Large-caliber metal stent controls entry site bleeding during EUS-guided drainage of walled-off necrosis

Post written by Radhika Chavan, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. A 35-year-old man, diagnosed with acute necrotizing pancreatitis 7 weeks ago, presented with abdominal pain and fever for 2 weeks. Evaluation showed mild leukocytosis with raised amylase and lipase levels. Endoscopic ultrasound (EUS) showed large walled-off necrosis (WON) with minimal …

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Suture pulley countertraction method reduces procedure time and technical demand of ESD

Post written by Hiroyuki Aihara, MD, PhD, from the Developmental Endoscopy Lab, Harvard Medical School, and Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. The lack of reliable countertraction in endoscopic submucosal dissection (ESD) contributes to its technical demand and increased procedure time. In our previous ex vivo study, we …

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Per-oral endoscopic myotomy with endoscopic septum division

Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video case, we describe per oral endoscopic myotomy (POEM) in a case of achalasia with large diverticulum at the lower end of esophagus. POEM was performed in the standard fashion. In addition, the septum between diverticulum and submucosal …

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Simultaneous detection and characterization of diminutive polyps with the use of AI

Post written by Yuichi Mori, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. We present a novel computer-aided system that enables automated polyp detection followed by immediate polyp characterization in a real-time fashion using an endocytoscope, a colonoscope with a function of 520-fold endomicroscopy (CF-H290ECI; Olympus Corp., Tokyo, Japan). …

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Step-by-step use of hemostatic powder

Post written by Andrew C. Storm, MD, from the Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA. Our video is meant to be used as a teaching tool, demonstrating the step-by-step use of hemostatic powder for GI hemorrhage. More specifically, malignancy-associated bleeding, as shown in this case, is difficult to manage endoscopically, and …

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Submucosal per-oral endoscopic myotomy for a large Zenker’s diverticulum

Post written by Valerio Balassone, MD, PhD, from the Universita Campus Bio-Medico di Roma, Rome, Italy. This is a preliminary experience with an innovative technique to treat large Zenker’s diverticulum. It demonstrates innovative tools and techniques to separate the mucosa from the septum in order to achieve a complete septum division without the concern of …

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A unique case of ileal Dieulafoy’s lesion diagnosed and treated by cap-assisted water immersion colonoscopy

Post written by Philip T. Chen, MD, FACG, from the United Gastroenterologists, Irvine, California, USA. We describe a case of an 83-year-old woman presenting with melena and anemia.  An actively bleeding ileal Dieulafoy’s lesion was found 30 cm proximal to the ileocecal valve (measurement based on withdrawal) and treated through colonoscopy with deep ileal intubation …

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