Post written by Nobuhisa Minakata, MD, PhD, and Tomonori Yano, MD, PhD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. We present the case of a patient who achieved local control with endoscopic combination therapy using photodynamic therapy and endoscopic resection for wide-circumferential local recurrence after radiotherapy for esophageal squamous cell carcinoma. In cases of …
Tag: gastrointestinal endoscopy
A novel anatomically guided strategy for evaluation of sufficient myotomy during peroral endoscopic myotomy in patients with achalasia
Post written by Ahmad Madkour, MD, from the Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Hassan Atalla, MD, from the Hepatology and Gastroenterology Unit, Department of Internal Medicine, Faculty of Medicine, Mansoura University, Mansoura, and Amr Elfouly, MD, from the Endemic Medicine Department, Faculty of Medicine, Helwan University, Cairo, Egypt. We present a novel anatomically guided approach to assist experienced endoscopists in …
Endoscopic resection of gastric subepithelial lesions: techniques and tips
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, and Fateh Bazerbachi, MD, from CentraCare, St. Cloud, Minnesota, USA. This article presents the different endoscopic modalities for resecting gastric subepithelial lesions (SELs) including: Submucosal tunneling endoscopic resection Full-thickness resection using the gastric full-thickness resection device Endoscopic submucosal dissection Exposed endoscopic full-thickness resection Laparoscopic endoscopic cooperative surgery …
Continue reading Endoscopic resection of gastric subepithelial lesions: techniques and tips
Usefulness of gel immersion endoscopy for endoscopic resection in stomachs with residue
Post written by Hiroki Hayashi, MD, from the Division of Gastroenterology, Department of Medicine, Jichi Medical University, Shimotsuke, Japan. EMR and endoscopic submucosal dissection are widely used for treating intramucosal gastric neoplasms. However, securing a clear visual field in a stomach with residue is challenging. In this article, we present 2 cases in which tumors …
Minimizing bleeding risks during gastric neuroendocrine tumor endoscopic submucosal dissection by pre-emptive EUS-guided epinephrine injection
Post written by Radhika Chavan, MD, DNB, FISG, FASGE, from Bharati Vidyapeeth, Katraj, India. A 38-year woman presented with upper GI bleeding. During evaluation, it was detected she had a large subepithelial lesion in the midbody of the stomach. Further evaluation with EUS revealed a large hypoechoic lesion confined to the submucosa with a large …
Surveillance findings in high-risk patients after baseline computer-assisted detection colonoscopy: a propensity score matching analysis
Post written by Wai Keung Leung, MD, from the Department of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong, China. This study aimed to determine long-term colonoscopy outcomes in patients after computer-assisted detection (CADe) colonoscopy at baseline. Although CADe colonoscopy has been consistently demonstrated to increase the colorectal adenoma or polyp detection rate, …
Endoscopic submucosal dissection for drainage of esophageal abscess with fish bone extraction
Post written by Abel Joseph, MD, and Joo Ha Hwang, MD, PhD, from the Division of Gastroenterology and Hepatology, Stanford University, Stanford, California, USA. A 49-year-old woman with systemic lupus erythematosus and pulmonary hypertension presented with severe odynophagia after accidentally ingesting a fish bone. Initial CT imaging revealed linear density in the upper esophagus. Although an initial endoscopy did not identify …
Outcomes of interval cholecystectomy after EUS-guided gallbladder drainage: a systematic review and meta-analysis
Post written by Suchapa Arayakarnkul, MD, and Rahul Karna, MD, from the University of Minnesota, Minneapolis, Minnesota, and Mohammad Bilal, MD, from the University of Colorado Anschutz School of Medicine, Aurora, Colorado, USA. In this systematic review and meta-analysis, we assessed the outcomes of interval cholecystectomy (CCY) after EUS-guided gallbladder drainage (EUS-GBD), with a focus on technical successes, surgical techniques, and procedural safety …
Endoscopic submucosal dissection in the management of bleeding duodenal tumors refractory to conventional therapy
Post written by Daryl Ramai, MD, MPH, MSc, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Boston, Massachusetts, USA. A 94-year-old woman presented with melena and a significant drop in hemoglobin. Imaging with computed tomography revealed an intramural gastric antral mass extending into the proximal duodenum, and endoscopy demonstrated a large, bleeding pedunculated …
Superiority of linear-array EUS over MRCP in diagnosing pancreas divisum: evidence from a multicenter retrospective study in Oriental cohorts (with video)
Post written by Jianbo Ni, MD, Yuqing Mao, MD, and Baiwen Li, MD, PhD, from the Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. Our multicenter study demonstrates that linear-array EUS (L-EUS) outperformed MRCP in diagnosing pancreas divisum (PD), particularly in symptomatic patients. With a sensitivity of 90.8% and an area under the receiver operating …
endoscopedia.com 