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 …
Tag: GIE
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 …
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 …
Biodegradable stents for refractory benign esophageal strictures
Post written by Tomonori Yano, MD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. This study was a prospective evaluation of efficacy and safety of biodegradable stents for refractory benign esophageal strictures after curative treatment for esophageal cancer. Before conducting this study, little was known about the efficacy and …
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A novel polytetrafluoroethylene-channel model
Post written by Michelle J. Alfa, PhD, from the St. Boniface Research Centre & University of Manitoba, Manitoba, Canada. The focus of our study was to develop a model that would mimic the accumulation of organic material and bacteria that occurs in patient-used endoscope channels when biofilm develops after repeated exposure to high-level disinfectants such …
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Management and risk factor of stenosis after ESD for colorectal neoplasms
Post written by Takemasa Hayashi, MD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. This study focuses on the incidence of stenosis and its relationship with the clinicopathological factors in surveillance. Endoscopic submucosal dissection for large colorectal neoplasms can reduce the need for unnecessary surgery. Large mucosal lesions should be removed …
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Management of a Dieulafoy ulcer bleed with an over-the-scope clip
Post written by Malay Sharma, MD, DM, from the Jaswant Rai Speciality Hospital. This video shows the EUS features of Dieulafoy ulcer and its possible role in diagnosis of obscure overt GI bleeding. The OTSC can play an important role in the treatment of Dieulafoy ulcer. A 50-year-old man presented with massive hematemesis. Upper-Gastrointestinal (GI) …
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