Tag: GIE

EUS-guided radiofrequency ablation for pancreatic adenocarcinoma

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Post written by Curtis J. Wray, MD, MS, from the Department of Surgery, Section of Surgical Oncology, and Nirav Thosani, MD, from the Department of Surgery, Section of Interventional Gastroenterology, University of Texas Health Science Center at Houston, Houston, Texas, USA. This manuscript details our initial institutional experience using EUS-guided radiofrequency ablation (EUS-RFA) combined with systemic chemotherapy for treatment …

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Risk factors for metachronous colorectal cancer or advanced lesions after endoscopic resection of serrated polyps: a systematic review and meta-analysis

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Post written by Sandra Baile-Maxía, MD, PhD, and Rodrigo Jover, MD, PhD, from Servicio de Medicina Digestiva, Hospital General Universitario Dr Balmis, Instituto de Investigación Biomédica Instituto de Investigación Sanitaria y Biomédica de Alicante, Universidad Miguel Hernández, Alicante, Spain. We performed a systematic review and meta-analysis with the aim of comparing metachronous colorectal cancer and advanced polyp …

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Incomplete mucosal layer excision during EMR: a potential source of recurrent adenoma (with video)

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Post written by David J. Tate, MBBS, MRCP, PhD, from the Department of Gastroenterology and Hepatology, University Hospital of Ghent, Ghent, Belgium, and the Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia. This study primarily focuses on identifying incomplete mucosal layer excision during EMR and understanding its role as a potential risk factor for recurrence of adenoma. …

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Detection of residual stones by peroral direct cholangioscopy in patients with intrahepatic stones after hepaticojejunostomy: a prospective study (with video)

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Post written by Kazuyuki Matsumoto, MD, PhD, from Okayama University Hospital, Okayama, Japan. Radiographic confirmation of the presence of stones remains a challenge in the treatment of intrahepatic bile duct stones in patients after hepaticojejunostomy (HJ). Peroral direct cholangioscopy (PDCS) enables direct observation of the bile duct and is useful for detecting and removing residual stones. However, its …

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Establishment of standards for the referral of large nonpedunculated colorectal polyps: an international expert consensus using a modified Delphi process

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Post written by Samir C. Grover, MD, MEd, FRCPC, FASGE, from Scarborough Health Network and the University of Toronto, Toronto, Ontario, Canada. This study aimed to establish consensus-based standards for the referral of large nonpedunculated colorectal polyps (LNPCPs) for endoscopic resection. Given the complexity and risks associated with resecting LNPCPs, especially those exceeding 20 mm, comprehensive and …

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Novel self-expandable stent–based endobiliary radiofrequency ablation for unresectable malignant biliary obstruction

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Post written by Yubeen Park, MS, Jung-Hoon Park, PhD, and Sang Soo Lee, MD, PhD, from Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. Endobiliary radiofrequency ablation (RFA) was introduced as a promising therapeutic option for unresectable malignant biliary obstruction. However, insufficient contact between the traditional catheter-type electrode and bile duct wall because of irregular …

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EUS- versus ERCP-guided biliary drainage for malignant biliary obstruction: a systematic review and meta-analysis of randomized controlled trials

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Post written by Eduardo Cerchi Barbosa from the Department of Medicine, Evangelical University of Goiás, Anápolis, Brazil, and Gilmara Coelho Meine, MD, MSc, from the Division of Gastroenterology, Department of Internal Medicine, Feevale University, Novo Hamburgo, Brazil. Periampullary cancers carry a poor prognosis and often result in malignant biliary obstruction (MBO). Despite technological advances, few cases are resectable at the …

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Editor’s Choice: EUS-guided thrombin injection and coil implantation for gastric varices: feasibility, safety, and outcomes

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GIE Senior Associate Editor David L. Diehl, MD, highlights this article from the September issue: “EUS-guided thrombin injection and coil implantation for gastric varices: feasibility, safety, and outcomes” by Joanne O’Rourke, MBChB, et al. One of the pillars of endohepatology is EUS-guided treatment of gastric varices. Although endoscopic glue injection with cyanoacrylate (CYA) has been a standard approach for …

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EUS-guided FNA and biopsy for cytohistologic diagnosis of gallbladder cancer: a multicenter retrospective study

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Post written by Jae Hee Cho, MD, PhD, and Seungmin Bang, MD, PhD, from the Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea. Gallbladder (GB) cancer (GBC) is a rare but highly aggressive malignancy, often diagnosed at an advanced stage. Because most patients have unresectable diseases, accurate nonsurgical diagnosis is crucial for …

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Novel endoscopic scoring system for immune mediated colitis: a multicenter retrospective study of 674 patients

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Post written by Yinghong Wang, MD, PhD, from the Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. To our knowledge, this is the largest multicenter study to develop an endoscopic scoring system for guiding management of immune-mediated colitis (IMC) in cancer care. This scoring system has demonstrated …

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