Category: VideoGIE

Submucosal injection to facilitate needle-knife sphincterotomy: a novel technique

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Post written by Kambiz Kadkhodayan, MD, and Muhammad K. Hasan, MD, FACG, FRCP (Glasg), from the Center for Interventional Endoscopy, AdventHealth Orlando, Orlando, Florida, USA. We present a patient with obstructive jaundice and a flat (type 1) ampulla in whom conventional biliary cannulation using a standard sphincterotome was unsuccessful despite prolonged attempts. Given the unfavorable papillary morphology and need for …

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Endoscopic ultrasound—guided duodenojejunostomy for a duodenal duplication cyst presenting with duodenal obstruction

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Post written by Shanshan Shen, MD, PhD, from the Department of Gastroenterology, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China. A 50-year-old woman with refractory vomiting and severe electrolyte imbalance was diagnosed with a cystic-communicating duodenal duplication causing duodenal obstruction. As the patient declined surgical intervention, we performed EUS-guided duodenojejunostomy (EUS-DJ). Under the guidance …

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Thulium laser–assisted colorectal endoscopic submucosal dissection

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Post written by Robert Bechara, MD, from Queen's University, Kingston Health Sciences Center, Kingston, Ontario, Canada. This video demonstrates the use of a thulium laser system for colorectal endoscopic submucosal dissection (ESD) in a 68-year-old man with a 3.5-cm rectal lesion detected following a positive fecal immunochemical test result. The lesion was classified as Paris Is and …

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Tumor enhancement by magnetic resonance imaging after endoscopic ultrasound–guided radiofrequency ablation for small pancreatic neuroendocrine tumors

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Post written by José Celso Ardengh, PhD, from the Digestive Endoscopy Service, Hospital Moriah, São Paulo, and Department of Surgery and Anatomy, Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, Ribeirão Preto, and André Orsini Ardengh, MD, from the Digestive Endoscopy Service, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. …

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Gastroscope-assisted oral cavity and nasopharynx examination

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Post written by Aman Yadav, MD, and Alexander Huelsen, MD, from Department of Gastroenterology & Digestive Health, Gold Coast University Hospital, Southport, Australia. In our video, we demonstrate a simple and reproducible gastroscope-assisted method to examine the oral cavity and nasopharynx during routine EGD. With the use of a standard diagnostic gastroscope equipped with a distal cap, the oral …

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Peroral endoscopic 2-way tunneling and lumen restoration for complete esophageal obstruction

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Post written by Prakash Zacharias, MD, DM, and Mathew Philip, MD, DM, from the Lisie Institute of Gastroenterology, Hepatology and Transplantation, Lisie Hospital, Kochi, India. This article highlights the application of a third-space endoscopic technique to restore luminal continuity in a patient with complete esophageal obstruction at the postcricoid region. We successfully created a neo-lumen by performing submucosal tunneling from …

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Endoscopic freehand full-thickness resection of a gastric leiomyosarcoma initially diagnosed as gastric leiomyoma on endoscopic ultrasound—guided fine-needle biopsy

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Post written by Michael Yulong Wu, BMedSt, MD, MSurg, from Port Macquarie Private Hospital, Port Macquarie, and Port Macquarie Gastroenterology, Thrumster, and Stuart Kostalas, MBBS (Hons 1), MM (Clin Epi), MSc (Oxon), MBiostatistics, FRACP, from Port Macquarie Private Hospital, Port Macquarie, Port Macquarie Gastroenterology, Thrumster, and UNSW Rural Clinical Campus, University of New South Wales, Port Macquarie, Australia. This …

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Scar incision and endoscopic balloon dilation for severe benign esophageal strictures

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Post written by Naoya Tada, MD, PhD, Akira Dobashi, MD, PhD, and Kazuki Sumiyama, MD, PhD, from the Department of Endoscopy, The Jikei University School of Medicine, Tokyo, Japan.  Our video demonstrates a combined technique of scar incision and endoscopic balloon dilation (EBD) for severe benign esophageal strictures following endoscopic submucosal dissection or esophagectomy. After identifying areas of severe fibrosis, we selectively …

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Management of an inadvertent insertion of a biliary plastic stent into the portal vein: a dreaded ERCP adverse event

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Post written by Rashid Abdel-Razeq, MD, and Hassan Siddiki, MD, MS, MEd, from Cleveland Clinic Foundation, Cleveland, Ohio, USA. This article describes a case of an inadvertent biliary stent insertion into the portal vein. A multidisciplinary hybrid endoscopic and percutaneous approach successfully removed the stent and closed the biliovascular fistula without surgical intervention. It was important to showcase this video …

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A station-wise approach to liver anatomy for linear EUS

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Post written by Dario Ligresti, MD, from the Digestive Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT, Palermo, Italy, and Radhika Chavan, MD, DNB, FISG, FASGE, from the Department of Gastroenterology and Endoscopy, Bharati Vidyapeeth Medical College, Pune, India. Our video demonstrates a structured, station-wise approach for identifying liver anatomy during linear EUS. Liver segments are described from …

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