Use of peroral cholangioscopy to screen for neoplastic bile duct lesions in patients with bile duct stones

Post written by Il Sang Shin, MD Jong Ho Moon, MD, PhD Yun Nah Lee, MD, PhD, from the Digestive Disease Center and Research Institute, Departments of Internal Medicine, SoonChunHyang University School of Medicine, Bucheon, Korea.    Although cholangiocarcinoma (CCA) has very high mortality rates due to its late detection, satisfactory screening methods of CCA have …

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Hybrid endoscopic submucosal dissection with novel helix tacking system for defect closure

Post written by Hiroyuki Aihara, MD, PhD, FASGE, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts. This case video demonstrates a hybrid endoscopic submucosal dissection (ESD) with a novel ESD knife, followed by mucosal defect closure using an innovative endoscopic helix tacking system. A 60-year-old man …

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Expert consensus on endoscopic papillectomy using a Delphi process

Post written by Jeska A. Fritzsche, MD, from the Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, Amsterdam Gastroenterology Endocrinology & Metabolism, Amsterdam, the Netherlands. The focus of our study was to assess the expected wide variety in daily practice of endoscopic papillectomy and to achieve further consensus among international experts by using a …

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EUS-guided ethanol ablation of metastatic functional insulinoma

Post written by Ahmed Altonbary, MD, FRCP, from the Department of Gastroenterology and Hepatology, Mansoura Specialized Medical Hospital, Mansoura University, Mansoura, Egypt. We describe a case of EUS-guided ethanol ablation (EA) of metastatic functional insulinoma in a young male with recurrent attacks of hypoglycemia requiring intravenous glucose infusion.    Management of functioning pancreatic NETs is challenging; …

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GIE Reviewer Tips

Carolina Ogawa Matsubayashi, MD, Graduate Student, Weill Cornell Medicine Endoscopy, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, offers advice to new reviewers after participating in GIE’s Reviewer Mentorship Program. What 3 steps do you take as soon as you get invited to review? The first thing I do is check …

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Trends in performance of ERCP among patients with surgically unresectable pancreatic cancer

Post written by Patrick Yachimski, MD, MPH, from the Division of Gastroenterology, Hepatology & Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee, USA. This study was conducted to assess whether there has been a change over time in the use of ERCP among patients with surgically unresectable pancreas cancer, and if so, if there was any …

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Guidance for setting easy-to-adopt competence criteria for optical diagnosis of diminutive colorectal polyps: a simulation approach

Post written by Britt B.S.L. Houwen, MD, from the Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, location Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. Implementation of the optical diagnosis strategy for diminutive colorectal polyps by endoscopists and computer-aided diagnosis (CADx) systems is hampered as the current competence criteria [PIVI] are impractical …

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Transpapillary gallbladder stent placement for long-term therapy of acute cholecystitis

Post written by Andrew C. Storm, MD, from the Division of Gastroenterology & Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Acute cholecystitis (AC) is a common disease, and while gallbladder removal surgery is one of the most commonly performed operations, some patients are not candidates for surgery. Left untreated, patients with AC can develop gangrene and gallbladder perforation, …

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Artificial intelligence in the diagnosis of gastric precancerous conditions by image-enhanced endoscopy

Post written by Honggang Yu, MD, from the Department of Gastroenterology, the Key Laboratory of Hubei Province for Digestive System Disease, and the Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, China. In this study, we conducted a deep convolutional neural network (DCNN) system to detect …

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