Assessing the impact of center volume on the cost-effectiveness of centralizing ERCP
This study performed a cost-effectiveness analysis to evaluate the hypothesis that high-volume (HV) centers perform ERCP with higher quality at lower costs than low-volume (LV) centers. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - December 5, 2023 Category: Gastroenterology Authors: Sara Campos, Pedro Diniz, Frederico Castelo Ferreira, Theodor Voiosu, Marianna Arvanitakis, Jacques Deviere Source Type: research
Top tips for successful endoscopic hemorrhoid banding (with video)
Hemorrhoids remain a common, and often vexing, problem. Many gastroenterologists do not believe that managing hemorrhoids is their responsibility and often defer this role to primary care providers or, in patients with significant symptoms, colorectal surgeons. Worsening the problem, many gastroenterology fellowships contain little to no education for fellows regarding the evaluation and treatment of hemorrhoids. When these fellows graduate, they are often stunned to discover how many patients have symptomatic hemorrhoids and need guidance regarding therapy. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - December 4, 2023 Category: Gastroenterology Authors: Waqar Qureshi Tags: Top tips Source Type: research
Top tips for successful endoscopic hemorrhoid banding (with video)
Hemorrhoids remain a common, and often vexing, problem. Many gastroenterologists do not believe that managing hemorrhoids is their responsibility and often defer this role to primary care providers or, in patients with significant symptoms, colorectal surgeons. Worsening the problem, many gastroenterology fellowships contain little to no education for fellows regarding the evaluation and treatment of hemorrhoids. When these fellows graduate, they are often stunned to discover how many patients have symptomatic hemorrhoids and need guidance regarding therapy. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - December 4, 2023 Category: Gastroenterology Authors: Waqar Qureshi Tags: Top tips Source Type: research
Top tips for successful endoscopic hemorrhoid banding
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - December 4, 2023 Category: Gastroenterology Authors: Waqar Qureshi Source Type: research
Anesthesia Choice and Its Potential Impact on Endoluminal Functional Lumen Imaging Probe Measurements in Esophageal Motility Disorders
The widespread use of peroral endoscopic myotomy (POEM) has revolutionized the management of esophageal motility disorders (EMDs). The introduction of an endoluminal functional lumen imaging probe (EndoFLIP) can serve as a complimentary diagnostic tool to assess the mechanical properties (i.e., pressure, diameter, distensibility and topography) of the esophagus. During EndoFLIP measurements, different anesthesia techniques may induce variable degrees of neuromuscular blockade, potentially affecting esophageal motility and altering the results of EndoFLIP metrics. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - December 2, 2023 Category: Gastroenterology Authors: Andrew Canakis, David U. Lee, Jennifer L. Grossman, Daniel G. Hwang, Jennifer Wellington, Alexander H. Yang, Gregory H. Fan, Grace E. Kim, Raymond E. Kim Source Type: research
The Impact of Transpancreatic Precut Sphincterotomy on the Quality of Endoscopic Retrograde Cholangiopancreatography in a Low-Volume Setting
Although quality improvement is crucial for endoscopic retrograde cholangiopancreatography (ERCP), a low practice volume can pose challenges to achieving high-quality bile duct cannulation. Transpancreatic precut sphincterotomy (TPS) has been proven effective for advanced cannulation. However, existing data mainly come from skilled endoscopists in large medical centers. The impact of TPS on ERCP quality in a lower-volume setting deserves investigation. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - November 30, 2023 Category: Gastroenterology Authors: Wei-Chih Su, Chia-Chi Wang, Tsung-Hsien Hsiao, Hung-Da Chen, Jiann-Hwa Chen Source Type: research
Endoscopic submucosal dissection with versus without traction for pathologically staged t1b esophageal cancer: a multicenter retrospective study
Positive vertical margins (VM) are common after endoscopic submucosal dissection (ESD) of T1b esophageal cancer (EC) and are associated with an increased risk of recurrence. Traction during ESD provides better exposure of the submucosa and may allow deeper dissection, potentially reducing the risk of positive VMs. We conducted a retrospective multicenter study to compare the proportion of resections with positive VMs in ESD performed with vs. without traction in pathologically staged T1b EC. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - November 30, 2023 Category: Gastroenterology Authors: Abel Joseph, Kornpong Vantanasiri, Peter V. Draganov, William King, Fauze Maluf-Filho, Mohammad Al-Haddad, Hashem Albunni, Norio Fukami, Sonmoon Mohapatra, Hiroyuki Aihara, Neil R. Sharma, Amitabh Chak, Dennis Yang, Rituraj Singh, Sunguk Jang, Suneel Kama Source Type: research
Association of direct oral anticoagulant and delayed bleeding with pharmacokinetics after endoscopic submucosal dissection
This study aimed to evaluate pharmacological risk factors for post-ESD bleeding in patients taking DOAC. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - November 30, 2023 Category: Gastroenterology Authors: Masaki Murata, Mitsushige Sugimoto, Satoshi Ueshima, Yasuaki Nagami, Masaki Ominami, Manabu Sawaya, Yasuki Nakatani, Yohei Furumoto, Osamu Dohi, Tetsuya Sumiyoshi, Masakatsu Fukuzawa, Shigetsugu Tsuji, Koji Miyahara, Yoji Takeuchi, Sho Suzuki, Naoyuki Tom Source Type: research
Endoscopic Powered Resection Device for Residual Colonic Lesions: The First Multicenter, Prospective, International Clinical Study.
This study evaluated safety and effectiveness of an endoscopic powered resection (EPR) system for scarred adenomatous colorectal lesions. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - November 30, 2023 Category: Gastroenterology Authors: Mate Knabe, Roberta Maselli, Elodie Cesbron-Metivier, Stephan Hollerbach, Lucio Petruzziello, Fr édéric Prat, Harshit S. Khara, Mathieu Pioche M, Dirk Hartmann, Paola Cesaro, Arthur Berger, Cristiano Spada, David L. Diehl, Andrea May, Thierry Ponchon, A Source Type: research
Enhancing Diagnosis: The role of endocytoscopy in diagnosing small esophageal squamous cell carcinoma
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - November 23, 2023 Category: Gastroenterology Authors: Natsuki Kawamata, Yuto Shimamura, Ippei Tanaka, Haruhiro Inoue Source Type: research
Transesophageal echocardiography of upper esophageal perforation successfully treated with vacuum sponge therapy (with video)
A 68-year-old man was admitted for myocardial revascularization because of critical stenosis of the left main coronary artery trunk and the first diagonal branch. Transesophageal echocardiography (TEE) was performed in the operating room. A triple artery bypass graft was performed. After surgery, subcutaneous emphysema was detected. CT revealed leakage of oral contrast material in the left side of the upper part of the esophagus. Percutaneous drainage was performed to address the collection in the left hemithorax. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - November 21, 2023 Category: Gastroenterology Authors: Antonio Z. Gimeno-Garc ía, Beatriz Guil-Ortiz, Javier Málaga-Gil, David Nicolás-Pérez Tags: At the Focal Point Source Type: research
A fish bone embedded in the hypopharynx successfully extracted by cap-assisted endoscopy
A 53-year-old man who had eaten Pacific Ocean perch presented to our hospital with a severe sore throat. CT showed a long, high-density structure in the right side of the hypopharynx. Emergency EGD with an 18.1-mm transparent soft cap (Disposable Distal Attachment, Model D-206-05, Olympus Medical Systems, Inc, Tokyo, Japan) revealed a fish bone embedded nearly in its entirety within the wall of the right piriform sinus, with only a tip protruding outside the mucosa (A). The fish bone became exposed outside in response to the gag reflex stimulated by the cap without intubation of the patient, but with an ENT surgeon also pr...
Source: Gastrointestinal Endoscopy - November 21, 2023 Category: Gastroenterology Authors: Kimitoshi Kubo, Shuhei Hayasaka, Ikko Tanaka Tags: At the focal point Source Type: research
Direct intrahepatic portocaval shunt compressing the bile duct: a rare case of jaundice
A 26-year-old man with a history of thalassemia complicated by chronic portal vein thrombosis (PVT), who had received a mesocaval shunt in 2018, with recurrent portal hypertension, was referred for placement of a transjugular intrahepatic portosystemic shunt (TIPS). The patient had chronic PVT with cavernous transformation; therefore, the decision was made to place a direct intrahepatic (inferior vena cava through the liver and into the portal vein) portal systemic shunt (DIPS) instead of a TIPS because of a shorter, more straightforward angle to the recanalized portal branch. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - November 21, 2023 Category: Gastroenterology Authors: Shifa Umar, Andrew Aronsohn, Osman Ahmed, Jonathan M. Lorenz, Uzma D. Siddiqui Tags: At the focal point Source Type: research
Successful prevention of post-endoscopic submucosal dissection esophageal stenosis by using autologous buccal mucosa with polyglycolic acid and self-help inflatable balloon
A 56-year-old man with a diagnosis of superficial esophageal neoplasm approximately 28 to 33 cm from the incisors underwent nearly circumferential endoscopic submucosal dissection (ESD), and the remaining normal mucosa was (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - November 21, 2023 Category: Gastroenterology Authors: Yi Liu, Lizhou Dou, Tao Song, Guiqi Wang Tags: At the Focal Point Source Type: research
Biliary cast syndrome developed after treatment for acute cholangitis: progression to secondary sclerosing cholangitis
An 81-year-old man, without prior inflammatory biliary disease, underwent ERCP and endoscopic sphincterotomy for cholangitis resulting from common bile duct stones. One week after hospital discharge, he experienced fever, and the results of liver function tests were abnormal. MRCP indicated poor visualization, but prominent dilatations were observed in the intrahepatic ducts. ERCP revealed intraductal-filling translucent images from the hilar to the intrahepatic bile ducts (A). Cytologic analysis of the bile did not identify a malignancy. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - November 21, 2023 Category: Gastroenterology Authors: Kengo Yasugi, Tsuneyoshi Ogawa, Toru Ueki Tags: At the focal point Source Type: research
