Immersion endoscopic submucosal dissection with saline pressure method for duodenal sessile serrated lesion with severe surgical scar fibrosis

Post written by Chen-Shuan Chung, MD, MSc, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan. In this case, we described a modified endoscopic submucosal dissection (ESD) method for management of a fibrotic duodenal neoplasm. A 77-year-old woman presented with a 2.5-cm 0-IIa lesion on a surgical …

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Intra-ampullary papillary-tubular neoplasm

Post written by Sooraj Tejaswi, MD, MSPH, FASGE, from the University of California Davis School of Medicine, Sacramento, California, and Texas Digestive Disease Consultants, The Woodlands, Texas, USA. A 63-year-old woman had incidentally noted abnormal liver test results with transaminitis (aspartate aminotransferase 104 U/L, alanine transaminase 233 U/L), elevated alkaline phosphatase (290 U/L), and mild hyperbilirubinemia (total …

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Peroral pancreatoscopy via the minor papilla in the diagnosis of intraductal papillary mucinous neoplasm

Post written by Shuhei Shintani, MD, from the Division of Gastroenterology, Shiga University of Medical Science, Seta Tsukinowacho, Otsu Shiga, Japan. This report is the first video case report of the peroral pancreatoscopy (POPS) via the minor duodenum papilla for diagnosis of main duct intraductal papillary mucinous neoplasm (MD-IPMN). This case was novel in 2 …

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Efficacy of autofluorescence imaging for flat neoplasm detection

Post written by Yoji Takeuchi, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Updated autofluorescence imaging (AFI) could show superior detection of flat colorectal neoplasms in the right-sided colon compared with conventional white-light imaging (WLI) in this prospective multicenter randomized controlled trial. Since flat (non-polypoid) neoplasms have a greater association …

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Endoscopic resection of an ampullary gangliocytic paraganglioma

Patrick Yachimski, MD, MPH from Vanderbilt University Medical Center presents this VideoGIE article titled "Endoscopic resection of an ampullary gangliocytic paraganglioma."  This video case depicts endoscopic examination and resection of a subepithelial ampullary lesion, histopathologically identified following resection as a gangliocytic paraganglioma. This case represents an unusual ampullary neoplasm. While most neoplasms resected in the …

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