Endoscopic subserosal dissection for early gastric cancer with severe fibrosis attributable to gastric ulcer scar

Post written by Shunya Takayanagi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan, and Department of Medicine and Bergen Research Group for Advanced Gastrointestinal Endoscopy (BRAGE), Haukeland University Hospital, Bergen, Norway. In this case, we attempted endoscopic submucosal dissection (ESD) for an intramucosal carcinoma on the lesser curvature of the gastric angle …

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Hybrid endoscopic resection combining underwater endoscopic mucosal resection and over-the-scope clip–assisted snare polypectomy for a recurrent colonic tumor with a hidden diverticulum

Post written by Takahiro Muramatsu, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, and the Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, Tokyo, and Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. An 80-year-old man underwent piecemeal EMR for a lesion that extended …

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GIE, VideoGIE, and iGIE to honor top reviewers at DDW

Top reviewers for GIE, VideoGIE, and iGIE will be recognized at the annual Editors’ Reception on May 5 during Digestive Disease Week in San Diego, California, USA. These 60 reviewers are being honored for their outstanding contributions to the journals through completing numerous high-quality reviews. They are thanked for their invaluable service to the peer-review process. The 2025 …

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Endoscopic diverticulectomy and myotomy for epiphrenic diverticulum

Post written by Fatih Aslan, MD, from the Department of Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. This case involved a 53-year-old woman who presented with dysphagia, chest pain, cough, and vomiting. Diagnostic evaluation revealed a 9-cm epiphrenic diverticulum along with an underlying esophageal motility disorder. We successfully treated this rare and complex condition through …

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EUS-guided intervention in surgically altered anatomy to remove large biliary stone

Post written by Azimudin Haja, MD, DM, Aniruddha Pratap Singh, DM, and Sundeep Lakhtakia, MD, DM, from AIG Hospitals, Hyderabad, India. Our case highlights the challenges faced in managing a patient with complex clinical problems several years after major surgery. The index patient who underwent curative pancreatoduodenectomy surgery 13 years ago for periampullary cancer presented with cholangitis because of a large …

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Duodenoscopy-assisted diagnosis and management of a duodenal varix

Post written by Kar Wai Lau, MBBCh, BAO (Hon), MD, FRCP, from the Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, United Kingdom. This is a case of a patient who presented with significant upper GI bleeding with hemodynamic compromise. She had a history of alcohol excess, and there was suspicion of variceal …

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Management of delayed colonic perforation after endoscopic submucosal dissection: the over-the-scope clip way

Post written by Yohei Minato, MD, from NTT Medical Center Tokyo, Tokyo, Japan. The video case presents management of a delayed colonic perforation that occurred after endoscopic submucosal dissection (ESD) of a 40-mm superficial neoplastic lesion in the ascending colon. Although the ESD was uneventful, the patient developed abdominal pain the next day, and emergency colonoscopy revealed …

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Ampullectomy of an unusual dysplastic lesion after deroofing of a type III choledochocele

Post written by Elena De Cristofaro, MD, PhD, from the Gastroenterology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy, and Mathieu Pioche, MD, PhD, from the Gastroenterology and Endoscopy Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France. We report a rare case of a type III choledochocele with a polypoid lesion suspicious for dysplasia. …

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EUS-directed transgastric PEG for long-term enteral feeding in patients with Roux-en-Y gastric bypass anatomy

Post written by Christina S. Gainey, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. We present a novel method for placing a PEG tube into the excluded stomach of Roux-en-Y gastric bypass patients, allowing for bolus gastric feeding. Although percutaneous endoscopic jejunostomy tubes are standard …

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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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