Bone Tumors, Abdominal Pain, and Aspirin

Physicians report an unusual case of a man with abdominal pain that responded to aspirin therapy, in the October issue of Gastroenterology. It turns out that the pain was caused by a prostaglandin-producing benign bone tumor. Harpal S. Dhaliwal et al. describe examination of a 33-year-old man with an 18-month history

Read more

Video: Gastric to Esophageal Mucosal Transplantation

In the April issue of Gastroenterology, researchers report transplantation of mucosa from a patient’s stomach to esophagus, to prevent stricture formation after circumferential endoscopic mucosal dissection of early-stage esophageal cancer. Endoscopic submucosal resection and dissection are used to remove areas of dysplasia and cancer from the esophagus. However, stricture formation is a major drawback

Read more

What is the Best Treatment for Esophageal Adenocarcioma?

Patients with esophageal adenocarcinoma (EAC) who receive endoscopic therapy survive as long as patients treated by surgery, according to the November issue of Clinical Gastroenterology and Hepatology. Esophageal cancer is a highly fatal malignancy—approximate 19% of patients survive 5 years. The incidence of EAC, the most common form of esophageal

Read more

What to do About Gastric Polyps

When clinicians detect a gastric polyp during endoscopy, they are faced with many questions: does the polyp need to be excised, or can a biopsy sample be collected and analyzed? Which polyps should be biopsied? Should patients then be followed, and how? In the November issue of Clinical Gastroenterology and

Read more

Preventing Weight Gain After Gastric Bypass

A procedure called transoral outlet reduction can reverse weight gain after Roux-en-Y gastric bypass (RYGB), according to a controlled clinical trial published in the July issue of Gastroenterology. Although these results were achieved using a superficial suction-based device, greater levels of weight loss could be achieved with newer, full-thickness suturing

Read more

Why Do People Still Develop Colorectal Cancer After Colonoscopy?

Some people who receive screening colonoscopies are still at risk for colorectal cancer (CRC) because neoplastic polyps found are not completely removed, according to the January issue of Gastroenterology. While the quality of colonoscopy examinations has focused on polyp detection, better methods are needed to evaluate polyp removal. The goal

Read more

What is the Best Way to Assess Bile Duct Strictures?

Researchers describe new methods to collect and process bile duct biopsies for evaluation of strictures, in the September issue of Clinical Gastroenterology and Hepatology. These approaches should provide a greater quantity of material for analysis and increase the accuracy of diagnosis. A biliary stricture is an abnormal narrowing of the

Read more

Transplanting Engineered Mucosal Tissue into the Esophagus

Researchers have engineered tissues from oral epithelial cells that can be transplanted into the esophagus and promote healing after tumors are removed. According to the September issue of Gastroenterology, sutureless, endoscopic transplantation of sheets of autologous oral mucosal epithelial cells safely and effectively promotes re-epithelialization of the esophagus after surgery.

Read more

Is it Safe to Donate Part of Your Liver?

Donating part of your liver is just as safe as donating a kidney—donors of these organs have survival rates similar to the rest of the population, according to an article in the February issue of Gastroenterology. With organ shortages, live-donor liver transplantation (LDLT) is a lifesaving alternative to transplantation from deceased

Read more

Achalasia, Pneumatic Dilation, Risks, and Repairs

Pneumatic dilation as a treatment for achalasia is more likely to cause esophageal perforations in the elderly, but these tears can be successfully treated medically, rather than surgically, according to the February issue of Clinical Gastroenterology and Hepatology. Achalasia is a rare motor disorder of the esophagus, cause by defects

Read more