Possibility of ultrathin endoscopy in radial incision and cutting for esophageal strictures

Post written by Mako Koseki, MD, and Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. In this video, we present a case of a refractory esophageal stricture caused by anastomosis of gastric tube reconstruction for advanced esophageal carcinoma. We treated the stricture with radial incision and cutting (RIC) using ultrathin endoscopy. …

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EUS-guided gastrojejunostomy for management of malignant gastric outlet obstruction in a patient with Roux-en-Y anatomy

Post written by Rishi Pawa, MD, FACG, from the Wake Forest School of Medicine, Winston-Salem, North Carolina, USA. A 56-year-old man with a medical history of metastatic duodenal adenocarcinoma, status postpartial gastrectomy, and duodenectomy with Roux-en-Y gastrojejunostomy (GJ) presented with gastric outlet obstruction. Endoscopy revealed an ulcerated stricture at the gastrojejunal anastomosis, with biopsies confirming recurrent …

Continue reading EUS-guided gastrojejunostomy for management of malignant gastric outlet obstruction in a patient with Roux-en-Y anatomy

Effectiveness of prophylactic clipping in preventing postpolypectomy bleeding in oral anticoagulant users: a propensity-score analysis

Post written by Louis H.S. Lau, MBChB, and Raymond S.Y. Tang, MD, from the Department of Medicine and Therapeutics and the Institute of Digestive Diseases, The Chinese University of Hong Kong, Hong Kong. The focus of this study was to examine the benefit of prophylactic clipping after colonoscopic polypectomy in high-risk patients using oral anticoagulants. Postpolypectomy …

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Long-term treatment of an ischemic jejunal stricture: Is stenting a viable option?

Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. In this video case report, we describe endoscopic management of a long, ulcerated, ischemic jejunal stricture in a patient with an extensive surgical history for weight loss and colon cancer who presented with chronic …

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Antireflux band mucosectomy: a novel minimally invasive approach for the treatment of refractory gastroesophageal reflux disease

Post written by Ameya Deshmukh, DO, from the Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, Missouri, USA, and Jose Nieto, DO, from the Borland Groover Clinic, Jacksonville, Florida, USA. In this video, we present a case series of 4 patients who underwent a novel endoscopic therapy for the treatment of refractory …

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Endoscopic submucosal dissection in the right lateral position for early gastric cancer in the fornix

Post written by Hiromu Fukuda, MD, from the Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, Suita, Japan. In this video case, we show the usefulness of endoscopic submucosal dissection (ESD) in the right lateral position (RLP) for early gastric cancer (EGC) in the fornix. ESD of EGC in the fornix is challenging …

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EUS-guided biopsy of an intraventricular mass in a patient with ventricular tachycardia

Post written by Neal Mehta, MD, from the Department of Gastroenterology, Cleveland Clinic Foundation, Cleveland, Ohio, USA. This video describes EUS-guided fine-needle biopsy (EUS-FNB) of an intraventricular mass in a 23-year-old woman. The patient presented with unstable ventricular tachycardia requiring cardioversion and initiation of antiarrhythmic therapy. Cardiac MRI demonstrated a 7- x 7- x 3-cm mass, with …

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Pre-endoscopy coronavirus disease 2019 screening and severe acute respiratory syndrome coronavirus-2 nucleic acid amplification testing in the Veterans Affairs healthcare system: clinical practice patterns, outcomes, and relationship to procedure volume

Post written by Andrew J. Gawron, MD, PhD, from the National Gastroenterology and Hepatology Program, Office of Specialty Care Services, Department of Veterans Affairs, Washington, DC, USA, VA Salt Lake City Health Care System, Salt Lake City, Utah, USA, and the Division of Gastroenterology, University of Utah School of Medicine, Salt Lake City, Utah, USA. …

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The Double-Max method: a novel method for gallbladder epithelial biopsy

Post written by Masanori Kobayashi, MD, PhD, from the Department of Gastroenterology and Hepatology, Tokyo Medical and Dental University (TMDU), Tokyo, Japan. Our work published in the May 2022 issue of VideoGIE describes a novel method for mapping biopsy for perihilar cholangiocarcinoma in which the external sheath of the CytomaxII double-lumen biliary cytology brush (Cook Medical, …

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Successful endoscopic resection by using gel immersion and the technique of endoscopic papillectomy for a tumor adjacent to the papilla of Vater

Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 69-year-old woman presented with a flat elevated tumor adjacent to the papilla of Vater (POV). Endoscopic submucosal dissection (ESD) was selected for en bloc resection of the tumor and to determine a definitive pathological diagnosis. …

Continue reading Successful endoscopic resection by using gel immersion and the technique of endoscopic papillectomy for a tumor adjacent to the papilla of Vater