Post written by Sagar Shah, MD, Adarsh Thaker, MD, and Alireza Sedarat, MD, from the Vatche and Tamar Manoukian Division of Digestive Diseases, Ronald Reagan UCLA Medical Center, Los Angeles, California, USA. Our video submission highlights 2 cases of persistent gastrocutaneous fistulas (GCFs) after removal of long-term PEG tubes. In both patients, the fistula tract failed to close spontaneously and led …
Tag: gastrointestinal endoscopy
Physical recovery after local resection of nonpedunculated rectal adenomas and T1 carcinomas: endoscopic submucosal dissection versus transanal minimally invasive surgery
Post written by Nik Dekkers, MD, from Leiden University Medical Center, Leiden, The Netherlands. The focus of our study was to quantitatively assess physical recovery after endoscopic submucosal dissection (ESD) and transanal minimally invasive surgery (TAMIS) for large rectal lesions. We used wearable accelerometers (smartwatches) to objectively measure physical activity and to investigate key factors influencing recovery. We …
Hybrid endoscopic stricturotomy and balloon dilation of ascending colon stricture with cecal fecaliths in Crohn’s disease guided by preprocedural intestinal ultrasound
Post written by Partha Pal, MD, DNB, MRCP (UK), ESEGH, FASGE, from the Asian Institute of Gastroenterology, Hyderabad, India. We present the case of a 47-year-old man with ileocolonic Crohn’s disease who developed recurrent obstructive symptoms despite biologic therapy. Preprocedural intestinal ultrasound (IUS) identified a short, predominantly fibrotic ascending colon stricture with upstream fecaliths. Colonoscopy confirmed a …
Bringing therapeutic endoscopy to the world of inflammatory bowel disease
Post written by Bo Shen, MD, from Columbia University Irving Medical Center/New York Presbyterian Hospital, New York, New York, and Phillip S. Ge, MD, from the University of Texas MD Anderson Cancer Center, Houston, Texas, USA. This article describes the evolution of the field of interventional inflammatory bowel disease (IBD), ie, endoscopic management of structural adverse events of IBD, …
Continue reading Bringing therapeutic endoscopy to the world of inflammatory bowel disease
Tack-only fixation of lumen-apposing metal stents: leave the suture at home
Post written by Andy Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. The availability of suture-based technologies is growing in flexible GI endoscopy, with one of the newcomers the X-Tack device (Boston Scientific, Marlborough, Mass, USA). This device, conceived with Dr Christopher Gostout and Apollo Endosurgery, uses steel “screws” or tacks that are drilled into …
Continue reading Tack-only fixation of lumen-apposing metal stents: leave the suture at home
Safety and efficacy of EUS-guided pelvic abscess drainage with lumen-apposing metal stents for complicated acute diverticulitis
Post written by Andrea Lisotti, MD, from the Gastroenterology Unit, Hospital of Imola, University of Bologna, Italy, and the Gastroenterology Unit, Hôpital Privé Jean Mermoz, Lyon, France. Our study evaluated the safety and efficacy of endoscopic ultrasound—guided pelvic abscess drainage (EUS-PAD) using lumen-apposing metal stents in patients with complicated acute diverticulitis. This minimally invasive approach …
Retrograde device-assisted lumen-apposing metal stent insertion for candy cane syndrome
Post written by Anne Kimberly Lim-Fernandez, MD, from the Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore. Candy cane syndrome is an uncommon but clinically significant adverse event after gastric bypass or total gastrectomy. It arises when the long blind pouch at the anastomosis preferentially fills with ingested food. This can lead to symptoms …
Endoscopic balloon dissection to remove a percutaneously placed biliary stent with tissue ingrowth: a novel approach
Post written by Abdulrahman Qatomah, MBBS, FRCPC, from Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA, and King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia. A 65-year-old woman with a history of Roux-en-Y gastric bypass presented with cholangitis secondary to a benign biliary stricture. She previously underwent placement of a percutaneously …
Optical enhancement with magnification versus white-light endoscopy for detecting gastric intestinal metaplasia and neoplasia: a randomized controlled trial
Post written by Zhen Li, MD, from the Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China. We conducted a randomized controlled trial comparing optical enhancement combined with magnification endoscopy (ME-OE) with conventional white-light endoscopy (WLE) for detection of gastric intestinal metaplasia (GIM), gastric intraepithelial neoplasia (GIN), and early gastric cancer (EGC). Detection of …
Circumferential endoscopic submucosal dissection of a 14-cm long-segment Barrett’s esophagus with multifocal adenocarcinoma: a case report
Post written by Kais Zakharia, MD, from the Division of Gastroenterology, University of Massachusetts Chan Medical School–Baystate Medical Center, Springfield, Massachusetts, USA. Barrett’s esophagus (BE) remains the only known precursor to esophageal adenocarcinoma and, although the risk of progression varies with segment length and degree of dysplasia, endoscopic management has increasingly replaced surgery in well-selected patients. In …
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