Novel use of endoscopic morcellator to clear large obscuring clot in patient with upper-GI bleed

Post written by John Gubatan, MD, from the Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California, USA. We present a case of a 79-year-old woman with a history of cirrhosis who presented with hematemesis and was found to have a large blood clot in the lesser curvature and fundus of the …

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Editor’s Choice: TC-325 hemostatic powder versus current standard of care in managing malignant GI bleeding

GIE Senior Associate Editor, Dr. John R. Saltzman, MD, FASGE, highlights this article from the February issue “TTC-325 hemostatic powder versus current standard of care in managing malignant GI bleeding” by Yen-I Chen, MD, et al.  Gastrointestinal bleeding from a malignancy is a difficult management challenge as no current endoscopic therapy has been proven effective. …

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Endoscopic sleeve gastroplasty versus high-intensity diet and lifestyle therapy

Post written by Vivek Kumbhari, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. The goal of this study was to assess the potential value of endoscopic sleeve gastroplasty (ESG) as a treatment for obesity; this study aimed to compare weight loss outcomes of …

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Impact of a real-time automatic quality control system on colorectal polyp and adenoma detection

Post written by Yan-Qing Li, MD, PhD, from the Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China. We focused on investigating the real clinical impact of an automatic quality control system on colorectal polyp and adenoma detection. Quality control should be conducted for daily colonoscopy examinations routinely. Artificial intelligence showed the potential for …

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Real-time automated diagnosis of precancerous lesions and early esophageal squamous cell carcinoma

Post written by Bing Hu, MD, from the Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, China. The focus of this study is to develop and validate a real-time automated diagnosis of precancerous lesions and early esophageal squamous cell carcinoma using a deep learning model. Esophageal squamous cell carcinoma (ESCC) accounts for more than …

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Endotherapy of postcholecystectomy biliary strictures with multiple plastic stents

Post written by Andrea Tringali, MD, PhD, from the Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia, Digestive Endoscopy Unit, and the Università Cattolica del Sacro Cuore, Roma, Italia. Centre for Endoscopic Research Therapeutics and Training—CERTT. Our study is focused on a large series of patients treated by endoscopic insertion of multiple plastic stents (MPS) …

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Capsule endoscopy for investigating the digestion process

Post written by Shunji Fujimori, MD, PhD, AGAF, from the Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan. I tried to capture the endoscopic view of digestion and absorption processes in the small intestine. You can take ordinary food even after total gastrectomy. Of course, you can't eat a lot because …

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Risk of progression in Barrett’s esophagus indefinite for dysplasia

Post written by Rajesh Krishnamoorthi, MD, from the Digestive Diseases Institute, Virginia Mason Medical Center, Seattle, Washington, USA. The current study is systematic review and meta-analysis to estimate the risk of progression to high-grade dysplasia and/or esophageal adenocarcinoma in patients with Barrett's esophagus indefinite for dysplasia. Barrett’s esophagus (BE) is a precursor lesion for esophageal …

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Transient hypotension during endoscopic resection of gangliocytic paraganglioma with ampullary involvement

Post written by Tadashi Katayama, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, and the Department of Internal Medicine, Tokyo Dental College, Ichikawa General Hospital, Chiba, Japan. Gangliocytic paraganglioma with ampullary involvement was resected endoscopically with a 15-mm snare. During resection of the tumor, the …

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Initial clinical experience of a steerable access device for EUS-guided biliary drainage

Post written by Vivek Kumbhari, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. EUS-guided biliary drainage (EUS-BD) is an accepted method to treat biliary pathology in those that have failed ERCP. A recent consensus statement recommended that of the 4 major EUS-BD techniques, EUS-guided rendezvous should be the …

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