Endoscopic ampullectomy of a large neuroendocrine tumor using underwater EMR technique

Post written by Anand R. Kumar, MPH, MD, from the Division of Gastroenterology, Thomas Jefferson University, Philadelphia, Pennsylvania. A young man presented with an incidental 35-mm ampullary neuroendocrine tumor detected on upper endoscopy. We chose to do an underwater ampullectomy and obtained negative margins. Endoscopic ampullectomy is an advanced procedure with variable techniques. The underwater …

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GIE Reviewer Tips

Jeanin E. van Hooft, MD, PhD, MBA, FASGE, from the Department of Gastroenterology and Hepatology, LUMC Leiden University, offers advice to new reviewers after participating in GIE’s Reviewer Mentorship Program. What might happen when you start to do reviews is that the names of the authors or the quality of the language will unconsciously impact …

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Diagnostic yield of EUS-guided through-the-needle biopsy in pancreatic cysts

Post written by Antonio Facciorusso, MD, from the Gastroenterology Unit, University of Foggia, Foggia, Italy. The low sensitivity, reported to be as high as 54% in differentiating mucinous from non-mucinous pancreatic cystic lesions (PCLs), represents a major drawback of standard endoscopic ultrasound (EUS) fine-needle aspiration (FNA). Recently, a through-the-needle microforceps biopsy (TTNB) device that can …

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Endoscopic transpapillary gallbladder stent placement in the presence of uncovered biliary metal stents using a through-the-mesh technique

Post written by Kazunari Nakahara, MD, PhD, from the Department of Gastroenterology and Hepatology, St. Marianna University, School of Medicine, Kawasaki, Japan. We describe a case of a successful endoscopic transpapillary gallbladder drainage (ETGBD) performed through the mesh of previously placed double biliary uncovered self-expandable metal stents (SEMSs) that overlapped the orifice of the cystic …

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How to manage an endoscopy unit during a COVID-19 pandemic

Post written by Ping-Hong Zhou, MD, PhD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China. This video shows how to manage an endoscopy unit during the COVID-19 pandemic, with specific details on work flow, screening staff, screening patients, management in preprocedure areas and endoscopy rooms, postprocedure management, environment disinfection, …

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Diagnostic findings and long-term prognosis in children with anemia undergoing GI endoscopies

Post written by Marleena Repo, MD, from the Tampere Centre for Child Health Research, Faculty of Medicine and Health Technology, the Department of Pediatrics, and the Celiac Disease Research Center, Faculty of Medicine and Health Technology, Tampere University, Finland. We investigated systematically for the first time the diagnostic yield of gastrointestinal endoscopies in a large …

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Usefulness of a handmade distal endoscope attachment with a transparent tape

Post written by Marie Kurebayashi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. The video describes the steps involved in making a handmade distal attachment with a transparent tape, and how it can be used for different endoscopic procedures. Distal attachments placed on the endoscope tip improve visualization of the …

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Repeat EUS-FNA of pancreatic masses after nondiagnostic or inconclusive results

Post written by Andrea Lisotti, MD, from the Gastroenterology Unit, Hospital of Imola, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy. Endoscopic ultrasound (EUS) has a pivotal role in the management of pancreatic cancer, one of the most lethal neoplasms with a 5-year survival that has not significantly increased over the last …

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Newly developed proximal release–type colonic stent placement for malignant lower rectal obstruction

Post written by Kanae Tao, MD, from the Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Kure, Japan. Our video case depicts the use of the newly developed proximal release-type colonic self-expandable metallic stent (SEMS) for malignant lower rectal obstruction close to the anal verge. A 64-year-old man presented with …

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