Endoscopy International Open – recently published

• Technical advances in endoscopic ultrasound-guided fiducial placement for the treatment of pancreatic cancer
• Circumferential distribution and location of Mallory-Weiss tears: recent trends
• A single-center United States experience with bleeding Dieulafoy lesions of the small bowel: diagnosis and treatment with single-balloon enteroscopy

Endoscopy International Open is fully indexed in PubMed Central (PMC), the world’s leading biomedical literature database. Citations and abstracts of all EIO articles are retrievable in PMC through keyword and author searches. Below EIO highlights of the month. Find these and other interesting new publications at www.thieme-connect.de/ejournals/EIO

Technical advances in endoscopic ultrasound-guided fiducial placement for the treatment of pancreatic cancer

Disaya Chavalitdhamrong, Christopher J. DiMaio, Peter D. Siersema et al.
Endosc Int Open 2015: 10.1055/s-0034-1392274

Radiation therapy has an important role in the treatment of locally advanced or metastatic pancreatic cancer and can be used alone or in conjunction with surgery and/or systemic chemotherapy. Because of the challenge of delivering an accurate and optimal radiation dose, image-guided radiation therapy can be used to improve targeting. Fiducial markers can be placed in the tumor and used for localization in patients undergoing image-guided radiation therapy. This study reviews the technique, efficacy, and safety profile of EUS-guided fiducial placement.

Circumferential distribution and location of Mallory-Weiss tears: recent trends

Mayumi Okada, Norihisa Ishimura, Shino Shimura et al.
Endosc Int Open 2015: 10.1055/s-0034-1392367

Mallory-Weiss tears (MWTs) are not only a common cause of acute nonvariceal gastrointestinal bleeding but also an iatrogenic adverse event related to endoscopic procedures. However, changes in the clinical characteristics and endoscopic features of MWTs over the past decade have not been reported. The aim of this study is to investigate recent trends in the etiology and endoscopic features of MWTs. A total of 190 patients with MWTs were evaluated. More than half (n = 100) of the cases occurred during endoscopic procedures. MWTs were frequently found on the right lateral wall.

A single-center United States experience with bleeding Dieulafoy lesions of the small bowel: diagnosis and treatment with single-balloon enteroscopy

Seth Lipka, Roshanak Rabbanifard, Ambuj Kumar et al.
Endosc Int Open 2015: DOI 10.1055/s-0034-1391901

A Dieulafoy lesion (DL) of the small bowel can cause severe gastrointestinal bleeding, and presents a difficult clinical setting for endoscopists. Limited data exists on the therapeutic yield of treating DLs of the small bowel using single-balloon enteroscopy (SBE). This study collects data from Tampa General Hospital. Patients were selected from a database of patients that underwent SBE from January 2010 – August 2013. Eight patients were found to have DL, an incidence of 2.6 % of 309 SBE performed for obscure gastrointestinal bleeding.