VideoGIEPub Date : 2025-02-01DOI: 10.1016/j.vgie.2024.09.012
Ethan M. Cohen MD , Ayowumi A. Adekolu MD , Rohit Agrawal MD , Mohamed Zitun MD , Soban Maan MBBS , Shyam Thakkar MD , Shailendra Singh MD
{"title":"Endoscopic closure of esophageal, gastric, jejunal, and rectopelvic fistulas with cardiac septal occluder devices: a case series","authors":"Ethan M. Cohen MD , Ayowumi A. Adekolu MD , Rohit Agrawal MD , Mohamed Zitun MD , Soban Maan MBBS , Shyam Thakkar MD , Shailendra Singh MD","doi":"10.1016/j.vgie.2024.09.012","DOIUrl":"10.1016/j.vgie.2024.09.012","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Treating GI fistulas and anastomotic leaks is a challenge. Traditionally, these adverse events have been treated with conservative measures or surgical interventions, both of which have been associated with high rates of morbidity. Although endoscopic techniques are available and commonly minimally invasive, their success can be variable and oftentimes require repeat interventions. Cardiac septal occluder (CSO) devices have emerged as an alternative for managing these complex GI fistulas and anastomotic leaks after the more conservative endoscopic options fail.</div></div><div><h3>Methods</h3><div>Before the introduction of the CSO device into the body, a CSO delivery system must first be created. After integrating this system with an endoscope, argon plasma coagulation is used on each of the fistulas, and the CSOs are then deployed under fluoroscopy.</div></div><div><h3>Cases</h3><div>We present 4 cases of CSO device placement throughout the GI tract: in the esophagus, jejunum, stomach, and rectosigmoid colon. Each of these cases presents unique challenges in maneuvering the anatomy, ensuring the CSOs fully occlude the fistulas, and are successful in causing tissue in-growth postplacement.</div></div><div><h3>Conclusions</h3><div>This study presents a case series of 4 successful closures of GI fistulas using CSO devices after the failure of more conservative therapies. Each of these cases takes place in a different part of the GI tract—the esophagus, stomach, small intestines, and large intestines—indicating the broad application of CSO devices. CSOs offer a promising alternative for managing complex GI fistulas and postsurgical anastomotic leaks endoscopically throughout the entire GI tract.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"10 2","pages":"Pages 163-166"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143296517","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}
VideoGIEPub Date : 2025-02-01DOI: 10.1016/j.vgie.2024.09.011
Shae Patel DO, Savan Kabaria MD, Paul Leonor MD
{"title":"Novel use of endoscopic morcellation of a duodenal bulb polyp","authors":"Shae Patel DO, Savan Kabaria MD, Paul Leonor MD","doi":"10.1016/j.vgie.2024.09.011","DOIUrl":"10.1016/j.vgie.2024.09.011","url":null,"abstract":"","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"10 2","pages":"Pages 150-152"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143296529","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}
VideoGIEPub Date : 2025-02-01DOI: 10.1016/j.vgie.2024.10.004
Sarang Gupta MD , Sechiv Jugnundan MD , Yusuke Fujiyoshi MD , Sam Seleq MD , Gary May MD , Jeffrey D. Mosko MD, MSc
{"title":"Endoscopic incisional therapy for giant bridged pseudopolyposis of the esophagus in a patient with upper GI Crohn’s disease","authors":"Sarang Gupta MD , Sechiv Jugnundan MD , Yusuke Fujiyoshi MD , Sam Seleq MD , Gary May MD , Jeffrey D. Mosko MD, MSc","doi":"10.1016/j.vgie.2024.10.004","DOIUrl":"10.1016/j.vgie.2024.10.004","url":null,"abstract":"","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"10 2","pages":"Pages 143-145"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143296518","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}
VideoGIEPub Date : 2025-02-01DOI: 10.1016/j.vgie.2024.10.003
Mahmoud Aryan MD, Sergio A. Sánchez-Luna MD, Babusai Rapaka MD, Ali Ahmed MD, Shajan Peter MD, Kondal Kyanam Kabir Baig MD, Ramzi Mulki MD
{"title":"Endoscopic laser lithotripsy of obstructive colonic gallstone ileus","authors":"Mahmoud Aryan MD, Sergio A. Sánchez-Luna MD, Babusai Rapaka MD, Ali Ahmed MD, Shajan Peter MD, Kondal Kyanam Kabir Baig MD, Ramzi Mulki MD","doi":"10.1016/j.vgie.2024.10.003","DOIUrl":"10.1016/j.vgie.2024.10.003","url":null,"abstract":"","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"10 2","pages":"Pages 160-162"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143296514","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}
VideoGIEPub Date : 2025-02-01DOI: 10.1016/j.vgie.2024.10.001
ASGE Standards of Practice Committee, Madhav Desai MD, MPH , Wenly Ruan MD , Nirav C. Thosani MD , Manuel Amaris MD , J. Stephen Scott MD , Ahmed Saeed MD , Barham Abu Dayyeh MD, MPH, FASGE , Marcia Irene Canto MD, MHS, MASGE , Wasif Abidi MD, PhD , Omeed Alipour MD , Stuart K. Amateau MD, PhD, FASGE , Natalie Cosgrove MD , Sherif E. Elhanafi MD , Nauzer Forbes MD, MSc, FASGE , Divyanshoo R. Kohli MD , Richard S. Kwon MD, FASGE , Larissa L. Fujii-Lau MD , Jorge D. Machicado MD, MPH , Neil B. Marya MD , Bashar J. Qumseya MD, MPH, FASGE
{"title":"American Society for Gastrointestinal Endoscopy guideline on the diagnosis and management of GERD: methodology and review of evidence","authors":"ASGE Standards of Practice Committee, Madhav Desai MD, MPH , Wenly Ruan MD , Nirav C. Thosani MD , Manuel Amaris MD , J. Stephen Scott MD , Ahmed Saeed MD , Barham Abu Dayyeh MD, MPH, FASGE , Marcia Irene Canto MD, MHS, MASGE , Wasif Abidi MD, PhD , Omeed Alipour MD , Stuart K. Amateau MD, PhD, FASGE , Natalie Cosgrove MD , Sherif E. Elhanafi MD , Nauzer Forbes MD, MSc, FASGE , Divyanshoo R. Kohli MD , Richard S. Kwon MD, FASGE , Larissa L. Fujii-Lau MD , Jorge D. Machicado MD, MPH , Neil B. Marya MD , Bashar J. Qumseya MD, MPH, FASGE","doi":"10.1016/j.vgie.2024.10.001","DOIUrl":"10.1016/j.vgie.2024.10.001","url":null,"abstract":"<div><div>This clinical practice guideline from the American Society for Gastrointestinal Endoscopy (ASGE) provides an evidence-based approach for strategies to diagnose and manage GERD. This document was developed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) framework and serves as an update to the prior ASGE guideline on the role of endoscopy in the management of GERD (2014). The updated guideline addresses the indications for endoscopy in patients with GERD, including patients who have undergone sleeve gastrectomy (SG) and peroral endoscopic myotomy (POEM). It also discusses endoscopic evaluation of gastroesophageal junctional integrity comprehensively and uniformly. Important, this guideline discusses management strategies for GERD including lifestyle interventions, proton pump inhibitors (PPIs), and endoscopic antireflux therapy including transoral incisionless fundoplication (TIF), radiofrequency energy, and TIF combined with hiatal hernia repair (cTIF). The ASGE recommends upper endoscopy for the evaluation of GERD in patients with alarm symptoms. The ASGE suggests upper endoscopy for symptomatic patients with a history of SG and POEM. The ASGE recommends careful endoscopic evaluation, reporting, and photo-documentation of objective GERD findings and gastroesophageal junction landmarks and integrity to improve patient care and outcomes. In patients with GERD symptoms, the ASGE recommends lifestyle modifications. In patients with symptomatic and confirmed GERD with predominant heartburn symptoms, the ASGE recommends medical management including PPIs at the lowest dose for the shortest duration while initiating discussion about long-term management options. In patients with confirmed GERD with small hiatal hernia (≤2 cm) and Hill grade I or II flap valve who meet specific criteria, the ASGE suggests evaluation for TIF as an alternative to long-term medical management. In patients with confirmed GERD with a large hiatal hernia (>2 cm) and Hill grade 3 or 4 flap valve, the ASGE suggests evaluation for combined endoscopic-surgical TIF (cTIF) in a multidisciplinary review. This document clearly outlines the methodology, analysis, and decision used to reach the final recommendations and represents the official ASGE recommendations on the above topics.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"10 2","pages":"Pages 81-137"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143296523","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}
VideoGIEPub Date : 2025-02-01DOI: 10.1016/j.vgie.2024.09.013
Fateh Bazerbachi MD , Faris Murad MD , Nisa Kubiliun MD , Megan A. Adams MD, JD, MSc , Neal Shahidi MD , Kavel Visrodia MD , Eden Essex , Gottumukkala Raju MD , Caprice Greenberg MD, MPH , Lukejohn W. Day MD, MBA , B. Joseph Elmunzer MD, MSc
{"title":"Video recording in GI endoscopy","authors":"Fateh Bazerbachi MD , Faris Murad MD , Nisa Kubiliun MD , Megan A. Adams MD, JD, MSc , Neal Shahidi MD , Kavel Visrodia MD , Eden Essex , Gottumukkala Raju MD , Caprice Greenberg MD, MPH , Lukejohn W. Day MD, MBA , B. Joseph Elmunzer MD, MSc","doi":"10.1016/j.vgie.2024.09.013","DOIUrl":"10.1016/j.vgie.2024.09.013","url":null,"abstract":"<div><div>The current approach to procedure reporting in endoscopy aims to capture essential findings and interventions but inherently sacrifices the rich detail and nuance of the entire endoscopic experience. Endoscopic video recording (EVR) provides a complete archive of the procedure, extending the utility of the encounter beyond diagnosis and intervention, and potentially adding significant value to the care of the patient and the field in general. This white paper outlines the potential of EVR in clinical care, quality improvement, education, and artificial intelligence–driven innovation, and addresses critical considerations surrounding technology, regulation, ethics, and privacy. As with other medical imaging modalities, growing adoption of EVR is inevitable, and proactive engagement of professional societies and practitioners is essential to harness the full potential of this technology toward improving clinical care, education, and research.</div></div>","PeriodicalId":55855,"journal":{"name":"VideoGIE","volume":"10 2","pages":"Pages 67-80"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143296524","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}