Aims In light of the pressing global challenge posed by climate change in the 21st century, it is important to address the substantial environmental impact of the healthcare sector, with a particular focus on Gastrointestinal Endoscopy (GIE) [1] [2]. GIE procedures involve the extensive use of consumables, contributing significantly to hospital waste and greenhouse gas (GHG) emissions. The primary aim of this research is to accurately measure the GHG emissions associated with GIE procedures in countries with emerging economies.

Consumables

Greenhouse effect

Tertiary care

10.1055/s-0044-1782868

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EFFICACY AND SAFETY OF PERORAL ENDOSCOPIC MYOTOMY IN THE MANAGEMENT OF ACHALASIA CARDIA IN ELDERLY INDIVIDUALS

Gastrointestinal Endoscopy (2024)

Pradev Inavolu Zaheer Nabi Mohan Ramchandani Hardik Rughwani Santosh Darisetty

10.1016/j.gie.2024.04.2372

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STENT CHOICE FOR MALIGNANT HILAR BILIARY OBSTRUCTION (HBO): WHERE DO WE STAND?

Gastrointestinal Endoscopy (2024)

Harman Rahal Ghada Mohamed Mohamad El Helou Hardik Rughwani Anthony Yuen Bun Teoh

Biliary stent

10.1016/j.gie.2024.04.1697

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ENDOSCOPIC SUBMUCOSAL DISSECTION FOR EARLY GASTROINTESTINAL CANCERS IN INDIA: A RETROSPECTIVE ANALYSIS OF A SINGLE-CENTER EXPERIENCE FOR CLINICAL OUTCOMES AND FUTURE DIRECTIONS

Gastrointestinal Endoscopy (2024)

Pradev Inavolu Mohan Ramchandani Zaheer Nabi Amrit Gahra Santosh Darisetty

Endoscopic submucosal dissection

Single Center

10.1016/j.gie.2024.04.1288

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Anastomotic PJ stricture: EUS-Guided PD Drainage

Journal of Digestive Endoscopy (2022)

Goutham Reddy Katukuri Anudeep Katrevula Mohan Ramchandani Sundeep Lakhtakia Nageshwar R. Duvvur

A 24-year-old female underwent pancreato-duodenectomy for pancreatic head tumor (solid pseudopapillary epithelial neoplasm) 2 years ago and now presented with recurrent epigastric pain for the last 6 months. Magnetic resonance cholangiopancreatography revealed narrowing at the pancreato-jejunal (PJ) anastomosis with dilated upstream main pancreatic duct ([Fig. 1]). Attempt at an enteroscopy-guided drainage of pancreatic duct (PD) was unsuccessful due to failure ([Fig. 2]) to reach the anastomotic site. Hence, endoscopic ultrasound (EUS)-guided PD drainage was considered ([Video 1]). At EUS, pancreas echotexture was normal with irregular and dilated PD (6.6 mm in body). The PD was punctured in body region at its maximum diameter with a 19G needle (EZShot3Plus, Olympus, Tokyo, Japan). Pancreatogram confirmed dilated PD with anastomotic PJ stricture with minimal opacification of jejunum ([Fig. 3]). A 0.035” hydrophilic guidewire (Terumo, 260cm) was passed across the PJ stricture into jejunum ([Fig. 4]). The gastro-pancreatic fistula was created by passing 6Fr cystotome over-the-wire. The guidewire was then exchanged for a longer stiffer wire (Jagwire, 0.035,” 450cm, Boston-scientific, Massachusetts, United States). The PJ stricture was dilated with balloon (4mm, Titan, Cook Medical, Indiana, United States) ([Fig. 5]) followed by a 7Fr 12 cm straight plastic stent placed with distal stent tip inside jejunum and proximal end in the stomach (gastro-pancreatico-enteroscopy or Ring drainage) ([Fig. 6]). There was no peri-procedure adverse event. Patient is asymptomatic at 11 months of follow-up with stent in situ.

Jejunum

Magnetic resonance cholangiopancreatography

10.1055/s-0042-1753498

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PROSPECTIVE, RANDOMIZED, SINGLE CENTER STUDY TO EVALUATE EFFICACY OF NOVEL RED DICHROMATIC IMAGING (RDI) IN ACHIEVING HEMOSTASIS DURING PERORAL ENDOSCOPIC MYOTOMY (POEM): INTERIM ANALYSIS OF A PILOT STUDY

Gastrointestinal Endoscopy (2023)

Pradev Inavolu Mohan Ramchandani Zaheer Nabi Santosh Darisetty Sana Fathima F. Memon

Interim

Interim analysis

Single Center

10.1016/j.gie.2023.04.1195

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