EndoCollab

🥼 Case: 69M with Barrett's esophagus (25-40 cm), T1a EAC at 35 cm, lymphovascular invasion, involved margin.

❓ Question: Esophagectomy vs. Endoscopic treatment?

Read the answer on EndoCollab

Improving Colonoscopy Prep and Achieving Better Boston Bowel Preparation Scores

An Overview of Segmental Bile Duct Dilation and Caroli's Disease

Quick Case: Portal Hypertensive Duodenopathy

60-year-old male with cirrhosis and anemia. EGD diagnosed portal hypertensive duodenopathy (PHD).

🔍 Often missed in endoscopy, PHD mimics GAVE and causes GI bleeding.

💡 Learn more:

Quick Case: Portal Hypertensive Duodenopathy 60-year-old male with cirrhosis presented with microcytic anemia and hemoccult positive stools. EGD, colonoscopy and capsule endoscopy were reported as normal.

Can I have your experience with colonoscopy prep? I have noticed that most of the patients we receive don't have a good Boston score?

Guidelines for endoscopic submucosal dissection and endoscopic mucosal resection for early gastric cancer (second edition)

Advancements in Endoscopic Vacuum Therapy

Endoscopic vacuum therapy has seen significant progress in recent years, offering innovative solutions for complex gastrointestinal issues. This article explores key developments in this field, focusing on three primary areas:

Endoscopic Negative Pressure Therapy (ENPT)

ENPT has emerged as a groundbreaking technique for addressing anastomotic intestinal leaks. Its core components include:

- Open-pored drains
- Continuous negative pressure application

This therapy is further categorized into:

1. Intraluminal therapy
2. Intracavitary therapy

Each approach offers unique benefits, depending on the specific clinical scenario.

Open Pore Film Drainage (OFD)

Dr. Gunnar Loske's pioneering work has led to a significant advancement in endoscopic vacuum therapy — the Open Pore Film Drainage (OFD) technique. This method:

- Is applicable across various luminal operations
- Prevents collapse of the treated area
- Maintains constant suction, enhancing therapeutic efficacy

OFD represents a paradigm shift in how we approach certain gastrointestinal complications, offering improved outcomes for patients.

Preemptive Therapy & Tube-in-Tube Technique

The latest innovations in endoscopic vacuum therapy include preemptive approaches and the tube-in-tube technique. These advancements:

- Aim to prevent post-operative leaks in complex surgeries
- Expand the applications of endoscopic vacuum therapy
- Demonstrate remarkable healing capabilities

[Note: The tube-in-tube technique, in particular, shows promise for reducing complications in high-risk procedures.]

These developments underscore the evolving nature of endoscopic vacuum therapy and its growing importance in gastrointestinal medicine.

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For a more comprehensive understanding of these advancements, we recommend reviewing the detailed article available at: https://www.thepracticingendoscopist.com/p/advances-in-endoscopic-vacuum-therapy

This resource provides in-depth insights into the techniques discussed and their clinical applications.

Treating Upper Gastrointestinal Bleeding: An Update on Endoscopic Techniques

Cameron Lesions

From pulmonary disease to bacterial gas production, there are plenty of potential triggers for pneumatosis coli.

If you're curious about this rare condition and its underlying causes, don't miss our latest article.

Pneumatosis Coli: Characteristics, Diagnosis, and Etiologies - EndoCollab An elderly patient presented with abdominal pain, diarrhea, and fever. A colonoscopy found pneumastosis coli in sigmoid colon polypoid lesions ranging from 10 to 30mm in size. This article describes the diagnosis, characteristics, and etiologies of pneumatosis coli. Key Points: Conclusion:Pneumatosi...

Is Endoscopic Submucosal Dissection (ESD) Ready to Enter Center-Stage for the Resection of Large Colorectal Polyps?

Post Liver Transplant - Spectrum of Strictures After Liver Transplantation

The ESD-EMR Hybrid Technique: Advancing Endoscopic Resection

Introduction

Gastrointestinal (GI) lesion resection presents unique challenges for medical professionals. A novel hybrid technique — combining Endoscopic Submucosal Dissection (ESD) and Endoscopic Mucosal Resection (EMR) — offers a promising solution for difficult cases.

The Technique

This innovative approach utilizes a pre-cut incision to facilitate complete snare resection, effectively merging the strengths of both ESD and EMR methodologies.

Procedure Overview:

1. Submucosal injection to elevate the lesion
2. Pre-cut incision around the lesion using the snare tip
3. Creation of a customized groove for snare placement
4. Lesion resection using standard EMR technique

Advantages

The ESD-EMR hybrid technique offers several benefits over traditional methods:

- Enhanced lateral margin resection
- Reduced recurrence rates
- Capability to treat larger and more challenging lesions

Applications

This technique is particularly useful for:

- Laterally spreading colorectal tumors
- Serrated polyps
- Non-lifting lesions

Limitations

While promising, the hybrid technique does present some challenges:

- Technical complexity
- Extended procedure duration
- Steep learning curve for practitioners

Conclusion

The ESD-EMR hybrid technique represents a significant advancement in endoscopic resection capabilities. It addresses the limitations of traditional ESD and EMR methods, particularly when dealing with flat, slippery tumors that have historically been difficult to remove.

For a comprehensive understanding of this innovative approach to challenging GI lesion removal, we encourage you to review our detailed blog post: https://endocollab.com/blogs/news/the-esd-emr-hybrid-technique-for-improved-endoscopic-resection

By embracing this hybrid technique, medical professionals can expand their therapeutic arsenal and improve patient outcomes in complex GI cases.

Inflammatory Fibroid Polyps (IFP) or Vanek Tumors of the GI Tract

Gastrointestinal Bleeding due to Amyloidosis: Investigating the Intersection of Rheumatoid Arthritis, Gastrointestinal Bleeding, and Amyloidosi

JNET Classification

TERMINAL ILEITIS DIFFERENTIAL DIAGNOSIS, By Dr. Paul Guzik
🔹Actinomycosis
🔹Amyloidosis
🔹Anisakiasis
🔹Ankylosing spondylitis
🔹Backwash ileitis in UC
🔹Behçet’s syndrome
🔹Cryptosporidiosis
🔹Crohn’s disease
🔹 CVID
🔹Endometriosis
🔹Eosinophilic enteritis
🔹IPEX (mmune dysregulation, polyendocrinopathy, enteropathy, X-linked) syndrome

✅ IPSID - immunproliferative small bowel disease
🔹Neoplasm
🔹NSAIDs
🔹Radiation enteritis
🔹Reactive arthritis
🔹Salmonella typhi
🔹Sarcoidosis
🔹Tuberculosis
🔹Typhlitis
🔹Vasculitides (ie SLE, PAN, HSP)
🔹Yersinia

Pathophysiology and Etiology of Hyperbilirrubinemia