The Practicing Endoscopist

GI Endoscopy tips every Saturday morning.

The most practice-oriented online publication in GI Endoscopy. Real cases, practical pearls, and high-quality endoscopic images — written by clinicians for clinicians.

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Aug 15, 2025 A Pro Tip for Clipping Mallory-Weiss Tears Jun 16, 2025 Cat Scratch Colon Jun 16, 2025 The Irony of Iron: Gastric Ulcer due to Iron Pills Mar 16, 2025 Rodolfo Valentino Syndrome: Perforated Duodenal Ulcer Mimicking Appendicitis Mar 15, 2025 Tools of the Trade: The Retentia ® Clip Mar 2, 2025 Cecal Volvulus Feb 13, 2025 Dieulafoy Lesion of the Duodenum Feb 13, 2025 Hemostasis of Bleeding Duodenal Ulcer Using Injection Gold Probe Dec 22, 2024 Cap-Assisted Push Enteroscopy Argon Plasma Coagulation Dec 22, 2024 Device Review: How to Place a Rectal Decompression Tube Through-The-Scope Dec 22, 2024 Endoscopic Removal of a Pen Inside the Stomach Using the Soft, Mega, Distal Transparent Cap Dec 22, 2024 Endoscopic Utensil Description: The Duette Multiband Mucosectomy Device Advancing endoscopic precision: A deep dive into the Duette's dual-sensor technology and clinical validation Dec 22, 2024 Gastric Antral Vascular Ectasia (GAVE) in Heyde Syndrome Dec 22, 2024 How to Deploy a Capsule Endoscope During EGD An elderly lady with obscure occult gastrointestinal bleeding could not swallow the capsule endoscope (CE) (PillCam) (Figure 1A). Therefore, an EGD was scheduled to introduce the capsule endoscope into the duodenum. Dec 22, 2024 Microscopic Colitis: Not Always “Microscopic” Dec 22, 2024 Stent Delivery Device with Transparent Inner Guiding Catheter and How to Place a Plastic Stent into the Bile Duct Dec 22, 2024 Therapeutic Dilemma: Barrett Esophagus in the Setting of Esophageal Varices Dec 22, 2024 Top Tips for Dealing With a Colon Polyp in a Difficult Situation From ergonomics to execution: An expert's guide to mastering complex polyp removal Dec 22, 2024 Transient or “Left”-Sided Ischemic Colitis: Case Reports With Focus on its Endoscopic Spectrum Dec 7, 2024 Endoscopic Resection of an Esophageal Pseudodiverticulum in Radiation-Induced Stenosis Novel endoscopic technique using IT Knife Nano demonstrates safe and rapid resection of esophageal pseudodiverticulum in a complex post-radiation stenosis case, highlighting an innovative approach to managing challenging upper GI complications Nov 21, 2024 Technical Review: Endoscopic Resection of a Cardia Polyp Inside a Hiatal Hernia Sack Using the Duette Device the Duette device was an ideal and safe tool to resect a polypoid lesion located in the cardia, inside a large hernia sack. Nov 7, 2024 Tips for the Endoscopy Suite: Measurement of Polyp Size using the “QTip Ruler” Oct 30, 2024 Technical Review: Esophageal Dilation with the BougieCap Oct 23, 2024 Endoscopic Management of Post-Sphincterotomy Bleeding: Eight Hemostatic Tips Oct 16, 2024 Mistakes in the Management of Small Bowel Bleeding Free Video Course Oct 15, 2024 Emesis or Prolapse Gastropathy Oct 14, 2024 Endoscopic Therapy for Bleeding Gastroesophageal Varix (GOV 2) Oct 14, 2024 Endoscopic Therapy for Bleeding Jejunal Diverticulum Oct 14, 2024 Immune Checkpoint Inhibitor Induced Colitis or “Immune Mediated Colitis” Oct 12, 2024 Ileum Intubation Made Easy Free Video Course Oct 8, 2024 Mini-Review on Proton Pump Inhibitors PPI with Focus on their Mechanism of Action Sep 20, 2024 Technical Review: PillSense ®, a Novel Swallowable Capsule to Detect Upper Gastrointestinal Bleeding Sep 5, 2024 Endoscopic Resection of Giant Gastric Polyp to Treat Upper GI Bleeding How Endoscopic Snare Resection Solved Both Bleeding and Malignancy Risk Sep 5, 2024 Endoscopic Resection of Lumenal-Occluding Laterally Spreading Tumor of the Sigmoid Colon Sep 5, 2024 Endoscopic Tips and Tricks: First-Line Monotherapy with Over-The-Scope-Clip for Massive Bleeding due to Duodenal Ulcer with Huge Visible Vessel Sep 5, 2024 Esophageal Varix with Nipple Sign Sep 5, 2024 Quick Case: Portal Hypertensive Duodenopathy Sep 5, 2024 Quick Endoscopic Diagnostic Tip: Kissing Ulcers of the Duodenum Aug 22, 2024 CAVE - Cardia Antral Vascular Ectasias – A New Identity? During upper endoscopic evaluation of patients with classic gastric antral vascular ectasias (GAVE) we have observed a few patients who also had classic GAVE-appearing lesions in the gastric cardia Aug 8, 2024 Gastric Volvulus Discover the types, symptoms, and management of gastric volvulus through an 87-year-old patient's case study. Learn about organoaxial and mesenteroaxial volvulus, and their clinical implications. Jul 25, 2024 Esophageal Laceration (“pre-Boerhaave’s Syndrome”) Treated with “Short-Stem” Hemoclips Jul 11, 2024 Practical Review: Gurvits Syndrome Black Esophagus or Acute Esophageal Necrosis Jun 12, 2024 Six Top Tips to Use Argon Plasma Coagulation When Treating Angiodysplasias: An Endoscopic Atlas Jun 2, 2024 How I Do It: Endoscopic Resection of Zenker’s Diverticulum May 29, 2024 The Bump Trick for Hemostasis (and Closure of Mucosal Defects) May 5, 2024 Tips and Tricks to Manage a Mallory Weiss Tear The Practicing Endoscopist by EndoCollab Apr 25, 2024 Quick Tips and Tricks for Endoscopic Band Ligation of Esophageal Varices Apr 4, 2024 Quick Case: Meat Bolus Impaction Mar 13, 2024 Quick Case: Laterally Spreading Tumor LST in Ascending Colon Feb 29, 2024 Marking Technique for Identifying and Resection Flat Colon Polypoid Lesions or Polyps in Difficult Locations Feb 5, 2024 Mini Review on Devices, Accessories and Utensils: Eleview® Submucosal Injection Solution Jan 30, 2024 Endoscopic Resection of LST in Ascending Colon Jan 26, 2024 Zenker’s Diverticulum Jan 25, 2024 58-year-old Patient Experiences Severe Hemobilia Post Liver Biopsy Hemobilia, though rare, can be a severe post-procedure complication, requiring prompt diagnosis and effective treatment. Jan 25, 2024 73 yo woman with asthma and anxiety. Colonoscopy is done for chronic diarrhea. Altered mucosal nodularity in the ascending colon was noted on both WL and NBI. What Is Your Diagnosis? Jan 25, 2024 Advances in Endoscopic Vacuum Therapy: A World of Possibilities This cutting-edge treatment continues to evolve, offering new solutions for gastrointestinal defects and improving patient outcomes. Jan 25, 2024 Aggressive Fluid resuscitation in Acute Pancreatitis: Too Much of a Good Thing A ground-breaking, solid, practice-changing, and "dogma-removing" study Jan 25, 2024 Ampulloma with Fluctuating Liver Tests Case of the Week Jan 25, 2024 Gastrointestinal Bleeding due to Amyloidosis Investigating the Intersection of Rheumatoid Arthritis, Gastrointestinal Bleeding, and Amyloidosis Jan 25, 2024 Angiodysplasias of the “Cecum” and Aortic Stenosis: Heyde's Syndrome Jan 25, 2024 Antibiotics Use is Associated with Increased Risk of Colorectal Cancer Jan 25, 2024 Biologic Chromoendoscopy – The Eye Beats Artificial Intelligence Jan 25, 2024 Cameron Lesions Learn about the causes, identification, and treatment of Cameron lesions - linear erosions of the stomach often missed on initial endoscopy of large hiatal hernias. Jan 25, 2024 Can I have your experience with colonoscopy prep? I have noticed that most of the patients we receive don't have a good Boston score? Jan 25, 2024 Candida Esophagitis The classic endoscopic appearance of candida esophagitis is that of multiple confluent, protuberant, yellowish-white, plaque-like lesions with the appearance of cottage cheese. Jan 25, 2024 Caps in GI Endoscopy Jan 25, 2024 Chicken Skin Mucosa Jan 25, 2024 Clostridioides Difficile Infection (CDI) A Comprehensive Summary with Quick Facts for Your Practice Jan 25, 2024 Cronkhite Canada Syndrome (CCS) Jan 25, 2024 Cytomegalovirus (CMV) Gastritis CMV Gastritis in Renal Transplant Patient Jan 25, 2024 (DIE) - Dabigatran-Induced Exfoliative Esophagitis Jan 25, 2024 Endoscopic Removal of Esophageal Foreign Bodies Using the Tripod Grasper Jan 25, 2024 Endoscopic Resection of Complex Duodenal Polyps Jan 25, 2024 Endoscopic Spectrum of “Left”-Sided Ischemic Colitis Jan 25, 2024 EREFS Score for Eosinophilic Esophagitis (EoE) including edema, rings, exudates, furrows, and strictures Jan 25, 2024 Ergonomics in Gastrointestinal Endoscopy Myths and Realities sharing tips on improving ergonomics in the endoscopy unit Jan 25, 2024 Focal Segmental Bile Duct Dilation Caroli's disease: Causes and features of rare biliary tract malformation Jan 25, 2024 Is a Fully Covered Self-Expanding Metal Stent an Option for Recalcitrant Duodenal Stenosis? Jan 25, 2024 Gastric Antral Vascular Ectasia (GAVE) or Watermelon Stomach Jan 25, 2024 Gastric Hyperplastic Polyps Jan 25, 2024 Giant Prolapsing Gastric Polyp Case of the Week Jan 25, 2024 Granular Cell Tumor (GCT) Jan 25, 2024 Handling Post-Operative Common Bile Duct Leaks Jan 25, 2024 How Does Clostridioides Difficile Lead to Massive Leukocytosis? Jan 25, 2024 Inflammatory Fibroid Polyps (IFP) or Vanek Tumors of the GI Tract Jan 25, 2024 Introducing “This vs That”, a Training Atlas to Improve Your Endoscopic Diagnostic Skills Jan 25, 2024 Is Endoscopic Submucosal Dissection (ESD) Ready to Enter Center-Stage for the Resection of Large Colorectal Polyps? Endoscopic submucosal dissection (ESD) is a treatment for superficial tumors, pre-cancerous, and early cancerous lesions in the gastrointestinal (GI) tract Jan 25, 2024 Journal Club Paper discussion: Endoscopic mucosal resection combined with hybrid argon plasma coagulation to prevent recurrence of large nonpedunculated colorectal polyps Jan 25, 2024 Liver Tests and Ratios – a Practical Summary Jan 25, 2024 Lumen-apposing self-expanding metal stents (LAMS) versus Plastic Stents for Infected Pancreatic Necrosis: Which One is Better? Jan 25, 2024 Master the Art of Endoscopy Tattoos Uncover the Pro Technique for Precise Creation of a Tattoo for Subsequent Lesion Identification Jan 25, 2024 Mastering the Use of Hemoclips (Through-The-Scope-Clips) ​Hemoclips, originally designed for hemostasis, are versatile tools that have revolutionized various endoscopic procedures. Jan 25, 2024 Mechanism of action of PCABs (Potasium-Competitive Acid Blockers) Jan 25, 2024 Mid-GI bleeding of Obscure Cause due to a Cavernous Lymphangioma Jan 25, 2024 Multiple Polypoid Sigmoid Colon Lesions Jan 25, 2024 New Guidelines From the ASGE for Diagnosis and Management of Eosinophilic Esophagitis The new guidelines for the diagnosis and management for eosinophilic esophagitis are out. Let’s see what they say. I have prepared a list of key takeaways. Jan 25, 2024 What is the optimal way to use variable stiffness colonoscopes in difficult colonoscopies? Have you had any adverse events? Jan 25, 2024 What are the Palisade Veins? Jan 25, 2024 Superior Mesenteric Artery Syndrome Jan 25, 2024 The ESD-EMR Hybrid or Pre-Cutting EMR Endoscopic Resection Technique A technique to improve complete entrapment and resection colorectal, esophageal and stomach lesions. Jan 25, 2024 The MIRacle Sign The Practicing Endoscopist Newsletter Jan 25, 2024 Tip for Inspection of the Papilla of Vater Using Distal Transparent Cap Today we present a useful tip for inspection of the papilla of Vater using a distal transparent cap Jan 25, 2024 Tips for Management of Colon Polyps with Thick and/or Long Stalks Using Endoloop Jan 25, 2024 Tips for Post-EMR Bleeding for Lesions Located at the Anal Verge or Distal Rectum Jan 25, 2024 Treating Upper Gastrointestinal Bleeding: An Update on Endoscopic Techniques State-of-the-Art Endoscopic Techniques for Managing Upper Gastrointestinal Hemorrhage Jan 25, 2024 Ulcerations of the Intestines in Patient with Multiple Endocrine Neoplasia (MEN) Type 2b Jan 25, 2024 Understanding Cronkhite-Canada Syndrome A Comprehensive Overview of Cronkhite-Canada Syndrome: Symptoms, Diagnosis, and Treatment Approaches Jan 25, 2024 Unusual Bile Duct Problems: The Sump Syndrome What is the Sump Syndrome? Jan 25, 2024 Do You Use CO2 and Water Immersion in Diagnostic Colonoscopies on a Daily Basis? Jan 25, 2024 Water Assisted-Colonoscopy (WAC or Hydrocolonoscopy) Jan 25, 2024 What is a Phrygian (Cap) Gallbladder? Jan 25, 2024 Where Does the Measurement "Fr" (French) Come From, and What Does It Mean? Every day in the endoscopy unit we use instruments and accessories with measures in “French” (Fr) Jan 25, 2024 Zenker Dysphagia in an Elderly Patient