Post written by Yun Je Song, MD, Gunn Huh, MD, and Do Hyun Park, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. The focus of our study was to compare the efficacy, safety, and oncologic outcomes of EUS-guided rapid ethanol lavage …
Author: GIEjournal
Clip-and-line traction method for difficult ERCP cannulation due to choledochocoele
Post written by Mark Henrik Bonnichsen, MBBS (Hon), from the Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore. We describe a case of a 77-year-old woman who underwent ERCP for choledocholithiasis and surveillance MRCP for an intraductal papillary mucinous neoplasm. MRCP also showed an incidental choledochocoele. At ERCP, the choledochocoele made visualization of the …
Continue reading Clip-and-line traction method for difficult ERCP cannulation due to choledochocoele
A challenging case of pancreaticogastric anastomotic stricture in a patient with surgically altered anatomy
Post written by Yervant Ichkhanian, MD, from Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, and Internal Medicine, Henry Ford Hospital, Detroit, Michigan, USA. This was a case of a 64-year-old woman with a history of Roux-en-Y gastric bypass and a subsequent Whipple reconstruction with pancreatico-gastrostomy (PG) who presented to our center with a …
Use of an adapted bronchoscope for peroral endoscopic myotomy in a pediatric patient weighing less than 10 kg
Post written by Carlos Robles-Medranda, MD, from the Instituto Ecuatoriano de Enfermedades Digestivas (IECED), Guayaquil, Ecuador. In this video case presentation, we illustrate a compelling clinical scenario involving an underweight 2-year-old girl who presented with a confirmed diagnosis of achalasia. In a noteworthy facet, parental refusal for surgical intervention prompted the consideration of an alternative endoscopic …
Aberrant placement of functional lumen imaging probe into mediastinum during peroral endoscopic myotomy
Post written by Yusuke Fujiyoshi, MD, and Christopher Teshima, MD, MSc, PhD, from the Advanced Therapeutic Endoscopy Centre, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada. We experienced a peroral endoscopic myotomy (POEM) case in which the EndoFLIP (Medtronic, Inc, Shoreview, Minn, USA) catheter was inserted into the submucosal tunnel and inflated into the mediastinum, …
Clinical outcomes and learning curve for ERCP during advanced endoscopy training: a comparison of supine versus prone positioning
Post written by Danny Issa, MD, from UCLA, Los Angeles, California, USA. This study explores the clinical outcomes of ERCP in the supine versus prone patient position when performed by a trainee. Studies have reported variable outcomes of ERCP in each position. In the United States, the majority of ERCPs are performed in prone positions. Nevertheless, …
Validation of a pre-endoscopy risk score for predicting the presence of gastric intestinal metaplasia in a U.S. population
Post written by Mimi C. Tan, MD, MPH, from the Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA. Gastric cancer is thought to develop via a progression from gastric atrophy and gastric intestinal metaplasia (GIM) in the setting of Helicobacter pylori infection. Although several risk factors for GIM have …
A successful case of an endoscopic submucosal dissection using a combination of the pocket-creation method and traction with a spring-and-loop with clip for early gastric cancer with severe ulcer scarring
Post written by Fumisato Sasaki, MD, PhD, from Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. The pocket-creation method (PCM) has been reported as a useful method in endoscopic submucosal dissection (ESD). On the other hand, the spring-and-loop with clip (S-O clip; Zeon Medical, Tokyo, Japan) is a useful …
Maximizing limited space: usefulness of percutaneous cricothyrotomy and super-soft hood for hypopharyngeal endoscopic submucosal dissection
Post written by Marc Julius H. Navarro, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan, the Institute of Digestive and Liver Diseases, St. Luke’s Medical Center, Quezon City, and the Section of Gastroenterology, Department of Medicine, Makati Medical Center, Makati City, Philippines. In this video, we present a case of en …
Long-term outcome of cervical lymph node metastasis in superficial pharyngeal squamous cell carcinoma after endoscopic submucosal dissection
Post written by Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. We evaluated the risk factors of cervical lymph node metastasis (LNM) in 331 patients with superficial pharyngeal squamous cell carcinoma (PSCC) without a history of chemoradiotherapy for PSCC who underwent endoscopic submucosal dissection (ESD) at Toranomon Hospital in Tokyo, Japan. …
