Classification, outcomes, and management of misdeployed stents during EUS-guided gastroenterostomy

Post written by Bachir Ghandour, MD, from Johns Hopkins Medicine, Baltimore, Maryland, USA. EUS-guided gastroenterostomy (EUS-GE) is a minimally invasive procedure that is increasingly performed for the management of patients with gastric outlet obstruction (GOO). Stent misdeployment (SM) during EUS-GE remains the most common cause for technical failure and adverse events, hindering its widespread dissemination. …

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Quadruple, 4-segment, triple sector “Y-shaped stents” in complex hilar cholangiocarcinoma after cholangitis from plastic stents

Post written by Mohamed A. Abdallah, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA. We describe a case of a 70-year-old female with unresectable, locally advanced Bismuth-Corlette classification type IV perihilar cholangiocarcinoma who presented with cholangitis from plastic stents. In this case, we placed four uncovered self-expanding metal …

Continue reading Quadruple, 4-segment, triple sector “Y-shaped stents” in complex hilar cholangiocarcinoma after cholangitis from plastic stents

Technological review: developments in innovative duodenoscopes

Post written by Mark A. Gromski, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA. The development of innovative duodenoscopes has recently been a dynamic area within interventional endoscopy. In this paper, we aimed to review the status of innovative duodenoscopes, first by putting into …

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Palliation of malignant distal colonic obstruction via percutaneous endoscopic colostomy using a lumen-apposing metal stent

Post written by Todd H. Baron, MD, MASGE, from the Division of Gastroenterology and Hepatology, Director of Advanced Therapeutic Endoscopy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. This is a patient who had terminal cancer and sigmoid colonic obstruction not adequately relieved by overlapping, well-positioned, self-expandable metal luminal stents. Because he …

Continue reading Palliation of malignant distal colonic obstruction via percutaneous endoscopic colostomy using a lumen-apposing metal stent

Anatomical features of duodenal folds: a key feature to consider during endoscopic resection of duodenal neoplasms

Post written by Yoshimasa Miura, MD, PhD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan. This video shows an important point that duodenal folds have wide submucosal spaces but no muscularis. If endoscopists understand these characteristics, duodenal neoplasms can be successfully resected.       It has been unknown for a long …

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Evaluation of polypectomy quality indicators of large, nonpedunculated colorectal polyps in a nonexpert, bowel cancer screening cohort

Post written by Lonne W.T. Meulen, MD, from the Department of Internal Medicine, Division of Gastroenterology and Hepatology, Maastricht University Medical Center, Maastricht, The NetherlandsGROW, School for Oncology and Developmental Biology, Maastricht University, Maastricht, The Netherlands. Our study aimed to provide insight into the quality of endoscopic treatment of large (≥20 mm), nonpedunculated colorectal polyps. …

Continue reading Evaluation of polypectomy quality indicators of large, nonpedunculated colorectal polyps in a nonexpert, bowel cancer screening cohort

Endoscopic ultrasound-guided pancreaticoduodenostomy with a forward-viewing echoendoscope

Post written by Shigenobu Yoshimura, MD, from the Department of Gastroenterology, Kameda Medical Center, Chiba, Japan. This video case shows an endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) using transduodenal puncture sites performed for malignant pancreatic duct obstruction. We performed EUS-PD from the long position with a forward-viewing (FV) echoendoscope. EUS-PD has emerged as a feasible …

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Endoscopic band ligation in the treatment of gastric antral vascular ectasia

Post written by Babu P. Mohan, MD, from the Department of Gastroenterology & Hepatology, University of Utah Health School of Medicine, Salt Lake City, Utah, USA. Treatment of GAVE is traditionally done by endoscopic thermal therapy like argon plasma coagulation (APC) or radiofrequency ablation (RFA). However, recently, endoscopic band ligation has been reported as an …

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Prophylactic appendiceal retrograde intraluminal stent placement (PARIS)

Post written by Margaret G. Keane, MBBS, MSc, from the Johns Hopkins Hospital, Department of Gastroenterology and Hepatology, Baltimore, Maryland. In our video, we describe the case of a 52-year-old man who was referred to our institution for the management of a 1.5-cm semi-pedunculated polyp that was found during a routine screening colonoscopy. The polyp …

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