Post written by Mina Alkomos, MD, DABOM, from the Gastroenterology Department, Mount Sinai South Nassau, Oceanside, New York, and Walid Baddoura, MD, from the Gastroenterology Department, St Joseph’s University Medical Center, Paterson, New Jersey, USA. This video demonstrates a simple modification to the delivery system used during application of hemostatic powder to reduce catheter clogging. Catheter occlusion remains …
Tag: GI bleeding
Duodenoscopy-assisted diagnosis and management of a duodenal varix
Post written by Kar Wai Lau, MBBCh, BAO (Hon), MD, FRCP, from the Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, United Kingdom. This is a case of a patient who presented with significant upper GI bleeding with hemodynamic compromise. She had a history of alcohol excess, and there was suspicion of variceal …
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Efficacy and safety of endoscopic hemostasis with a self-assembling peptide solution in patients with colonic diverticular bleeding: a multicenter pilot study (with video)
Post written by Daisuke Yamaguchi, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, and the Department of Gastroenterology, Ureshino Medical Center, Ureshino, Japan. This study evaluated the efficacy and safety of using a self-assembling peptide solution (PuraStat; 3-D Matrix, Tokyo, Japan) for endoscopic hemostasis in patients with colonic …
Application of endoscopic purse-string sutures in refractory nonvariceal GI bleeding: a multicenter study (with video)
Post written by Feifan Chen, MD, Yifan Jia, MD, and Xue Xiao, MD, PhD, from West China Hospital of Sichuan University, Chengdu, China. We retrospectively collected data from 3 hospitals from patients who underwent endoscopic hemostasis for nonvariceal GI bleeding (GIB). Overall, 36 refractory bleeding patients received endoscopic purse-string sutures (PSSs), and 83.3% of them achieved clinical success. In refractory upper …
A novel blood-sensing capsule for rapid detection of upper GI bleeding: a prospective clinical trial
Post written by Andrew C. Storm, MD, Chair of Gastrointestinal Endoscopy, Rochester, Minnesota, USA. GI bleeding is the most common indication for admission to the hospital in gastroenterology. Determining the source and location of bleeding can be challenging and often requires procedures such as upper endoscopy, colonoscopy, and small-bowel enteroscopy for diagnosis and treatment. Ideally, physicians …
GI bleeding in patients with left ventricular assist device: endoscopic approach and prediction model using supervised machine learning
Post written by Hassam Ali, MD, from Gastroenterology & Hepatology, East Carolina University/Brody School of Medicine, Greenville, North Carolina, USA. The present study investigates GI bleeding in patients with left ventricular assist devices (LVADs). We aimed to understand the risk factors associated with this condition and to develop a predictive model using machine learning. GI bleeding …
Diagnostic utility of CT angiography compared with endoscopy in patients with acute GI hemorrhage
Post written by Jason Erno, MD, and Don C. Rockey, MD, from the Digestive Disease Research Core Center, Medical University of South Carolina, Charleston, South Carolina, USA. This cohort study examined patients with acute GI bleeding who underwent CT angiography (CTA) and compared its accuracy with that of subsequent endoscopy. CTA has gained great popularity as …
A novel less-invasive therapy for a bleeding eroded artery in a giant duodenal ulcer: principles and technical description
Post written by iGIE iNTERNATIONAL Associate Editor Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, from the Instituto D’Or de Pesquisa e Ensino, Hospital Vila Nova Star, and the Gastrointestinal Endoscopy Unit, Department of Gastroenterology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. Our study presents a novel use …
A novel bedside swallowed optical sensor for detection of upper GI bleeding
Post written by Andrew C. Storm, MD, Director of Endoscopy, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. GI bleeding is among the most common admitting diagnoses within gastroenterology. Most GI bleeding occurs in the upper GI tract along a spectrum of severity ranging from massive variceal hemorrhage through mild or self-limited oozing associated …
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Endoscopic resection of a duodenal Brunner gland hamartoma presenting with GI bleeding
Post written by Tara Keihanian, MD, MPH, and Sunil Amin, MD, MPH, from the Department of Medicine, Division of Gastroenterology, University of Miami Miller School of Medicine, Miami, Florida. A 64-year-old man with multiple comorbidities presented to our hospital with a 3-day history of weakness, melena, and acute anemia. Upper endoscopy (EGD) showed a large …
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