Radiofrequency vapor ablation for duodenal mucosal ablation in the treatment of type 2 diabetes: results from the first-in-human pilot study

Post written by Benjamin Norton, MD, from Cleveland Clinic London, London, United Kingdom. We are currently experiencing an obesity and diabetic epidemic. We know that the number of people living with type 2 diabetes (T2D) is expected to rise worldwide to alarming rates (1.31 billion by 2050).1 We are seeing an explosion in the number …

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Endoscopic radical treatment of a giant ampullary tumor with biliopancreatic duct extensions using multimodality approaches

Post written by Kazuki Hama, MD, and Takao Itoi, MD, PhD, FASGE, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Ampullary tumors with intraductal extension are typically treated with pancreaticoduodenectomy, a procedure associated with significant morbidity, especially in elderly patients. Recently, endoscopic approaches using adjunctive ablative therapies such as intraductal radiofrequency ablation (ID-RFA) and argon …

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EUS for the evaluation of esophageal injury after catheter ablation for atrial fibrillation

Post written by Andrew Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. Every procedural specialty in medicine has procedure-related issues that might “keep them up at night.” In therapeutic EUS, for example, the short time after a particularly challenging novel anastomosis creation procedure between the gallbladder and duodenum, liver and stomach, or intestine and stomach can …

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EUS-guided radiofrequency ablation for pancreatic adenocarcinoma

Post written by Curtis J. Wray, MD, MS, from the Department of Surgery, Section of Surgical Oncology, and Nirav Thosani, MD, from the Department of Surgery, Section of Interventional Gastroenterology, University of Texas Health Science Center at Houston, Houston, Texas, USA. This manuscript details our initial institutional experience using EUS-guided radiofrequency ablation (EUS-RFA) combined with systemic chemotherapy for treatment …

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Novel self-expandable stent–based endobiliary radiofrequency ablation for unresectable malignant biliary obstruction

Post written by Yubeen Park, MS, Jung-Hoon Park, PhD, and Sang Soo Lee, MD, PhD, from Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. Endobiliary radiofrequency ablation (RFA) was introduced as a promising therapeutic option for unresectable malignant biliary obstruction. However, insufficient contact between the traditional catheter-type electrode and bile duct wall because of irregular …

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Administration of oral prednisolone to prevent esophageal stricture after balloon-type radiofrequency ablation for ultralong-segment esophageal neoplasia

Post written by Wen-Lun Wang, MD, PhD, and Ching-Tai Lee, MD, from the Department of Gastroenterology and Hepatology, E-Da Hospital, Kaohsiung, Taiwan. Endoscopic radiofrequency ablation (RFA) has shown good efficacy and safety in eradicating Barrett’s neoplasia as well as flat-type early esophageal squamous cell neoplasia (ESCN). However, a post-RFA stricture is still a major concern, especially …

Continue reading Administration of oral prednisolone to prevent esophageal stricture after balloon-type radiofrequency ablation for ultralong-segment esophageal neoplasia

In-stent radiofrequency ablation with uncovered metal stent placement for tumor ingrowth/overgrowth causing self-expandable metal stent occlusion in distal malignant biliary obstruction: multicenter propensity score–matched study

Post written by Namyoung Park, MD, from the Department of Gastroenterology, Kyung Hee University Hospital at Gangdong, Woo Hyun Paik, MD, PhD, from the Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, and Jae Hee Cho, MD, PhD, from the Department of Internal Medicine, Institute …

Continue reading In-stent radiofrequency ablation with uncovered metal stent placement for tumor ingrowth/overgrowth causing self-expandable metal stent occlusion in distal malignant biliary obstruction: multicenter propensity score–matched study

Endoscopic radiofrequency ablation plus plastic stent placement versus stent placement alone for unresectable extrahepatic biliary cancer

Post written by Bing Hu, MD, PhD, from the Department of Gastroenterology, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Yangpu District, and the Department of Gastroenterology, Third Affiliated Hospital, Second Military Medical University, Jiading District, Shanghai, China. The focus of our study is to compare the efficacy and safety between endoscopic radiofrequency ablation (RFA) …

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Endoscopic radiofrequency ablation for palliative treatment of hilar cholangiocarcinoma

Post written by Ana Luísa Lopes dos Santos Silva, MD, from the Gastroenterology Department, Centro Hospitalar São João, Porto, Portugal. Our video reports 3 patients with a diagnosis of perihilar cholangiocarcinoma, who underwent endoscopic radiofrequency ablation with palliative intent. In all cases, endoscopic retrograde cholangiopancreatography with single-operator cholangioscope was performed due to cholestasis symptoms to …

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Use of circumferential radiofrequency ablation for early esophageal squamous neoplasias

Post written by Wen-Lun Wang, MD, PhD and Ching-Tai Lee, MD, from the Department of Internal Medicine, E-Da Hospital/I-Shou University, Kaohsiung, Taiwan. Our study focused on the efficacy and safety of radiofrequency ablation (RFA) for early esophageal squamous cell neoplasias (ESCNs) in patients with well-compensated cirrhosis accompanied by esophageal varices. Heavy alcohol consumption is a …

Continue reading Use of circumferential radiofrequency ablation for early esophageal squamous neoplasias