR) techniques routinely used for resection of large nonpedunculated polyps indirectly with each other with …
Effective modified pancreatic stent placement for repeated acute obstructive suppurative pancreatic ductitis
Post written by Koichi Soga, MD, PhD, from the Department of Gastroenterology, Dokkyo Medical University Saitama Medical Center, Saitama, and the Department of Gastroenterology, Omihachiman Community Medical Center, Shiga, Japan. Endoscopic transpapillary biliary stents (EBSs) are offered in a variety of types, including endoscopic plastic and metal stents, with a variety of techniques for placement. As …
Artificial intelligence–assisted real-time monitoring of effective withdrawal time during colonoscopy: a novel quality marker of colonoscopy
Post written by Wai K. Leung, MD, from the University of Hong Kong, Hong Kong, China. In this study, we developed a novel artificial intelligence (AI)-based quantitative measurement for effective withdrawal time (EWT) during colonoscopy. This measurement also takes into consideration the quality of the images obtained during colonoscope withdrawal. Standard withdrawal time, a simple measurement …
Fully covered versus partially covered self-expandable metal stents for palliation of distal malignant biliary obstruction: a systematic review and meta-analysis
Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Milan, and Chiara Coluccio, MD, from the Gastroenterology Department, Morgagni-Pierantoni Hospital, Forlì, Italy. Our study delves into the pivotal topic of biliary stent selection in the management of distal malignant biliary obstruction (dMBO). Specifically, we compared outcomes of …
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