Post written by Yoshiki Sakaguchi, MD, PhD, and Yosuke Tsuji, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. Postoperative stricture is a severe adverse event, which frequently occurs after resection of over 3/4 the circumference of the esophagus and may require treatment over a long period …
Author: GIEjournal
A recurrent lesion with severe fibrosis of colorectal ESD using the combination of pocket-creation method and traction device
Post written by Naohisa Yoshida, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan. Colorectal endoscopic submucosal dissection (ESD) is spreading in the world, but there are still several problems such as poor manipulation, breathing movement, severe fibrosis, and long procedure time. …
Successful resection of a giant pedunculated pharyngeal liposarcoma by ESD with countertraction using grasping forceps
Post written by Hayato Yamaguchi, MD, PhD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Our video case describes successful resection of a giant pedunculated pharyngeal liposarcoma in the esophagus by endoscopic submucosal dissection using grasping forceps. Hypopharyngeal and esophageal liposarcomas are very rare, and these tumors are mainly diagnosed as …
High-resolution manometry–guided endoscopic myotomy in a case with jackhammer esophagus
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video case, we demonstrated the technique of peroral endoscopic myotomy (POEM) in a case with Jackhammer esophagus. The highlight of the video is the selection of the appropriate length of esophageal myotomy using high-resolution esophageal manometry. The point …
Use of a rigidizing overtube for altered-anatomy ERCP
Post written by Mike Tzuhen Wei, MD, from Stanford University, Stanford, and Veterans Affairs Palo Alto, Palo Alto, California. We present 2 cases in which the rigidizing overtube was used to facilitate performance of altered-anatomy ERCP. In the first case, a 53-year-old woman with history of Roux-en-Y hepaticojejunostomy presented for management of intrahepatic stones. Interventional …
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Use of a rigidizing overtube to complete an incomplete colonoscopy
Post written by Mike T. Wei, MD, from Stanford University, Stanford, and Veterans Affairs Palo Alto, Palo Alto California. We present a case of a 64-year-old man with history of C5 spinal cord injury who presented for screening colonoscopy. Unfortunately, due to significant looping, the colonoscope was only able to reach the transverse colon. The colonoscope …
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Endoluminal vacuum therapy in the management of a large gastrobronchial fistula
Post written by Sarah Durbin, BS, Jose Luis Aranez, MD, and Robert Jay Sealock, MD, from the Baylor College of Medicine, Houston, Texas. The case details a patient with a distant history of esophagectomy with gastric conduit that presented with a large gastrobronchial fistula resulting in necrotizing pneumonia. The patient was not an immediate candidate …
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Endoscopic closure of jejunal perforation in altered anatomy using a detachable endoloop
Post written by Mohan Ramchandani, MD, DM, from the Department of Medical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India. A 73-year-old man was diagnosed with a case of carcinoma gastroesophageal junction. He underwent total gastrectomy with regional lymphadenectomy (D1 gastrectomy) and intrathoracic oesophagojejunostomy with Roux-en-Y jejunojejunal anastomosis. Post operatively he developed an anastomotic leak. After stabilization …
Endoscopic treatment of Killian-Jamieson diverticulum using submucosal tunneling diverticulotomy technique
Post written by Ali Zakaria, MD, from the Division of Gastroenterology, Ascension Providence Hospital, Southfield, Michigan. We present a case of an 82-year-old female patient with progressively worsening dysphagia to solid food, regurgitation, globus sensation, and halitosis. Barium esophagram revealed a 40-mm anterolateral protrusion at the level of the proximal cervical esophagus, consistent with KJD. …
Perspectives toward minimizing the adverse events of endoscopic sleeve gastroplasty
Post written by Vivek Kumbhari, MD, PhD, from the Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. This review focuses on the technical aspects required to perform an endoscopic sleeve gastroplasty (ESG). Though there is a growing body of literature on the clinical outcomes of ESG, there is little …
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