Efficacy of rapid bowel preparation with new 1 L polyethylene glycol ascorbate solution in severe acute lower GI bleeding

Post written by Mauro Manno, MD, from the Gastroenterology and Digestive Endoscopy Unit, Azienda USL, Modena, Italy. A 70–year-old man with history of chronic atrial fibrillation ongoing anticoagulant therapy was hospitalized for hemorrhagic shock and severe anemia, secondary to massive LGIB. Resuscitation with fluids and blood transfusions was performed. The novel 1-liter PEG+ASC solution (Plenvu, …

Continue reading Efficacy of rapid bowel preparation with new 1 L polyethylene glycol ascorbate solution in severe acute lower GI bleeding

Endoscopic sleeve gastroplasty in peritoneal dialysis

Post written by Avik Sarkar, MD, from the Department of Gastroenterology, Robert Wood Johnson Medical Center, New Brunswick, New Jersey, USA. We describe the case of a 51-year-old woman with diabetes, uncontrolled hypertension, ESRD on PD for 3 years, and morbid obesity that failed to respond to lifestyle and dietary modification for weight loss. The …

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Modified primary obesity surgery endoluminal (POSE-2) procedure for the treatment of obesity

Post written by Ravishankar Asokkumar, MBBS, MRCP, and Gontrand Lopez-Nava, MD, PhD, from the Bariatric Endoscopy Unit, HM Sanchinarro University Hospital, Madrid, Spain, and the Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore. We described a novel primary endoscopic approach to treat obesity using the incision-less operating platform (USGI Medical, USA). We have shared …

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EUS-guided cholecystogastrostomy for acute cholecystitis in a patient with an omphalocele

Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. We present a case of a 34-year-old woman with a history of an incompletely repaired omphalocele with recurrent small bowel obstructions and lung hypoplasia complicated by chronic respiratory failure requiring nocturnal non-invasive ventilation, who presented with concern …

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Novel approach to ESD of a cecal lesion with nonlifting sign by submucosal fatty tissue with use of selective-regulation high-pressure water-jet method and immersion in saline solution

Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, HM Hospitales Group, Department of Clinical Sciences, School of Medicine, University of CEU San Pablo, Madrid, Spain. In this video case report, we describe an endoscopic submucosal dissection (ESD) of a large laterally spreading lesion in the cecum, which …

Continue reading Novel approach to ESD of a cecal lesion with nonlifting sign by submucosal fatty tissue with use of selective-regulation high-pressure water-jet method and immersion in saline solution

Peroral cholangioscopy–guided probe-based confocal laser endomicroscopy for preoperative diagnosis of pancreatic cancer

Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 79-year-old man was referred to our hospital because of jaundice. He had previously undergone Billroth-II gastrectomy for gastric cancer. ERCP was performed. At first, we used a SIF-H290S (Olympus Medical Systems, Tokyo, Japan) with …

Continue reading Peroral cholangioscopy–guided probe-based confocal laser endomicroscopy for preoperative diagnosis of pancreatic cancer

Double-tunneling butterfly method for endoscopic submucosal dissection of extensive rectal neoplasms

Post written by Noriko Suzuki, MD, PhD, from The Wolfson Unit for Endoscopy, St Mark’s Hospital, London, United Kingdom. We demonstrated the application of the double-tunneling (DoT) butterfly method for ESD on 4 cases with extensive rectal neoplasms. The key feature of the DoT butterfly method is the creation of 2 tunnels that are transformed …

Continue reading Double-tunneling butterfly method for endoscopic submucosal dissection of extensive rectal neoplasms