Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This study introduces a novel therapeutic approach known as antireflux mucoplasty (ARM-P) to tackle the challenges associated with proton pump inhibitor (PPI)—refractory GERD. Previously, we pioneered 2 techniques, antireflux mucosectomy (ARMS) and antireflux mucosal ablation (ARMA), which …
Tag: gastrointestinal endoscopy
Artificial intelligence–assisted colonoscopy for adenoma and polyp detection: an updated systematic review and meta-analysis
Post written by Mohamed Shiha, MRCP, from the Academic Unit of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, UK. Adenoma detection rate (ADR) is the main quality indicator for the effectiveness of colonoscopy in preventing colorectal cancer. However, it is estimated that 1 in 4 adenomas are missed during colonoscopy. Recently, advances in artificial intelligence (AI) have enabled …
Endoscopic submucosal dissection of colon polyps with submucosal fibrosis using the combination of near-focus mode and traction device
Post written by Sukit Pattarajierapan, MD, from the Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. We present 2 cases of a lateral spreading tumor with the pseudo-depressed nongranular type (LST-NG-PD) with submucosal fibrosis at the ascending colon. The tumors were challenging to resect by endoscopic submucosal dissection (ESD) with …
Utility of bilateral intraductal plastic stent for malignant hilar biliary obstruction compared with bilateral self-expandable metal stent: a propensity score–matched cohort analysis
Post written by Mitsuru Okuno, MD, PhD, from the Department of Gastroenterology, Gifu University Municipal Hospital, Gifu, Japan. Intraductal plastic stent (IS) placement has been known to have long stent patency. However, the effectiveness of bilateral IS placement compared with bilateral self-expandable metal stent (SEMS) placement—including stent patency, adverse events, and endoscopic reintervention—in patients with unresectable …
Tips and tricks for endoscopic transpapillary gallbladder drainage
Post written by Jad AbiMansour, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. The video highlights best practices, devices, and techniques for endoscopic transpapillary gallbladder drainage through a series of narrated cases ranging from routine to technically challenging. Endoscopic transpapillary gallbladder drainage is an invaluable tool for palliation of acute cholecystitis …
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EUS-guided Braun-type enteroenterostomy for management of an afferent limb–type obstruction in a patient with prior surgical gastrojejunostomy
Post written by Kamal M. Hassan, MD, from Weill Cornell Medicine, New York, New York, USA. In this case, a 78-year-old patient with a history of numerous abdominal surgeries complicated by adhesions and small-bowel obstructions underwent an eventual surgical gastrojejunostomy. The patient developed progressive peroral intolerance, and imaging revealed an acquired afferent loop syndrome as a …
Successful small-diameter endoscopic hemostasis using a self-assembling peptide matrix for Mallory-Weiss syndrome in a patient with a severe esophageal stricture
Post written by Shinya Kawaguchi, MD, from the Department of Gastroenterology, Shizuoka General Hospital, Shizuoka, Japan. A bedridden woman with a history of repeated reflux esophagitis presented to the emergency department with a chief symptom of hematemesis. An urgent endoscopic examination was conducted. Insertion of a conventional endoscope (GIF-H290T; Olympus Corporation, Tokyo, Japan) revealed scar stenosis in …
Comparison of outcomes of EUS-guided ablation and surveillance only for pancreatic cystic lesions: a propensity score–matching study (with videos)
Post written by Yun Je Song, MD, Gunn Huh, MD, and Do Hyun Park, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. The focus of our study was to compare the efficacy, safety, and oncologic outcomes of EUS-guided rapid ethanol lavage …
Clip-and-line traction method for difficult ERCP cannulation due to choledochocoele
Post written by Mark Henrik Bonnichsen, MBBS (Hon), from the Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore. We describe a case of a 77-year-old woman who underwent ERCP for choledocholithiasis and surveillance MRCP for an intraductal papillary mucinous neoplasm. MRCP also showed an incidental choledochocoele. At ERCP, the choledochocoele made visualization of the …
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A challenging case of pancreaticogastric anastomotic stricture in a patient with surgically altered anatomy
Post written by Yervant Ichkhanian, MD, from Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, and Internal Medicine, Henry Ford Hospital, Detroit, Michigan, USA. This was a case of a 64-year-old woman with a history of Roux-en-Y gastric bypass and a subsequent Whipple reconstruction with pancreatico-gastrostomy (PG) who presented to our center with a …
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