Vivek Kumbhari, MD from the Department of Medicine and Division of Gastroenterology and Hepatology at The Johns Hopkins Medical Institutions in Baltimore, Maryland, USA shares this video case "Closure of a large, persistent enterocutaneous fistula by use of a ventricular septal occluder." We demonstrate the use of a ventricular septal occluder (Amplatzer; St Jude Medical, Plymouth, …
Continue reading Fistula closure using a ventricular septal occluder
John A. (Jerry) Evans, MD, MMSc from Wake Forest University Medical Center describes this latest document from the ASGE Standards of Practice committee titled “The role of endoscopy in the bariatric surgery patient.” This guideline updates the current recommendations on the endoscopic management of issues that come up in patients who have had or will …
Ryan Law, DO, from Northwestern University, Feinberg School of Medicine, in Chicago, Illinois, USA presents this video case "Cholecystoduodenostomy and duodenal stenting for relief of biliary and gastric outlet obstruction." Our case describes the placement of a lumen-apposing stent into the gallbladder followed by placement of an uncovered metal duodenal stent for palliation in a …
Continue reading Cholecystoduodenostomy and duodenal stenting
Vivek Kumbhari, MD from the Department of Medicine and Division of Gastroenterology and Hepatology at The Johns Hopkins Medical Institutions in Baltimore, Maryland, USA shares this video case "EUS-guided biliary drainage made safer by a combination of hepaticogastrostomy and antegrade transpapillary stenting." A 61-year-old male presented with malignant biliary obstruction secondary to locally advanced pancreatic adenocarcinoma. …
Chan Hyuk Park, MD and Jun Chul Park, MD from the Division of Gastroenterology, Department of Internal Medicine, Severance Hospital, Institute of Gastroenterology, Yonsei University College of Medicine, in Seoul, Republic of Korea discuss this Original Article "Learning curve for EUS in gastric cancer T staging by using cumulative sum analysis." In our study, we …
Continue reading Learning curve for EUS in gastric cancer T staging
Takeshi Ogura, MD, PhD from the Second Department of Internal Medicine, Osaka Medical College in Osaka, Japan shares this VideoGIE case "Antegrade biopsy by using a trans-catheter technique through EUS-guided hepaticojejunostomy." In our video, we described technical tips of antegrade biopsy and blushing cytology through endoscopic ultrasound-guided hepaticojejunostomy. First, we punctured the intrahepatic bile duct …
Continue reading Antegrade biopsy by using a trans-catheter technique
Naresh T. Gunaratnam, MD and Eugene Zolotarevsky, MD from the Department of Gastroenterology, Huron Gastroenterology in Ypsilanti and St. Joseph Mercy Hospital in Ann Arbor, Michigan, USA discusses this Original Article "Efficacy and safety of the band and slough technique for endoscopic therapy of nonampullary duodenal adenomas: a case series." Standard endoscopic resection of duodenal adenomas …
Continue reading Band and slough technique for nonampullary duodenal adenomas
Payal Saxena, MD from Johns Hopkins Hospital in Baltimore, Maryland, USA and the Chris O’Brien Lifehouse at RPA in Camperdown, New South Wales, Australia describes this VideoGIE case "EUS-guided biliary drainage with antegrade transpapillary placement of a metal biliary stent." EUS-guided biliary drainage with antegrade transpapillary metallic stent is demonstrated in 2cases of malignant, biliary obstruction. …
Continue reading Antegrade transpapillary placement of a metal biliary stent
Everson L.A. Artifon, MD, FASGE from the Department of Surgery at the University of Sao Paulo in Sao Paulo, Brazil discusses his Original Article "Hepaticogastrostomy or choledochoduodenostomy for distal malignant biliary obstruction after failed ERCP: Is there any difference?" The study demonstrated that both hepaticogastrostomy (HG) and choledochoduodenostomy (CDT) are feasible to create an EUS-guided fistula …
Continue reading Comparing outcomes of 2 nonanatomic EUS-guided BD routes after failed ERCP
Rajeev Attam, MD from the Division of Gastroenterology at the University of Minnesota in Minneapolis, Minnesota, USA describes this VideoGIE case "Single-session, transgastric ERCP using sutured gastropexy for treatment of pancreatic duct leak in a patient with Roux-en-Y gastric bypass anatomy and pancreatic divisum." Our video case describes transgastric ERCP in a patient with Roux-en-Y …
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