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 …

Continue reading A novel less-invasive therapy for a bleeding eroded artery in a giant duodenal ulcer: principles and technical description

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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Horibe GI bleeding prediction score: a simple score for triage decision-making in patients with suspected upper GI bleeding

Post written by Masayasu Horibe, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan, and the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Our study validates a recently developed simple scoring system in patients with suspected upper GI bleeding, called the …

Continue reading Horibe GI bleeding prediction score: a simple score for triage decision-making in patients with suspected upper GI bleeding

Outcomes in lower GI bleeding comparing weekend with weekday admission

Post written by Daniel J. Stein, MD, MPH, from the Division of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. We know that acute lower gastrointestinal bleeding is common in the inpatient setting and can require urgent intervention. Our focus was to determine …

Continue reading Outcomes in lower GI bleeding comparing weekend with weekday admission

Impact of direct-acting oral anticoagulants and warfarin on postendoscopic GI bleeding and thromboembolic events

Post written by Andy Tien, MD, MS, from the Department of Internal Medicine, Kaiser Permanente Los Angeles Medical Center, Los Angeles, California. The focus of our study was to compare the risk of GI bleeding (GIB) and thromboembolic events among patients undergoing GI endoscopic procedures who are prescribed direct-acting oral anticoagulants (DOACs) versus warfarin. Endoscopists …

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Efficacy of rapid bowel preparation with new 1 L polyethylene glycol ascorbate solution in severe acute lower GI bleeding

Post written by Mauro Manno, MD, from the Gastroenterology and Digestive Endoscopy Unit, Azienda USL, Modena, Italy. A 70–year-old man with history of chronic atrial fibrillation ongoing anticoagulant therapy was hospitalized for hemorrhagic shock and severe anemia, secondary to massive LGIB. Resuscitation with fluids and blood transfusions was performed. The novel 1-liter PEG+ASC solution (Plenvu, …

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Alternative approach to hemostatic particle spraying for treatment of GI bleeding

Post written by Stuart K. Amateau, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Gastrointestinal bleeding is a leading cause of morbidity and mortality in the United States and occasionally patients exhibit refractory bleeding despite standard endoscopic therapy. Although used internationally for the …

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Outcomes of endoscopic intervention for overt GI bleeding in severe thrombocytopenia

Post written by Guilherme Piovezani Ramos, MD, from the Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA. We aimed to assess safety and effectiveness of endoscopic intervention for management of gastrointestinal bleeding in the setting of thrombocytopenia. Thrombocytopenia is frequently seen in populations at higher risk of gastrointestinal bleeding, such as patients with liver …

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Hemostatic power in malignant GI bleeding

Post written by Rapat Pittayanon, MD, MSc, and Alan Barkun, MD, MSc, from the Division of Gastroenterology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital of the Thai Red Cross, Bangkok, Thailand, and the Division of Gastroenterology, McGill University and the McGill University Health Centre, Montreal, Canada. This study was focusing on prognostic …

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