Endoscopic removal of a migrated plastic stent from the peritoneal cavity after EUS-guided gallbladder drainage

Post written by Mayu Nishiyama, MD, Shigeto Ishii, MD, Toshio Fujisawa, MD, PhD, Hiroaki Saito, MD, PhD, and Hiroyuki Isayama, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan. This is a case of unresectable hilar cholangiocarcinoma in a 74-year-old man. He developed acute cholecystitis after biliary stent placement …

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EUS-guided drainage of a pelvic abscess

Post written by Ignacio Fernández-Urién, MD, PhD, from the Gastroenterology Department, Complejo Hospitalario de Navarra, Navarra, Spain. We presented the case of a 50-year-old woman with an 8-cm pelvic abscess secondary to an acute diverticulitis that was drained guided by EUS. First, we punctured the lesion with a 19-gauge needle, and 5 mL of purulent …

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Hybrid argon plasma coagulation: a new modality for treatment of a diffuse foregut anastomotic dysplastic lesion

Post written by Truptesh H. Kothari, MD, from the Center for Advanced Therapeutic Endoscopy, Division of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, New York, United States. Our case was an elderly patient who had history of Roux-en-y gastric bypass many years ago, now presented to his gastroenterologist for abdominal pain. On upper …

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Different risk factors between early and late cancer recurrences after noncurative ESD

Post written by Waku Hatta, MD, PhD, from the Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, Japan. Our study focused on evaluating the risk factors of early and late cancer recurrences in patients who were followed up without additional radical surgery after endoscopic submucosal dissection (ESD) for early gastric cancer (EGC) categorized …

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ESD and submucosal tunneling endoscopic resection for obstructive lipomas

Post written by Georgios Mavrogenis, MD, from the Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece. This video describes the resection of an obstructive duodenal lipoma by means of submucosal tunneling endoscopic resection (STER) and the resection of obstructive colonic lipoma by means of endoscopic submucosal dissection (ESD) Big lipomas are always challenging to remove. The …

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Duration or etiology of gastroparesis and clinical response after gastric per-oral endoscopic pyloromyotomy

Post written by Parit Mekaroonkamol, MD, Vaishali Patel, MD, MHS, and Qiang Cai, MD, PhD, from the Emory University School of Medicine, Atlanta, Georgia, and the King Chulalongkorn Memorial Hospital, Chulalongkorn University, Bangkok, Thailand. Gastric per-oral endoscopic pyloromyotomy (GPOEM) is an emerging endoscopic procedure for treatment of gastroparesis. Although multiple studies have demonstrated impressive clinical …

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“Posterior-like” anterior per-oral endoscopic myotomy

Post written by Georgios Mavrogenis, MD, from the Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece. Endoscopists are free to choose between anterior of posterior based on their preference. Recent data illustrate that posterior POEM is faster and less prone to mucosal injuries. Conversely, some studies have associated anterior POEM with less post-myotomy acid reflux. We …

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