iGIE最新文献

{"title":"Adult esophageal foreign body and food impaction: a video-based guide to endoscopic and nonendoscopic management","authors":"Ammar Ismail MD,&nbsp;Amira Alnakeb MD,&nbsp;Ibrahim Elhaj MD,&nbsp;Hassan Siddiki MD","doi":"10.1016/j.igie.2026.01.002","DOIUrl":"10.1016/j.igie.2026.01.002","url":null,"abstract":"<div><div>Esophageal foreign body (FB) ingestion and food impaction represent critical and increasingly common emergencies in adult populations, often requiring prompt diagnosis and intervention to prevent severe adverse events. This review explores the epidemiology, risk factors, and clinical management of esophageal FB and food bolus impactions, with an emphasis on endoscopic retrieval strategies. Although conservative and pharmacologic treatments, including glucagon, effervescent agents, and muscle relaxants, are occasionally used, they exhibit limited efficacy and should not delay endoscopic intervention. Flexible endoscopy remains the reference standard for diagnosis and treatment. We also discuss the use of various endoscopic tools and adjunctive devices, as well as esophageal dilation techniques for the management of esophageal impaction and underlying pathologies. This review aims to guide clinicians in approaching cases with esophageal impaction and in selecting the most effective and safest endoscopic approaches for managing adult esophageal impactions. A supplementary video demonstrates key retrieval tools in a simulated setting.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 3","pages":"Pages 470-478"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149078761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pancreaticobiliary maljunction with pancreas divisum: a rare variant and cause of biliary cannulation failure","authors":"Ahmed Kayal MBBS, FRCPC, MSc","doi":"10.1016/j.igie.2026.01.009","DOIUrl":"10.1016/j.igie.2026.01.009","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 3","pages":"Pages 372-373"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149078313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Novel endoscopic approach for Bouveret syndrome: a case report on successful lithotripsy with laser for giant duodenal gallstone removal","authors":"Mateo Londoño-Barrientos,&nbsp;Manuela Castrillón-Bustamante,&nbsp;Isabella Jiménez-Cadavid,&nbsp;Juan Troncoso-Correa,&nbsp;Gabriel Mosquera-Klinger MD","doi":"10.1016/j.igie.2025.09.006","DOIUrl":"10.1016/j.igie.2025.09.006","url":null,"abstract":"<div><div>Bouveret syndrome is a rare form of gastric outlet obstruction resulting from gallstone migration through a bilioenteric fistula. Fewer than 300 cases have been reported in the literature, to our knowledge. We present the case of a 68-year-old man with severe postprandial pain, recurrent vomiting, and significant weight loss. Laboratory tests revealed severe anemia, metabolic acidosis, and acute kidney injury. Imaging and upper endoscopy identified a large duodenal gallstone associated with a cholecystoduodenal fistula and ischemic gastric ulcers. The patient underwent endoscopic management with laser lithotripsy and fragment extraction, achieving complete resolution of the obstruction. This case highlights the feasibility and effectiveness of endoscopic therapy, particularly laser lithotripsy, as a minimally invasive alternative to surgery in patients with Bouveret syndrome who present with high surgical risk.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 2","pages":"Pages 203-206"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare duodenal perforation due to pancreatic stent migration","authors":"Naoki Takemura MD,&nbsp;Akihiko Kida MD, PhD,&nbsp;Jun Asai MD,&nbsp;Tatsuya Yamashita MD, PhD,&nbsp;Eishiro Mizukoshi MD, PhD,&nbsp;Takeshi Urabe MD, PhD,&nbsp;Taro Yamashita MD, PhD","doi":"10.1016/j.igie.2025.10.016","DOIUrl":"10.1016/j.igie.2025.10.016","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 2","pages":"Pages 186-187"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323886/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148379278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Character is destiny: the Endoscopic Ultrasound Users Group and the beginnings of endoscopic ultrasonography","authors":"Michael V. Sivak Jr. MD, MASGE,&nbsp;Phillip S. Ge MD, FASGE","doi":"10.1016/j.igie.2026.04.003","DOIUrl":"10.1016/j.igie.2026.04.003","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 2","pages":"Pages 249-269"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13324116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148379237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intramural duodenal hematoma following therapeutic endoscopy: a case report of a rare adverse event","authors":"Bryan W. Ferrigno MD,&nbsp;Katharine A. Germansky MD","doi":"10.1016/j.igie.2025.10.007","DOIUrl":"10.1016/j.igie.2025.10.007","url":null,"abstract":"<div><div>An intramural duodenal hematoma (IDH) is an uncommon clinical entity that can be an adverse event of therapeutic esophagogastroduodenoscopy (EGD). Herein, we present a case of a 60-year-old man who presented to the hospital with vomiting, diarrhea, and overt gastrointestinal bleeding with melena and small-volume hematemesis. EGD was pursued and revealed a bleeding duodenal ulcer that was therapeutically intervened upon to achieve hemostasis. After endoscopy, his hospital course was complicated by an intramural duodenal hematoma, which presented with abdominal pain and worsening anemia without recurrent overt gastrointestinal bleeding. After consultation with interventional radiology and surgery, he ultimately improved with supportive care and was discharged home without further endoscopic or procedural intervention. An IDH is an uncommon gastrointestinal pathology that should be considered after endoscopy in the setting of abdominal pain and anemia without overt bleeding. Conservative management often leads to successful outcomes, but multidisciplinary care should be considered in the setting of further adverse events.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 2","pages":"Pages 211-214"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13324052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retained capsule in covert strictures at the stoma closure site of an ileal pouch, retrieved following endoscopic strictureplasty via retrograde enteroscopy: a case report","authors":"Shanshan Wang MD,&nbsp;Dana J. Lukin MD, PhD,&nbsp;Bo Shen MD","doi":"10.1016/j.igie.2025.11.001","DOIUrl":"10.1016/j.igie.2025.11.001","url":null,"abstract":"<div><div>Video capsule endoscopy (VCE) is an important tool to evaluate small-bowel involvement in inflammatory bowel disease. However, the risk of capsule retention increases in the presence of strictures or obstruction. In patients with total proctocolectomy and ileal pouch-anal anastomosis (IPAA), the use of VCE is challenging because of the surgically altered anatomy and the common presence of strictures. A 46-year-old man with a history of ulcerative colitis and total proctocolectomy with IPAA underwent VCE to assess persistent, unexplained anemia, which impaired his training for a marathon. The capsule was retained at a high stoma closure site with 2 severe strictures undetected on magnetic resonance imaging and previous routine pouchoscopy. Endoscopic balloon dilation and endoscopic strictureplasty were performed with eventual retrieval of the capsule via retrograde enteroscopy. A thorough endoscopic evaluation of the ileal pouch, including the stoma closure site, is crucial prior to VCE.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 2","pages":"Pages 215-218"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13324055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A mucosal lesion in the rectum: an unexpected mucosa-associated lymphoid tissue lymphoma","authors":"Jilong Wang MD,&nbsp;Muchen Ren MD,&nbsp;Bing Yue PhD,&nbsp;Kuiliang Liu PhD","doi":"10.1016/j.igie.2026.01.006","DOIUrl":"10.1016/j.igie.2026.01.006","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 2","pages":"Pages 198-200"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13324121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148379251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pharyngeal endoscopic submucosal dissection: detection, technique, and considerations for Western adoption","authors":"Robert Bechara HonBSc, MD,&nbsp;Akiyoshi Ishiyama MD,&nbsp;Sasaki Toru MD,&nbsp;Ryosuke Kamiyama MD,&nbsp;Hiroki Mitani MD,&nbsp;Yukiko Sato MD,&nbsp;Toshiyuki Yoshio MD, PhD","doi":"10.1016/j.igie.2026.03.009","DOIUrl":"10.1016/j.igie.2026.03.009","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Pharyngeal squamous cell carcinoma (SCC) is increasingly detected at earlier stages in Japan, largely due to routine image-enhanced endoscopy and systematic pharyngeal examination. Endoscopic submucosal dissection (ESD) is now a preferred minimally invasive treatment option for superficial SCC, with excellent outcomes. Despite this, the technique remains underutilized in the West, even though the incidence of pharyngeal cancer continues to rise.</div></div><div><h3>Methods</h3><div>This review brings together current evidence on pharyngeal ESD, indications, technique, outcomes, and adverse events.</div></div><div><h3>Results</h3><div>Across contemporary series, en bloc and R0 resection rates are consistently high, with serious adverse events occurring infrequently. Nonetheless, pharyngeal ESD involves unique challenges stemming from complex anatomy, specialized anesthesia, and specific exposure techniques.</div></div><div><h3>Conclusions</h3><div>We highlight practical barriers limiting adoption in the West, particularly limited knowledge in optical diagnosis, and propose targeted education to close the knowledge gap. As demand increases for minimally invasive, organ-preserving treatments, pharyngeal ESD is poised to have an important role for the treatment of early pharyngeal SCC in Western practice.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 2","pages":"Pages 270-281"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13324217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of local recurrence and piecemeal resection in duodenal underwater endoscopic mucosal resection","authors":"Daisuke Minezaki MD,&nbsp;Teppei Akimoto MD, PhD,&nbsp;Motoki Sasaki,&nbsp;Shoma Murata MD,&nbsp;Yuri Imura MD,&nbsp;Anna Tojo MD,&nbsp;Hinako Sakurai MD,&nbsp;Kentaro Iwata MD, PhD,&nbsp;Kurato Miyazaki MD, PhD,&nbsp;Teppei Masunaga MD, PhD,&nbsp;Mari Mizutani MD, PhD,&nbsp;Kumiko Kirita MD, PhD,&nbsp;Koshiro Tsutsumi MD, PhD,&nbsp;Michiko Nishikawa MD,&nbsp;Yusaku Takatori MD, PhD,&nbsp;Shintaro Kawasaki MD,&nbsp;Noriko Matsuura MD,&nbsp;Hideomi Tomida MD, PhD,&nbsp;Atsushi Nakayama MD, PhD,&nbsp;Tomohisa Sujino MD, PhD,&nbsp;Naohisa Yahagi MD, PhD","doi":"10.1016/j.igie.2025.10.004","DOIUrl":"10.1016/j.igie.2025.10.004","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Underwater endoscopic mucosal resection (UEMR) has been widely adopted for the treatment of superficial nonampullary duodenal epithelial tumors (SNADETs). The aim of this study was to identify predictors of local recurrence and piecemeal resection in UEMR for SNADETs.</div></div><div><h3>Methods</h3><div>This is a retrospective single-center study. Patients who underwent UEMR for SNADETs between November 2017 and October 2024 were included. We documented clinicopathologic characteristics of patients and lesions, noted procedure-related outcomes, and evaluated local recurrence. Kaplan-Meier analysis was used to assess recurrence-free survival, and logistic regression analysis was performed to identify the predictors of piecemeal resection.</div></div><div><h3>Results</h3><div>Among the 367 patients, the rate of piecemeal resection was 11.2%, and the rate of en bloc resection with histologically tumor-free horizontal and vertical margins (R0) was 65.1%. No intraoperative perforations occurred; intraoperative bleeding was observed in 1.9%. Kaplan-Meier analysis of recurrence-free survival showed significantly poorer outcomes in the piecemeal resection group than the en bloc resection group (log-rank test, <em>P</em> &lt; .001; Wilcoxon test, <em>P</em> &lt; .001). According to multivariate logistic regression analysis, each 1-mm increase in lesion size (odds ratio [OR], 1.20; 95% confidence interval [CI], 1.11-1.31; <em>P</em> &lt; .001) and a flat macroscopic type (OR, 12.49; 95% CI, 1.45-107.98; <em>P</em> = .02) were significant independent predictors of piecemeal resection.</div></div><div><h3>Conclusions</h3><div>Piecemeal resection was a risk factor for local recurrence in UEMR for SNADETs. In addition, each 1-mm increase in lesion size and a flat macroscopic type were significant independent predictors of piecemeal resection.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 2","pages":"Pages 151-160"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148378603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}