Colon Capsule CLEansing Assessment and Report (CC-CLEAR)

Post written by Rui de Sousa Magalhães, MD, from the Gastroenterology Department, Hospital Senhora da Oliveira, Guimarães, Life and Health Sciences Research Institute, School of Medicine, University of Minho, Braga, and ICVS/3B’s, PT Government Associate Laboratory, Guimarães/Braga, Portugal. Our focus was the creation of a new grading scale for the evaluation of colon capsule cleansing, …

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Use of a double-lumen cytology brush catheter to allow double-guidewire technique for endoscopic interventions

Post written by Kavel H. Visrodia, MD, from the Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts. In this video case series, we describe 3 distinct cases in which the use of a double-lumen cytology brush catheter to place 2 guidewires facilitated successful endoscopic interventions. The first is a case of an endoscopic retrograde cholangiopancreatography …

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Peroral pancreatoscopy via the minor papilla in the diagnosis of intraductal papillary mucinous neoplasm

Post written by Shuhei Shintani, MD, from the Division of Gastroenterology, Shiga University of Medical Science, Seta Tsukinowacho, Otsu Shiga, Japan. This report is the first video case report of the peroral pancreatoscopy (POPS) via the minor duodenum papilla for diagnosis of main duct intraductal papillary mucinous neoplasm (MD-IPMN). This case was novel in 2 …

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Circumferential ESD for the treatment of ultra-short-segment Barrett’s adenocarcinoma with multifocal dysplasia

Post written by Fabian Emura, MD, PhD, FASGE, from the Division of Gastroenterology, Universidad de La Sabana, Chía, and the Advanced GI Endoscopy, EmuraCenter LatinoAmerica, Bogotá DC, Colombia. The procedure initiated from the esophagus in direct view and continued from the stomach in the retroflexion view using the IT-Knife2. A small perforation occurred when the …

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Covered versus uncovered metal stents for malignant gastric outlet obstruction

Post written by Alberto Tringali, MD, Deborah Costa, MD, Andrea Anderloni, MD, Silvia Carrara, MD, Alessandro Repici, MD, and Douglas G. Adler, MD, from the Endoscopy Unit, Conegliano Hospital Italy, Conegliano, Italy, the Endoscopy Unit, Humanitas Hospital, Milan, Italy, and the Division of Gastroenterology and Hepatology, University of Utah Hospital, Salt Lake City, Utah, USA. …

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A case of duodenal polyp at superior duodenal angle successfully treated by cap-assisted endoscopic mucosal resection

Post written by Ippei Tanaka, MD, from the Department of Gastroenterology, Sendai Kousei Hospital, Miyagi, Japan. A 72-year-old woman had a duodenal polyp at the superior duodenal angle (SDA). We performed cap-assisted endoscopic mucosal resection (EMRC) and successfully removed the lesion. Endoscopic observation and resection of duodenal polyps at SDA are extremely difficult because of …

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New safety measure for the endoscopic procedures during the COVID-19 pandemic: New STEP

Post written by Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. Endoscopic procedures pose the risk of contact, droplet, and aerosol infections. Infection control is therefore important during these procedures, but it has not always been adequately achieved. With the advent of the COVID-19 pandemic, infection control during endoscopy is …

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High-risk main-duct intraductal papillary mucinous neoplasm successfully treated with EUS-guided chemoablation

Post written by Kayla M. Hartz, DO, from the Penn State Hershey Medical Center, Hershey, Pennsylvania. This case is an example of a successful EUS-guided chemoablation of a patient with a high-risk, main-duct IPMN that was not a surgical candidate. This case highlights that certain high-risk features of pancreatic cysts that would have otherwise been …

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Salvage circumferential ESD for refractory dysplastic Barrett’s esophagus

Post written by Robert Bechara, MD, from the Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. A 64-year-old woman with a complex Barrett’s history was referred to our esophageal center. Her treatment history included endoscopic mucosal resection (EMR) with M3 intramucosal carcinoma and incomplete response to radiofrequency ablation (RFA) of the remaining Barrett’s, as …

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Uncommon cause of cholangitis due to a migrated pancreatic stone into the common bile duct

Post written by David M. de Jong, BSc, from the Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands. A 62-year-old man was referred to our tertiary hospital for endoscopic therapy of previously diagnosed alcoholic chronic pancreatitis. After initial stent placement, he underwent electrohydraulic lithotripsy (EHL) of 2 pancreatic duct stones …

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