G-POEM (Gastric Peroral Endoscopic Myotomy) for Refractory Gastroparesis
Clinical Bottom Line Target Anatomy Procedural Defect Clinical Outcome The Pyloric Sphincter The thickened, spastic ring of muscle violently gating […]
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Percutaneous Endoscopic Gastrostomy (PEG) Tube Placement
Clinical Bottom Line Procedural Step Safety Mechanism Avoidance of Catastrophe Diaphanoscopy (Transillumination) Using the intense light of the gastroscope to
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Cannulation Axes in ERCP: Reaching the 11 O’Clock Position
Clinical Bottom Line Ductal Target Anatomical Origin at the Papilla Cannulation Trajectory Common Bile Duct (CBD) 11 o’clock position (Superior/Left).
Precut Sphincterotomy (Needle-Knife) for Failed Cannulation
Clinical Bottom Line Rescue Technique Mechanical Strategy Pancreatitis Risk Factor Needle-Knife Fistulotomy (NKF) Bypasses the actual papilla; burns a massive
ASC Operations: Room Turnover and Scope Reprocessing Economics
Clinical Bottom Line Operational Bottleneck Financial Implication in the ASC 2026 Efficiency Standard Scope Processing Turnaround Lack of clean colonoscopes
En Bloc Resection Curves: EMR vs. ESD
Clinical Bottom Line Resection Technique Maximum “En Bloc” Size Limit Pathological Output EMR (Endoscopic Mucosal Resection) Strictly limited to ~20mm.
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The Pre-Resection Huddle: Verifying Antithrombotics
Clinical Bottom Line Medication Class 2026 Resection Protocol Clinical Risk Strategy Aspirin 81mg Continue. DO NOT hold. Risk of stopping
Electrosurgical Knives in ESD: DualKnife vs. ITKnife
Clinical Bottom Line ESD Knife Distal Anatomy Primary Vector of Dissection DualKnife (Olympus) Tiny knob-shaped tip; protrudes exactly 1.5mm –
BBPS 9: Optimal Preparation for Flat Serrated Lesions
Clinical Bottom Line Colonic Segment BBPS Requirement Polyp Concealment Risk Right Colon (Cecum/Ascending) Absolute 3/3; pristine mucosa. Sessile Serrated Lesions
Hydrogen Breath Testing for SIBO and Carbohydrate Malabsorption
A gastroenterologist can test for food intolerance through various methods, including elimination diets, hydrogen breath tests, and food allergy testing.