GIE Associate Editor Amy Tyberg, MD, FASGE, highlights this article from the July issue: “EUS-guided hepaticogastrostomy versus EUS-guided hepaticogastrostomy with antegrade stent placement in patients with unresectable malignant distal biliary obstruction: a propensity score–matched case-control study” by Hirotoshi Ishiwatari, MD, PhD, et al. The advanced endoscopist plays a key role in the palliation of patients with unresectable …
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Top tips for EUS-guided pancreatic cyst chemoablation (with video)
Post written by Matthew T. Moyer, MD, MS, FASGE, from Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA. EUS-guided pancreatic cyst chemoablation is a rapidly developing, minimally invasive approach for treating appropriately selected mucinous pancreatic cysts. This article reviews best practices for this procedure including patient selection, setup, procedure performance, team structure, radiographic …
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Editor’s Choice: Comparing a 19-gauge fine-needle biopsy needle with a 22-gauge fine-needle biopsy needle for EUS-guided liver biopsy sampling: a prospective randomized study
GIE Senior Associate Editor Mohamed O. Othman, MD, highlights this article from the June issue: “Comparing a 19-gauge fine-needle biopsy needle with a 22-gauge fine-needle biopsy needle for EUS-guided liver biopsy sampling: a prospective randomized study” by David L. Diehl, MD, FASGE, AGAF, et al. EUS-guided liver biopsy is gaining traction and is frequently requested by referring …
Safety and efficacy of direct percutaneous endoscopic jejunostomy tube placement compared with surgical jejunostomy: a tertiary care analysis
Post written by Shajan Peter, MD, from the Division of Gastroenterology and Hepatology, Basil Hirschowitz Center of Advanced Endoscopy, University of Alabama at Birmingham, Birmingham, Alabama, USA. We examined cases over 5 years of enteral tube feeding placement. We further divided the patients into cohorts for the traditional open laparotomy approach, laparoscopic jejunostomy, and direct percutaneous endoscopic …
Successful EUS-guided pancreatic cyst chemoablation safely allows reduction in the frequency of radiographic surveillance: long-term follow-up of randomized prospective data
Post written by J. Westley Heinle, MPH, from the the Division of Gastroenterology and Hepatology, Penn State College of Medicine and Penn State Hershey Medical Center, Hershey, Pennsylvania, USA. The 2 randomized prospective Chemotherapy for Ablation and Resolution of Mucinous Pancreatic Cysts (ChARM) clinical trials investigate and develop alcohol-free EUS-guided pancreatic cyst chemoablation. The current investigation …
Adverse events of the single-operator cholangioscopy system: a Manufacturer and User Facility Device Experience database analysis
Post written by Saurabh Chandan, MD, from the Creighton University School of Medicine, Omaha, Nebraska, USA, and the Center for Interventional Endoscopy, Advent Health, Orlando, Florida, USA. The primary aim of our study was to assess and report all adverse events (AEs), including those device- and patient-related, associated with the single-operator cholangioscopy (SOC) system (SpyGlass; Boston …
Peroral endoscopic myotomy for spastic esophageal dysmotility among opioid users: a multicenter propensity score matching study
Post written by Baha Fawwaz, MD, from Gastroenterology and Hepatology, AdventHealth, Orlando, Florida, USA. Opioids have become one of the most widely prescribed medications in the United States. Chronic opioid use has been associated with esophageal dysmotility. The focus of our study was to evaluate and compare the clinical outcomes of peroral endoscopic myotomy (POEM) for …
Safety of EUS latex balloon use in patients with a latex allergy
Post written by Eric J. Vargas, MD, MS, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. The focus of our study was to explore and report on our experience with EUS latex balloon use in patients with a self-reported latex allergy. The use of a fluid-filled balloon improves acoustic coupling and visualization …
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Outcomes of cold snare EMR of nonampullary duodenal adenomas ≥1 cm: a multicenter study
Post written by Natalie J. Wilson, MD, from the Department of Internal Medicine, University of Minnesota, and Mohammad Bilal, MD, from Advanced Endoscopy, Division of Gastroenterology and Hepatology, Minneapolis Veteran Affairs Medical Center, and University of Minnesota, Minneapolis, Minnesota, USA. This study focuses on evaluating the efficacy and safety of cold snare EMR (cs-EMR) for nonampullary …
Endoscopic submucosal dissection with versus without traction for pathologically staged T1B esophageal cancer: a multicenter retrospective study
Post written by Abel Joseph, MD, from the Department of Gastroenterology, Stanford University, Stanford, California, and Kornpong Vantanasiri, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Our study delves into endoscopic submucosal dissection (ESD) for treating T1b esophageal cancer (EC). Specifically, we compared 2 approaches: ESD with traction (Tr-ESD), which uses …
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