Claudio Zulli, MD, from the Gastroenterology and Digestive Endoscopy Unit, NOCSAE Hospital, AUSL, Modena presents this video case. A 58-year-old man was referred to the Transplant Unit for an “urgent” orthotopic liver transplantation (OLT) due to decompensated alcoholic liver cirrhosis. Abdominal ultrasound (US) and a CT-scan revealed a mild left intra-hepatic biliary duct dilation and an …
Author: GIEjournal
Recanalization after biliojejunostomy using new digital per-oral cholangioscope
Post written by Ryosuke Tonozuka, PhD, MD, from the Department of Gastroenterology and Hepatology, at the Tokyo Medical University in Tokyo, Japan This video shows antegrade therapy using this new digital per-oral cholangioscope (DPCS) through the EUS-guided hepaticogastrostomy (EUS-HGS) route for a stricture of the biliojejunal anastomotic site. Digital per-oral cholangioscope with good visualization through the EUS-HGS route …
Continue reading Recanalization after biliojejunostomy using new digital per-oral cholangioscope
Management of a large symptomatic epiphrenic diverticulum
Alan H. Tieu, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology, The Johns Hopkins University School of Medicine, Baltimore, Maryland presents this video case. Therapy for symptomatic epiphrenic diverticulum typically involves surgical myomectomy or diverticulectomy with high morbidity. We demonstrate a purely endoscopic technique for the management of a large symptomatic epiphrenic …
Continue reading Management of a large symptomatic epiphrenic diverticulum
Metal versus plastic stent for drainage of malignant biliary obstruction
Post written by Tae Jun Song, MD, PhD and Sang Soo Lee, MD, PhD from the Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, South Korea Preoperative biliary drainage (PBD) with stent placement has been commonly used for patients with malignant biliary obstruction. In PBD, the placement of fully-covered …
Continue reading Metal versus plastic stent for drainage of malignant biliary obstruction
Successful hemostasis using a covered self-expandable metallic stent for spurting hemobilia
Jae Hee Cho, MD, PhD from the Division of Gastroenterology, Department of Internal Medicine, Gachon University, Gil Medical Center, Incheon, Republic of Korea presents this video case. A patient who underwent biliary plastic stent placement for pancreatic head cancer with central bile duct (CBD) invasion was admitted for hematochezia. Abdominal enhanced computed tomography (CT) showed …
ESD removal of large superficial tumor
Post written by Maiko Takita, MD, from the Department of Gastroenterology, NTT Medical Center Tokyo, in Tokyo, Japan Endoscopic resection for cecal tumors extending to the appendiceal orifice is difficult because the margin cannot be often tracked entirely, in addition to the higher risk of perforation. Here we report a case of a colonic tumor …
Through one tunnel, POEM, STER, and STED simultaneously operated
Enqiang Linghu from the Department of Gastroenterology, Hepatology and Endoscopy at Chinese PLA General Hospital, Beijing, China presents this video case. The video demonstrated 3 kinds of submucosal tunneling techniques that were simultaneously performed through 1 tunnel in a 53-year-old female patient, namely submucosal tunneling endoscopic resection (STER), submucosal tunneling endoscopic diverticulotomy (STED), and per-oral …
Continue reading Through one tunnel, POEM, STER, and STED simultaneously operated
Countertraction in ESD
Post written by Hiroyuki Aihara, MD, PhD from the Division of Gastroenterology, Hepatology, and Endoscopy at Brigham and Women’s Hospital, Harvard Medical School, in Boston, Massachusetts, USA Two technically challenging endoscopic submucosal dissection (ESD) cases are described in this video. The first gastric ESD was complicated by prior tattooing and incomplete resection, which caused significant …
Submucosal tunneling technique using insulated-tip knife in complete circumferential endoscopic submucosal dissection
Kenichiro Imai from the Division of Endoscopy, Shizuoka Cancer Center presents this video case. We demonstrated complete circumferential colorectal endoscopic submucosal dissection (ESD) using an insulated-tip knife. Colonoscopy in a 70-year-old woman showed a 15-cm circumferential laterally spreading tumor (LST) in the upper rectum. Through the use of magnified endoscopy, we diagnosed non-invasive cancer, so we …
Incidence and impact of scheduled endoscopic surveillance on recurrence after curative endoscopic resection for early gastric cancer
Post written by Kyu Yeon Hahn and Jun Chul Park from the Division of Gastroenterology, Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea The focus of our study was to identify the incidence of recurrent lesions after endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) and to determine whether …
