Safe endoscopic resection of a giant pedunculated colonic polyp after epinephrine volume reduction with clip placement

Post written by Tsukasa Ishida, MD, PhD, from the Department of Gastroenterology, Akashi Medical Center, Akashi, Japan. We present the case of a 59-year-old woman with a giant pedunculated polyp in the transverse colon. The lesion was approximately 50 mm in diameter with an elongated stalk and considered technically difficult to resect safely by conventional snare EMR …

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Top journal reviewers to be honored at DDW

The annual top reviewers for GIE, VideoGIE, and iGIE will be awarded at the Editors’ Reception on May 4 during Digestive Disease Week in Chicago, Illinois, USA. These 60 reviewers are being recognized for their significant number of high-quality reviews and their invaluable service to the peer-review process. The top reviewers are: Board Clinical Reviewers Yutaka Tomizawa, MD, MSc, …

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A torque-driven drill dilator to enable Y-configuration biliary stent placement for high-grade hilar obstruction

Post written by Hussam Almasri, MD, from the from the University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota, and Rahul Karna, MD, Abubaker Abdalla, MBBS, Stuart K. Amateau, MD, PhD, and Martin Freeman, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. We present a case of endoscopic management of malignant hilar biliary obstruction …

Continue reading A torque-driven drill dilator to enable Y-configuration biliary stent placement for high-grade hilar obstruction

Endoscopic esophageal reconstruction in epiphrenic diverticulum: septotomy-free diverticulectomy and suturing

Post written by Fatih Aslan, MD, from Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. The procedure was performed with the patient under general anesthesia using a standard gastroscope. A submucosal tunneling approach was initiated proximal to the diverticulum. The surrounding tissue was carefully dissected, allowing the diverticulum to be mobilized into the lumen and subsequently inverted. After …

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Application of a novel endoscopic ultrasound–guided motorized fine needle for liver and pancreatic lesion biopsy

Post written by Carlos Robles-Medranda, MD, FASGE, AGAF, from Instituto Ecuatoriano de Enfermedades Digestivas, Guayaquil, Ecuador. This video presents 2 clinical cases demonstrating the use of a second-generation motorized fine-needle biopsy (mFNB) device (Precision-GI; Limaca Medical, Ein Ha Emeq, Israel) for EUS-guided tissue acquisition in hepatic and pancreatic lesions. The first case involves a 56-year-old woman with …

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Peroral endoscopic myotomy for esophageal motility disorders

Post written by Mark Solinski, MD, and Aziz Aadam, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Northwestern University, Chicago, Illinois, USA. Our video was designed to educate patients about peroral endoscopic myotomy (POEM). In the video, we walk viewers through the indications and contraindications, provide a detailed procedural description, and explain postprocedural expectations. We believe a …

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Endoscopic reversal of Roux-en-Y gastric bypass using lumen-apposing metal stent for the treatment of excessive weight loss and hyperammonemic encephalopathy

Post written by Ricardo Almeida, MD, from the Universidade Federal de São Paulo, São Paulo, Hugo Guedes, MD, Liliana Mendes, MD, and Carlos Rassi, MD, from the Department of Gastroenterology, Hospital Sírio-Libanês, Brasília, Brazil, Roberto Simons-Linares, MD, MSc, from the Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, Ohio, Prabhleen Chahal, MD, MASGE, FACG, and …

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Endoscopic tunneling and subserosal dissection using a natural orifice transluminal endoscopic surgery approach for a gastrointestinal stromal tumor

Post written by Amol Bapaye, MD (MS), FASGE, MSGEI, FISG, FJGES, and Sanjana Bhagwat, MD, DNB, from Deenanath Mangeshkar Hospital and Research Center, Pune, India. We highlight a case of a 74-year-old woman presenting with a 3.8- x 3.3-cm exophytic gastrointestinal stromal tumor on the lesser curvature that was treated using a unique strategy and technique. The strategy: After …

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Set-up and use of the “Asclepius tube”: a slim drainage tube to facilitate saline-immersion endoscopic submucosal dissection

Post written by Edward J. Despott, MD, FRCP, FEBGH, FASGE, MD (Res), Elisabet Maristany Bosch, MD, and Georgios Kalopitas, MD, PhD, from the Royal Free Unit for Endoscopy, The Royal Free Hospital and University College London Institute for Liver and Digestive Health, London, United Kingdom. Our video showcases the practical implementation of the “Asclepius tube,” an innovative, simple drainage system designed for …

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Endoscopic mesorectal dissection for precise pathologic staging and potential treatment of locally advanced rectal cancer

Post written by Varun Jain, MD, MBA, and Sultan Mahmood, MD, FASGE, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. We present a case of endoscopic mesorectal dissection (EMD) performed for staging and potential treatment of a residual rectal adenocarcinoma following incomplete hot snare polypectomy. A 67-year-old man underwent colonoscopy after a …

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