Evaluation of sling fibers and two penetrating vessels for guiding extent of the tunnel and myotomy during posterior peroral endoscopic myotomy

Post written by Hugo Uchima, MD, from the Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias i Pujol, Badalona, and the Endoscopic Unit, Teknon Medical Center, Barcelona, Spain. In this video, we describe the technical and anatomic endoscopic references to preserve the innermost gastric oblique fibers (sling fibers) during posterior POEM, based on the location …

Continue reading Evaluation of sling fibers and two penetrating vessels for guiding extent of the tunnel and myotomy during posterior peroral endoscopic myotomy

Successful endoscopic submucosal dissection for a huge lipoma in the terminal ileum

Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. The video describes successful endoscopic submucosal dissection (ESD) for a huge lipoma in the terminal ileum. A 74-year-old man underwent a computed tomography because of intermittent lower-abdominal pain, and the images revealed a tumor in the …

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Gastric peroral endoscopic myotomy for refractory gastroparesis

Post written by Shaimaa Elkholy, MD, from the Gastroenterology Division, Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt. We present here a case of a middle-aged male patient with history of refractory gastroparesis post-surgical fundoplication. Despite using extensive medical treatment of antiemetics and prokinetics, his condition was deteriorating. We performed G-POEM, which is …

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Endoscopic treatment of symptomatic insulinoma with a new EUS-guided radiofrequency ablation device

Post written by Mihir S. Wagh, MD, FACG, FASGE, from the Division of Gastroenterology, University of Colorado-Denver School of Medicine, Aurora, CO, USA. We report EUS-guided ablation of symptomatic insulinoma with the newly available EUSRA device. Our video highlights the EUSRA device, the technique used for ablation, and successful clinical, physiologic, and radiologic results after …

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Impact of COVID-19 on endoscopy trainees: an international survey

  Post written by Katarzyna M. Pawlak, MD, PhD, Aline Charabaty, MD, AGAF, and Catharine M. Walsh, MD, MEd, PhD, from the Hospital of the Ministry of Interior and Administration, Szczecin, Poland, the Division of Gastroenterology, Johns Hopkins School of Medicine, Johns Hopkins-Sibley Memorial Hospital, Washington, DC, USA, and the Division of Gastroenterology, Hepatology and …

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Dynamic and multifocal clip and band countertraction for endoscopic submucosal dissection

Post written by Georgios Mavrogenis, MD, from the Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece. This video illustrates how to perform ESD with clip and band countertraction in the stomach and colon. We present several variations of clip and band countertraction. In particular, we demonstrate the standard technique, the application of multiple complexes for clips/bands …

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Oxygen saturation imaging as a useful tool for visualizing the mode of action of photodynamic therapy for esophageal cancer

Post written by Masayuki Suyama, MD, PhD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. This video case series presents the usefulness of oxygen saturation imaging for photodynamic therapy for esophageal cancer. Oxygen saturation (OS) imaging is a novel technique that directly measures and visualizes the tissue oxygen saturation …

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Computer-aided detection-assisted colonoscopy: classification and relevance of false positives

Post written by Matteo Badalamenti, MD, from the Humanitas Clinical and Research Center IRCCS, Digestive Endoscopy Unit, Division of Gastroenterology, Rozzano, Milan. The focus of our study was to define a structured classification of false-positive (FP) results provided by the Artificial Intelligence CADe system that was recently applied in endoscopic daily practice and to estimate …

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Endoscopic full-thickness resection of a stomach gastrointestinal stromal tumor using a dedicated full-thickness resection device

Post written by Dennis Yang, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida. We present a case of a 60-year-old man with a 15-mm gastrointestinal stromal tumor (GIST) in the stomach. The patient elected for resection instead of surveillance. After multidisciplinary discussion, the decision was to proceed with endoscopic removal. …

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Performance of a computer-aided diagnosis system in diagnosing early gastric cancer using magnifying endoscopy videos with narrow-band imaging

Post written by Yusuke Horiuchi, MD, PhD, from the Department of Gastroenterology, Cancer Institute Hospital, Tokyo, Japan. The performance of magnifying endoscopy with narrow-band imaging (ME-NBI) using a computer-aided diagnosis (CAD) system in diagnosing early gastric cancer (EGC) is unclear. Here, the focus of our study is to clarify the differences in the diagnostic performance …

Continue reading Performance of a computer-aided diagnosis system in diagnosing early gastric cancer using magnifying endoscopy videos with narrow-band imaging