Tag: Gastrointestinal endosocpy

Extrabiliary applications of fully covered antimigration biliary metal stents

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Post written by Fateh Bazerbachi, MD, from the Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts. In this case series, our team demonstrates examples of luminal applications of specialized fully covered antimigration biliary stents in different challenging scenarios. Specifically, we apply these small-caliber stents in benign radiation pan-esophageal stricture, distal malignant esophageal stricture, enteral anastomotic …

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Overtube-assisted pneumatic dilation for achalasia in megaesophagus

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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

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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

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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

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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

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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

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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

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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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A standardized imaging protocol is accurate in detecting recurrence after EMR

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Post written by Lobke Desomer, MD, from Westmead Hospital, Department of Gastroenterology and Hepatology, Sydney, NSW, Australia. Endoscopic mucosal resection (EMR) is an increasingly used, safe, and effective technique for the removal of large laterally spreading colorectal lesions ≥20 mm. At present, EMR is seen as a 2-stage procedure with the first surveillance colonoscopy at …

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Acetic acid spray enhances accuracy of NBI

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Nikolas Eleftheriadis, MD from the Digestive Disease Center at Showa University Northern Yokohama Hospital in Japan shares this video case "Acetic acid spray enhances accuracy of narrow-band imaging (NBI) magnifying endoscopy for endoscopic tissue characterization of early gastric cancer." In this video case we demonstrated a novel endoscopic technique using acetic acid chromoendoscopy in combination …

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