Post written by Cyrus R. Piraka, MD, FASGE, from the Henry Ford Health System, Detroit, Michigan, USA. This study explores whether gastric peroral endoscopic myotomy (G-POEM) could serve as salvage therapy for refractory gastroparesis in patients who had a gastric neurostimulator (GNS) implanted. It was designed as a multicenter, retrospective, 1:2-matched case-control study comparing outcomes …
Tag: gastrointestinal endoscopy
Cholangioscopy-guided salvage retrieval of a migrated stent at a hepaticojejunostomy anastomosis using a colonoscope
Post written by Samuel Han, MD, MS, from The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. In this video, we describe the use of cholangioscopy through a colonoscope to successfully retrieve a stent that had migrated into the duct during ERCP in a patient with surgically altered anatomy (Roux-en-Y hepaticojejunostomy). After attempting conventional methods …
Intraductal suture leading to biliary stone formation and recurrent obstruction and cholangitis: cholangioscopy-guided forceps removal
Post written by Najib Nassani, MD, MSc, from CentraCare Interventional Endoscopy Program, St. Cloud Hospital, St. Cloud, Minnesota, USA. We reported on the case of a 64-year-old woman who had a cholecystectomy several years ago and presented with recurrent choledocholithiasis and cholangitis despite previous ERCPs. Upon balloon sweep during ERCP, a stone attached to the bile …
Usefulness of artificial intelligence–assisted digital single-operator cholangioscopy as a second-opinion consultation tool during interhospital assessment of an indeterminate biliary stricture: a case report
Post written by Carlos Robles-Medranda, MD, FASGE, AGAF, from the Endoscopy Division, Instituto Ecuatoriano de Enfermedades Digestivas (IECED), Guayaquil, Ecuador. We describe a case of a patient cared for in a medical facility abroad (Colombia) who presented with jaundice and proximal common bile duct stenosis detected with MRCP. EUS identified a homogeneous hypoechoic lesion localized at …
Editor’s Choice: EUS-guided gastroenterostomy for management of malignant gastric outlet obstruction: a prospective cohort study with matched comparison with enteral stenting
GIE Senior Associate Editor Jennifer Maranki, MD, MSc, FASGE, highlights this article from the September issue: “EUS-guided gastroenterostomy for management of malignant gastric outlet obstruction: a prospective cohort study with matched comparison with enteral stenting” by Giuseppe Vanella, MD, et al. This is a prospective registry study of patients undergoing EUS-guided gastroenterostomy (EUS-GE) for treatment of malignant …
A rare case of pedunculated ampulloma: EUS view and resection
Post written by Dario Ligresti, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione - Istituto di Ricovero e Cura a Carattere Scientifico, and Giacomo Emanuele Maria Rizzo, MD, from the Department of Surgical and the Department of Surgical, Oncological and Oral Sciences, University …
Continue reading A rare case of pedunculated ampulloma: EUS view and resection
Top tips for balloon enteroscopy
Post written by Hironori Yamamoto, MD, PhD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan. As a developer of double-balloon enteroscopy, I have provided several tips on how to maximize the use of balloon enteroscopy safely and efficiently. Diagnosis and treatment of small-intestinal disease are sometimes difficult, but with the use …
EUS-guided gastroenterostomy for management of malignant gastric outlet obstruction: a prospective cohort study with matched comparison with enteral stenting
Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Milan, Italy. Our article presents a prospective, single-center experience with EUS-guided gastroenterostomy (EUS-GE) for malignant gastric outlet obstruction and a matched comparison with a contemporary prospective cohort treated by enteral stenting. At the study’s onset, prevailing evidence on …
Comparing per-pass performance of 2 types of needles for EUS-guided fine-needle biopsy sampling of pancreatobiliary masses in a randomized trial
Post written by Mehdi Mohamadnejad, MD, from the Liver and Pancreatobilliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran. This randomized trial compared per-pass performance of 2 types of fine-needle biopsy (FNB) needles for the detection of malignancy in solid pancreatobiliary mass lesions. In these lesions, the optimal number of …
Needle-knife incision and drainage of duodenal intramural hematoma relieving duodenal and biliary obstruction
Post written by Bakht S. Cheema, MD, from Digestive Disease Consultants, and Yusuke Hashimoto, MD, MMA, from the University of Florida Health, Jacksonville, Florida, USA. A 44-year-old man presented with postprandial vomiting and jaundice. He had an episode of acute-on-chronic pancreatitis complicated with a pseudocyst and a spontaneous large duodenal intramural hemorrhage causing duodenal luminal obstruction …
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