Endoscopic vacuum therapy for a large esophageal perforation after bariatric stent placement

Post written by Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, from the Endoscopy Unit, Gastrointestinal Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. In this video, we present a case of a large esophageal perforation that occurred after a bariatric stent placement for the treatment of …

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Successful liver-directed gene delivery by ERCP-guided hydrodynamic injection

Post written by Vivek Kumbhari, MD, from the Department of Medicine and Division of Gastroenterology and Hepatology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. The success of gene-targeted therapy depends on 2 fundamental steps; the first being the intracellular delivery and the second is the genetic modification of the target cells. The first step …

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Endoscopic management of gossypiboma

Post written by Radhika Chavan, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. A 30-year-old woman underwent cholecystectomy 3 weeks earlier and developed abdominal pain, vomiting, and low-grade fever within 2 weeks of surgery. On contrast-enhanced computed tomography, a large lesion with an internal reticular pattern was seen in the gastro-hepatic region. She …

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Technical feasibility of ESD for local failure after chemoradiotherapy or radiotherapy

Post written by Keiichiro Nakajo, MD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. In this retrospective, single-center study, enrolling almost 600 consecutive patients treated with endoscopic submucosal resection (ESD) for superficial esophageal squamous cell carcinoma, the patient cohort was stratified into 3 groups as follows: group A, salvage …

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Endoscopic intra-abdominal rescue therapy of a dislodged EUS-guided hepaticogastrostomy stent

Post written by Johannes Maubach, MD, from the Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. We report a case of an 86-year-old fragile woman who was admitted with painless jaundice and massively congested intrahepatic ducts. An outside MRCP showed a suspicious lesion in the tail of the …

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Use of diphenhydramine as an adjunctive sedative for colonoscopy

Post written by Salman Nusrat, MD, from the University of Oklahoma Health Sciences Center and the Veterans Affairs Medical Center, Oklahoma City, Oklahoma, USA. The primary aim of our study was to evaluate if the addition of diphenhydramine to routinely used sedatives will decrease the amount of fentanyl and midazolam used during colonoscopy in patients …

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ESD of a large cecal polyp using a scissor-type knife

Post written by Hiroyuki Aihara, MD, PhD, from the Developmental Endoscopy Laboratory, Harvard Medical School, Brigham and Women’s Hospital, and the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. In this video, we present a case of a large flat lesion in the cecum that was removed by ESD using …

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