Post written by Farzan Bahin, MBBS (Hons), MPhil, FRACP, from the Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia. This study evaluates the concept of reducing the rate of recurrence by extending the EMR to include a large normal mucosal margin beyond the visible extent of the lesion. Residual or recurrent adenoma (RRA) is …
Continue reading Extended EMR does not reduce recurrence compared with standard EMR
Dr. Mohit Girotra, MD, FACP, and Dr. Benjamin Tharian, MD, MRCP, FRACP, from the Stanford University School of Medicine, Stanford, California and the University of Arkansas for Medical Sciences, Little Rock, Arkansas present this video case. A 73-year-old woman with failed prior ERCP for choledocholithiasis underwent successful endoscopic retrograde cholangiopancreatography (ERCP) with extraction of a …
Continue reading Successful removal of deeply migrated pancreatic stent
Post written by Christoph Frank Dietrich, MD, PhD, from the Medical Department at Caritas Krankenhaus, Bad Mergentheim, Germany With the ever growing number of cross sectional imaging, the incidental detection of small solid pancreatic tumors also increases. Until now, the general rule for the management of such pancreatic tumors has been radical surgery if considered …
Continue reading Differential diagnosis of small solid pancreatic lesions
Lianyong Li, MD, PhD and Qiang Cai, MD, PhD, from the Department of Gastroenterology, PLA 306th Hospital, Beijing, China and the Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, Georgia, USA, respectively, present this video case. A 62-year-old male with Zenker’s diverticulum (ZD) underwent endoscopic diverticulectomy for dysphagia and weight …
Continue reading Endoscopic treatment of Zenker’s diverticulum
Editor-in-Chief Mike Wallace, MD, MPH, highlights this article from the December issue “The use of hemostatic spray as an adjunct to conventional hemostatic measures in high-risk nonvariceal upper GI bleeding (with video)” by Ryota Niikura, MD, PhD, Hideo Yasunaga, MD, PhD, Atsuo Yamada, MD, PhD, Hiroki Matsui, PhD, Kiyohide Fushimi, MD, PhD, Yoshihiro Hirata, MD, …
Post written by Ryota Niikura , MD, PhD from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo Our study focused on a large sample size of various therapeutic colonoscopies and data on the use of drugs that might increase the risk of bleeding, such as anticoagulants and antithrombotics, NSAIDs, and steroids. …
Continue reading Predicting adverse events associated with therapeutic colonoscopy
Claudio Zulli, MD, from the Gastroenterology and Digestive Endoscopy Unit, NOCSAE Hospital, AUSL, Modena presents this video case. A 58-year-old man was referred to the Transplant Unit for an “urgent” orthotopic liver transplantation (OLT) due to decompensated alcoholic liver cirrhosis. Abdominal ultrasound (US) and a CT-scan revealed a mild left intra-hepatic biliary duct dilation and an …
Alan H. Tieu, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology, The Johns Hopkins University School of Medicine, Baltimore, Maryland presents this video case. Therapy for symptomatic epiphrenic diverticulum typically involves surgical myomectomy or diverticulectomy with high morbidity. We demonstrate a purely endoscopic technique for the management of a large symptomatic epiphrenic …
Continue reading Management of a large symptomatic epiphrenic diverticulum
Post written by Tae Jun Song, MD, PhD and Sang Soo Lee, MD, PhD from the Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea Preoperative biliary drainage (PBD) with stent placement has been commonly used for patients with malignant biliary obstruction. In PBD, the placement of fully-covered …
Continue reading Metal versus plastic stent for drainage of malignant biliary obstruction
Jae Hee Cho, MD, PhD from the Division of Gastroenterology, Department of Internal Medicine, Gachon University, Gil Medical Center, Incheon, Republic of Korea presents this video case. A patient who underwent biliary plastic stent placement for pancreatic head cancer with central bile duct (CBD) invasion was admitted for hematochezia. Abdominal enhanced computed tomography (CT) showed …
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