Tobias Zuchelli
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View article: Transcutaneous closure of an enterocutaneous fistula using a cardiac septal occluder
Transcutaneous closure of an enterocutaneous fistula using a cardiac septal occluder Open
We report a successful off-label use of a septal occluder for the closure of a refractory ECF under fluoroscopic guidance with emphasis on the importance of a multidisciplinary approach and the exploration of innovative solutions in challe…
View article: Advances in gastrointestinal endoscopy: A comprehensive review of innovations in cancer diagnosis and management
Advances in gastrointestinal endoscopy: A comprehensive review of innovations in cancer diagnosis and management Open
The field of gastroenterology has experienced revolutionary advances over the past years, as flexible endoscopes have become widely accessible. In addition to enabling faster, less invasive, and more affordable treatment, flexible endoscop…
View article: Analysis of Adverse Events of Endoscopic Ultrasound-Guided Lumen-Apposing Metal Stent Placement: Insights Across Various Indications and Techniques
Analysis of Adverse Events of Endoscopic Ultrasound-Guided Lumen-Apposing Metal Stent Placement: Insights Across Various Indications and Techniques Open
LAMS placement showed high technical and clinical success rates across different indications with mostly mild AEs, suggesting that LAMSs may be safe and effective for pancreatic and biliary drainage.
View article: Endoscopic Full‐Thickness Plication for the Treatment of Gastroesophageal Reflux Disease: A Systematic Review and Meta‐Analysis of Randomized Sham Controlled Trials
Endoscopic Full‐Thickness Plication for the Treatment of Gastroesophageal Reflux Disease: A Systematic Review and Meta‐Analysis of Randomized Sham Controlled Trials Open
Introduction Gastroesophageal reflux disease (GERD) affects approximately 20% of adults in the United States. Proton pump inhibitors are the first‐line treatment but are associated with long‐term side effects. Endoscopic full‐thickness pli…
View article: Hybrid Endoscopic Submucosal Dissection for Isolated Gastric Metastasis of Renal Cell Carcinoma
Hybrid Endoscopic Submucosal Dissection for Isolated Gastric Metastasis of Renal Cell Carcinoma Open
Metastasis to the stomach is a rare occurrence, especially from renal cell carcinoma (RCC). We report a case of a 76-year-old man with a history of RCC, in remission for 11 years postnephrectomy, who presented with gastrointestinal symptom…
View article: Digesting Digital Health: A Study of Appropriateness and Readability of ChatGPT-Generated Gastroenterological Information
Digesting Digital Health: A Study of Appropriateness and Readability of ChatGPT-Generated Gastroenterological Information Open
INTRODUCTION: The advent of artificial intelligence–powered large language models capable of generating interactive responses to intricate queries marks a groundbreaking development in how patients access medical information. Our aim was t…
View article: Endoscopic and Surgical Management of Bouveret Syndrome: Gastric Outlet Obstruction From an Impacted Gallstone
Endoscopic and Surgical Management of Bouveret Syndrome: Gastric Outlet Obstruction From an Impacted Gallstone Open
Impacted gallstones in the stomach and the duodenum lead to a rare presentation of gastric outlet obstruction known as Bouveret syndrome. Diagnosis and management is often challenging because of lack of streamlined protocol. However, when …
View article: Comprehensive analysis of adverse events associated with transmural use of LAMS in patients with liver cirrhosis: International multicenter study
Comprehensive analysis of adverse events associated with transmural use of LAMS in patients with liver cirrhosis: International multicenter study Open
Background and study aims Endoscopic ultrasound (EUS)-guided transmural (TM) deployment of lumen-apposing metal stents (LAMS) is considered relatively safe in non-cirrhotic patients and is cautiously offered to cirrhotic patients. Patients…
View article: A Case Series of Patients with Altered Gut Anatomy Treated for Biliary Disease with Percutaneous Transhepatic Cholangioscopy with Lithotripsy
A Case Series of Patients with Altered Gut Anatomy Treated for Biliary Disease with Percutaneous Transhepatic Cholangioscopy with Lithotripsy Open
Background and Aims: Treating obstructive bile duct pathologies in individuals with altered bowel anatomy is challenging, since the physiological context may render endoscopic retrograde cholangiopancreatography (ERCP) difficult or unfeasi…
View article: Use of endoscopic plication to repair a dysfunctional gastric conduit
Use of endoscopic plication to repair a dysfunctional gastric conduit Open
Video 1Full length video showing the use of endoscopic plication to repair a dysfunctional gastric conduit.
View article: A challenging case of pancreaticogastric anastomotic stricture in a patient with surgically altered anatomy
A challenging case of pancreaticogastric anastomotic stricture in a patient with surgically altered anatomy Open
View article: Gastrointestinal Stromal Tumor Presenting as Food Impaction and Pseudo-Achalasia
Gastrointestinal Stromal Tumor Presenting as Food Impaction and Pseudo-Achalasia Open
Gastrointestinal stromal tumors (GISTs) are one of the most common mesenchymal tumors of the gastrointestinal tract. Studies report the incidence of GIST to be 14.5 per million, with 18% being diagnosed incidentally. The most common locati…
View article: Full-thickness resection device for management of lesions involving the appendiceal orifice: Systematic review and meta-analysis
Full-thickness resection device for management of lesions involving the appendiceal orifice: Systematic review and meta-analysis Open
Background and study aims Endoscopic resection of lesions involving the appendiceal orifice is technically challenging and is commonly referred for surgical resection. However, post-resection appendicitis is a concern. Many studies have va…
View article: EUS-guided jejuno-enterostomy in a patient with total gastrectomy with Roux-en-Y esophagojejunostomy to facilitate cholangioscopy with electrohydraulic lithotripsy
EUS-guided jejuno-enterostomy in a patient with total gastrectomy with Roux-en-Y esophagojejunostomy to facilitate cholangioscopy with electrohydraulic lithotripsy Open
Video 1EUS-guided jejuno-jejunostomy in a 67-year-old male patient with total gastrectomy with Roux-en-Y esophagojejunostomy to facilitate cholangioscopy with electrohydraulic lithotripsy.
View article: Role of gastric per-oral endoscopic myotomy (G-POEM) in post-lung transplant patients: a multicenter experience
Role of gastric per-oral endoscopic myotomy (G-POEM) in post-lung transplant patients: a multicenter experience Open
Background and study aims Gastroparesis post-lung transplant (LTx) can lead to increased risk of gastroesophageal reflux (GER) and accelerated graft dysfunction. We aimed to evaluate the efficacy and safety of gastric per-oral endoscopic m…
View article: An international experience with single-operator cholangiopancreatoscopy in patients with altered anatomy
An international experience with single-operator cholangiopancreatoscopy in patients with altered anatomy Open
Background and study aims The utility of digital single- operator cholangiopancreatoscopy (D-SOCP) in surgically altered anatomy (SAA) is limited. We aimed to evaluate the technical success and safety of D-SOCP in patients SAA. Patients an…
View article: EUS-directed transgastric interventions in Roux-en-Y gastric bypass anatomy: a multicenter experience
EUS-directed transgastric interventions in Roux-en-Y gastric bypass anatomy: a multicenter experience Open
EDGI is effective and safe for the diagnosis and management of pancreaticobiliary and foregut disorders in RYGB patients. It is associated with high rates of technical success and low rates of severe AEs. LAMS migration is the most common …
View article: Endoscopic Retrograde Cholangiopancreatography (ERCP) in Patients With Liver Cirrhosis
Endoscopic Retrograde Cholangiopancreatography (ERCP) in Patients With Liver Cirrhosis Open
Goals: We aimed to assess outcomes of patients with liver cirrhosis who underwent therapeutic or diagnostic endoscopic retrograde cholangiopancreatography (ERCP) to determine whether these patients had different outcomes relative to patien…
View article: Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review
Risk factors associated with adenoma recurrence following cold snare endoscopic mucosal resection of polyps ≥ 20 mm: a retrospective chart review Open
Background and study aims Cold snare endoscopic mucosal resection (EMR) is being increasingly utilized for non-pedunculated polyps ≥ 20 mm due to adverse events associated with use of cautery. Larger studies evaluating adenoma recurrence r…
View article: Increased Morbidity and Mortality in COVID-19 Patients with Liver Injury
Increased Morbidity and Mortality in COVID-19 Patients with Liver Injury Open
View article: Association of obesity with illness severity in hospitalized patients with COVID-19: A retrospective cohort study
Association of obesity with illness severity in hospitalized patients with COVID-19: A retrospective cohort study Open
View article: Evolving management of colorectal polyps
Evolving management of colorectal polyps Open
Advances in endoscopic technology have led to increased success in colorectal cancer (CRC) screening and polyp management, with reduction of CRC incidence and mortality. Despite these advances, CRC is still one of the leading causes of can…
View article: The use of a rescue stent in the management of lumen-apposing metal stent migration during EUS-directed transgastric ERCP with stent-in-stent technique to remove a forgotten metal biliary stent
The use of a rescue stent in the management of lumen-apposing metal stent migration during EUS-directed transgastric ERCP with stent-in-stent technique to remove a forgotten metal biliary stent Open
View article: Cold snare endoscopic mucosal resection for the removal of large nonpedunculated colon polyps
Cold snare endoscopic mucosal resection for the removal of large nonpedunculated colon polyps Open
For large, >1-cm, nonpedunculated colon polyps, resection has historically been performed by using an electrocautery-based (hot) snare.1Ferlitsch M. Moss A. Hassan C. et al.Colorectal polypectomy and endoscopic mucosal resection (EMR): Eur…
View article: Colovaginal fistula closure using a cardiac septal defect occluder
Colovaginal fistula closure using a cardiac septal defect occluder Open
View article: Post-endoscopic retrograde cholangiopancreatography pancreatitis prevention using topical epinephrine: systematic review and meta-analysis
Post-endoscopic retrograde cholangiopancreatography pancreatitis prevention using topical epinephrine: systematic review and meta-analysis Open
Background and study aims Post-endoscopic retrograde cholangiopancreatography pancreatitis (PEP) is a common complication of endoscopic retrograde cholangiopancreatography (ERCP). Multiple drugs and techniques have been studied for the pre…
View article: 960 MAXIMIZING SUCCESS IN SINGLE-SESSION EDGE - PREDICTIVE FACTORS OF STENT MIGRATION
960 MAXIMIZING SUCCESS IN SINGLE-SESSION EDGE - PREDICTIVE FACTORS OF STENT MIGRATION Open
View article: Su1561 SAFETY AND EFFICACY OF ENDOSCOPIC TRANSPAPILLARY GALLBLADDER STENTING FOR SYMPTOMATIC GALLBLADDER DISEASE IN CIRRHOSIS: A SYSTEMATIC REVIEW AND META-ANALYSIS
Su1561 SAFETY AND EFFICACY OF ENDOSCOPIC TRANSPAPILLARY GALLBLADDER STENTING FOR SYMPTOMATIC GALLBLADDER DISEASE IN CIRRHOSIS: A SYSTEMATIC REVIEW AND META-ANALYSIS Open
View article: Su1578 POST ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PANCREATITIS PREVENTION USING TOPICAL EPINEPHRINE: A SYSTEMATIC REVIEW AND META-ANALYSIS
Su1578 POST ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY PANCREATITIS PREVENTION USING TOPICAL EPINEPHRINE: A SYSTEMATIC REVIEW AND META-ANALYSIS Open
View article: Mo1755 RECURRENCE RATE AND RISK FACTORS FOLLOWING COLD SNARE ENDOSCOPIC MUCOSAL RESECTION OF POLYPS ≥20 MM IN SIZE
Mo1755 RECURRENCE RATE AND RISK FACTORS FOLLOWING COLD SNARE ENDOSCOPIC MUCOSAL RESECTION OF POLYPS ≥20 MM IN SIZE Open