Overtube-assisted pneumatic dilation for achalasia in megaesophagus

Post written by Shashideep Singhal from the University of Texas Health Science Center at Houston. A 63-year-old man with a long-standing history of achalasia presented for pneumatic dilation. Several technical problems were associated with pneumatic balloo dilation in this case, which had resulted in failure of an earlier attempt. Because of a tortuous megaesophagus with …

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Over-the-scope clip-assisted endoscopic full-thickness resection

Post written by Louis M. Wong Kee Song from the Mayo Clinic. The aim of the study was to evaluate the efficacy and safety of over-the-scope clip-assisted endoscopic full-thickness resection (EFTR) technique for removal of epithelial and subepithelial lesions in the GI tract. EFTR allows for definitive diagnosis and treatment of select subepithelial and epithelial …

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Overbooking and recruitment increases uptake of appointments among African American patients

Post written by Folasade P. May, MD, PhD, from the Greater Los Angeles Veterans Affairs Network and UCLA Vatche and Tamar Manoukian Division of Digestive Diseases. African Americans see several disparities in healthcare utilization and healthcare outcomes. These disparities also occur in utilization of common gastroenterological procedures. African Americans are less likely than white Americans …

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Clinical impact of narrow-band imaging magnifying endoscopic classification of colorectal tumors

Post written by Shinji Tanaka, MD, PhD, from Endoscopy and Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Japan. By JNET classification using magnifying observation, it will be possible to characterize the lesions of NICE Type 2 more in detail. NICE Type 2 includes various lesion such as dysplasia, superficial submucosal carcinoma, and …

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A prospective multicenter study of submucosal injection

Post written by Tae Hoon Lee, MD, PhD, and Jong Jin Hyun, MD, PhD, from the SoonChunHyang University School of Medicine and Korea University College of Medicine. In technical aspects of endoscopic papillectomy, whether submucosal injection papillectomy should be performed is still debatable. Injecting saline solution or a diluted epinephrine solution into the submucosal layer …

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Impact of endoscopic papillary large-balloon dilation

Post written by Young Koog Cheon, MD, PhD, from the Digestive Disease Center, Department of Internal Medicine, Konkuk University School of Medicine in South Korea. Endoscopic papillary balloon dilation (EPBD) using balloons with a diameter of less than 8mm is considered to preserve papillary function. However, it is still unknown whether papillary function is preserved …

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Adenoma recurrence after piecemeal colonic EMR is predictable

Post written by David J. Tate, MA (Cantab), MBBS, MRCP, from Westmead Hospital, Department of Gastroenterology and Hepatology, and Westmead Campus, University of Sydney Medical School, Sydney, Australia. Recurrence is the main limitation of wide-field endoscopic mucosal resection (EMR) for large laterally spreading colonic lesions (LSL). We aimed to derive a set of clinically useful …

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