Endoscopic features of buried Barrett’s mucosa

Post written by Linda S. Yang, MBBS, from the Department of Gastroenterology, St Vincent’s Hospital Melbourne and the University of Melbourne, Melbourne, Australia. At our tertiary referral center for Barrett’s esophagus, several endoscopic features have been observed in patients who were found to have buried Barrett’s mucosa on histology. This study evaluated the diagnostic accuracy …

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Dieulafoy’s lesion of the upper GI tract

Post written by Yichen Wang, MD, MSc, from the Department of Internal Medicine, Wright Center for Graduate Medical Education, Scranton, Pennsylvania, USA. We sought to determine the incidence, risk factors, and treatment outcomes of Dieulafoy’s lesion of the upper GI tract (UDL) hemorrhage among adult patients in the United States. Dieulafoy’s lesion is an aberrantly …

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Identifying early gastric cancer under magnifying narrow-band images with deep learning

Post written by Jie Tian, PhD, from the CAS Key Laboratory of Molecular Imaging, Beijing Key Laboratory of Molecular Imaging, The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, and the Beijing Advanced Innovation Center for Big Data-Based Precision Medicine, School of Medicine and Engineering, Beihang …

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Cholangioscopy in primary sclerosing cholangitis: a case series of dominant strictures and cholangiocarcinoma

Post written by Sooraj Tejaswi, MD, MSPH, FASGE, from the Division of Gastroenterology & Hepatology, University of California Davis School of Medicine, Sacramento, California. This video case series describes and differentiates between the cholangioscopic features of benign dominant strictures and cholangiocarcinoma in PSC. It demonstrates that the morphologic features of cholangiocarcinoma in PSC is varied. …

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Endoscopic transcecal appendectomy under laparoscopic single-port assistance

Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. We presented endoscopic transcecal appendectomy under laparoscopic single-port assistance for a flat-elevated tumor completely covering the appendiceal orifice in the video. The lesion was a flat-elevated tumor completely covering the appendiceal orifice, measuring 15 mm in …

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Water-assisted colonoscopy: an international modified Delphi review on definitions and practice recommendations

Post written by Sauid Ishaq, FRCP, PhD, from Russell Hall, Dept. of Gastroenterology, and Birmingham City University, Birmingham, United Kingdom. The focus of the study was to get consensus among experienced colonoscopists (experts and non-experts in WAC) on definitions and practice of water immersion (WI), water exchange (WE), and UWR. Water-assisted colonoscopy (WAC) and underwater …

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EUS-guided biliary rendezvous as an emergent rescue after failed choledochoduodenostomy using a lumen-apposing metal stent

Post written by Joan B. Gornals, MD, PhD, from the Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de Bellvitge-IDIBELL, University of Barcelona, Catalonia, Spain. A 60-year-old man with pancreatic cancer and liver metastases who had been referred previously for biliary drainage was recommended palliative treatment. After a failed ERCP, same-session EUS-guided biliary drainage was …

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Step-by-step instruction: using an endoscopic tack and suture device for gastrointestinal defect closure

Post written by Andrew C. Storm, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota. In this video manuscript, we describe a step-by-step setup and use of a new endoscopic tool for tissue closure and fixation using the X-Tack device. X-Tack consists of a series of tacks on a suture that may …

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Safety and efficacy of peroral endoscopic myotomy with standard myotomy versus short myotomy for treatment-naïve patients with type II achalasia

Post written by Deliang Liu, MD, PhD, from the Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, China. The study focus on comparing the outcomes between standard myotomy versus short myotomy for the management of treatment-naïve patients with type II achalasia. Numerous studies demonstrated that POEM was a safe and effective …

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Evolution of re-epithelialization postcircumferential esophageal endoscopic submucosal dissection

Post written by Robert Bechara, MD, from the Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. The introduction of endoscopic submucosal dissection (ESD) has revolutionized the management of superficial gastrointestinal neoplasia. In the esophagus, the stricture rate after a circumstantial ESD (cESD) without any prophylaxis medications is virtually 100%. There have been many reported …

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