Bilateral vs unilateral placement of metal stents for inoperable high-grade malignant hilar biliary strictures

Post written by Tae Hoon Lee, MD, PhD, and Jong Ho Moon, MD, PhD, from the Department of Internal Medicine, Soonchunhyang University College of Medicine, Cheonan Hospital, and the Department of Internal Medicine, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon, Republic of Korea. There is no definite consensus on whether bilateral placement of metal …

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Progressive learning in endoscopy simulation training improves clinical performance

Post written by Samir C. Grover, MD, MEd, FRCPC, from the Division of Gastroenterology, St. Michael’s Hospital Department of Medicine, University of Toronto, Toronto, Ontario, Canada. We aimed to improve existing simulation-based training curricula for teaching novices how to perform colonoscopy using progressive learning. We recognized that a theory-based approach to designing a curriculum in …

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Safety and efficacy of cap-assisted EMR for sporadic nonampullary duodenal adenomas

Post written by Laith H. Jamil, MD, from the Cedars Sinai Medical Center, Los Angeles, California. The focus of the study was to assess the efficacy and safety of using a transparent hard straight plastic cap with an outer diameter of 13.9 or 14.9 mm and a crescent-shaped snare for endoscopic removal of sporadic non-ampullary …

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Diagnostic performance of Japan NBI Expert Team classification for non-, superficially, and deeply invasive colorectal neoplasia

Post written by Shinji Tanaka, MD, PhD, FASGE, FACG, from the Endoscopy and Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University. JNET classification is composed of four types (Type 1, 2A, 2B, and 3) with two NBI magnifying findings, surface pattern and vessel pattern. Type 1, 2A, 2B, and 3 are supposed to …

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Esophageal dilation with either bougie or balloon technique as a treatment for eosinophilic esophagitis

Post written by Michael Kevin Dougherty, MD, from the University of North Carolina Division of Gastroenterology and Hepatology. The purpose of this study was to estimate the rate of perforations and other adverse events related to elective endoscopic esophageal dilation in patients with eosinophilic esophagitis (EoE). Many patients with EoE struggle with significant dysphagia and …

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Outcomes after liquid nitrogen spray cryotherapy in Barrett’s esophagus

Post written by Fariha H. Ramay, MD, MBA, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland. Barrett's esophagus (BE) is a known precursor to esophageal adenocarcinoma (EAC) and once high-grade dysplasia has developed, the risk of progression to EAC is considerable.  The emergence of endoscopic …

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Short cap technique to complete EMR of very flat colorectal laterally spreading tumors

Post written by Nasim Parsa, MD, and Douglas K. Rex, MD, FASGE, from John Hopkins Hospital, Baltimore, Maryland, and Indiana University School of Medicine, Indianapolis, Indiana. In this video, we demonstrate the utility of a short cap placed over the colonoscope tip to facilitate endoscopic mucosal resection (EMR) of very flat portions of lateral spreading …

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Stent as bridge to surgery for left-sided malignant colonic obstruction

Post written by Alberto Arezzo, MD, from the Department of Surgical Sciences, University of Torino, Turin, Italy. Twenty years after the first description of the technique, the debate is still open on the role of self-expandable metallic stent (SEMS) placement as a bridge to elective surgery for symptomatic left-sided malignant colonic obstruction. The focus of …

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Post-ERCP pancreatitis in chronic pancreatitis

Post written by Zhuan Liao, MD, from the Department of Gastroenterology, Digestive Endoscopy Center, Changhai Hospital, Shanghai, China. The purpose of this study is to determine the incidence of post-ERCP pancreatitis (PEP) and risk factors at different clinical stages of chronic pancreatitis (CP) based on the M-ANNHEIM classification system. Therapeutic ERCP procedures are commonly used …

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Editor’s Choice: Stent as bridge to surgery for left-sided malignant colonic obstruction

Associate Editor, Dr. Fauze Maluf-Filho, highlights this article from the September issue “Stent as bridge to surgery for left-sided malignant colonic obstruction reduces adverse events and stoma rate compared with emergency surgery: results of a systematic review and meta-analysis of randomized controlled trials” by Alberto Arezzo, MD, et al. This study is the most comprehensive review …

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