Articles & Issues

Hirschsprung disease consists of a congenital absence of the colonic ganglionic cells of the submucosal and mioenteric plexus, that may be treated by surgical procedure. However the stenosis of the co...

Case 1 involves a 37 year old woman with pancreatitis, pseudocyst, and portal vein thrombosis is admitted with abdominal pain and intolerance to tube feeds. CT scan reveals a dilated pancreatic duct a...

A 75 year old female is admitted with extensive necrotizing pancreatitis which began after ERCP for removal of a pancreatic duct stone at an outside institution. She has an extensive necrotic retroper...

A 67 year old man presented with cholecystolithiasis and choledocholithiasis. He was deemed a high-risk candidate for surgery due to severe coronary artery disease. The patient initially developed acu...

Real time EUS imaging of submucosal arteries would be an advance in the management of upper GI bleeding, as it may allow for targeting of therapy and assessment of cessation of blood flow post therapy...

Esophageal achalasia is an esophageal motility disorder where the lower esophageal sphincter (LES) fails to relax in response to swallowing with no fully understood underlying cause. Dependent on seve...

The most important factor in making ESD safer and easier is to maintain good counter traction during ESD. However, making counter traction is sometimes difficult; the resected area is easily turned to...

High frequency, low energy gastric electrical stimulation (GES) has been shown to be an effective management strategy for patients with medication refractory gastroparesis. However, placement of a per...

Anastomotic leak after esophagectomy and gastric pull-up surgery occurs in 5% to 29% of patients and is associated with a mortality rate of up to 60%. The treatment options are surgery, external drain...

A 58 year-old female was admitted with back pain and symptoms of bowel obstruction. Abdominal CT showed a large, thick-walled cavitated mass at the splenic flexure with proximal colonic dilation and d...

EUS rendezvous was first described in 2004 as an alternative to achieve biliary drainage in cases of failed attempts by ERCP with good results. Biliary drainage was performed latter by some authors wi...

Perforations in GI tract are traditionally treated surgically. However, several reports revealed a successful endoscopic treatment of small defects using endoscopic clips. Larger defects, however, are...

Endoscopic retrograde cholangiopancreatography (ERCP) in patients who have undergone a Whipple procedure (pancreaticoduodenectomy) is technically difficult and not always successful. This is due to th...

Laparoscopic adjustable gastric band is a popular method for obesity treatment. Intragastric migration of a gastric band is a relatively common complication (0.5 to 7%). Endoscopic removal of a migrat...

A 78 year old woman is found to have primary gastric adenocarcinoma with invasion into the mid pancreas. A subtotal gastrectomy (Billorth II) and spleen preserving distal pancreatectomy are performed....

An 82 year-old woman had a cholecystectomy remotely. However, she developed recurrent primary common bile duct (CBD) stones several years later. After unsuccessful endoscopic and medical management, t...

Endoscopic mucosal resection (EMR) has been adopted into advanced endoscopic practices in the United States as a diagnostic and therapeutic technique. The development of this technique has been a majo...

Fundal gastric variceal hemorrhage is a lethal complication of cirrhosis. Practice guidelines for the management of acute fundal gastric varices bleeding (AASLD 2007) recommends cyanoacrylate injectio...

Colonoscopy decreases but does not eliminate the risk of colorectal cancer in average and high-risk populations. Many reasons have been postulated for the development of interval cancers, including th...

Perianal Crohn's represents an aggressive form of disease characterized by poor quality of life and increased risk of operative intervention. Many approaches have been used over the years in the evalu...

A 25 year old female presented with a 3 month history of abdominal pain with eating. She had such severe pain, she had stopped working and was on disability. On evaluation at an outside hospital, she ...

The usual approach to the papilla of vater with a side -viewing duodenoscope or colonoscope in postoperative patients with challenging anatomic rearrangements is not always successful. The major chall...

A 62 year-old man presented with obstructive jaundice. He had 2 prior ERCP's which did not reveal a clear diagnosis. MRCP demonstrated a markedly dilated extrahepatic duct, with filling defects and wa...

Single Operator Choledochoscopy (SOC) using the SpyGlassTM Direct Visualization System (Boston Scientific, Natick, MA) is a platform used to assist in the confirmation of diagnosis of biliary lesions....

Recent our retrospective study revealed the usefulness of peroral videocholangioscopy (PVCS) (CGH 2010;8:934). The aim of this study was to prospectively evaluate the diagnostic ability and adverse ev...

Published prevalence of Barrett's esophagus (BE) varies from 2.3 - 25%, and depends on accurate endoscopic diagnosis (dx), but the veracity of endoscopic findings in the literature is not clear. The r...

Endoscopic submucosal dissection (ESD) is an emerging treatment option for early gastrointestinal neoplasia. This technique is not currently widespread in the U.S. due to its complexity, and lack of t...

Previous studies have shown that detecting dysplastic changes in Barrett's esophagus (BE), including high-grade dysplasia (HGD), is susceptible to sampling bias by the endoscopist or misclassification...

Covered self-expanding metal stents are being used more frequently in benign biliary strictures (BBS). We report the results of a multi-center study with fully covered self-expanding metal stent (FCSE...