How to manage an endoscopy unit during a COVID-19 pandemic

Post written by Ping-Hong Zhou, MD, PhD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China. This video shows how to manage an endoscopy unit during the COVID-19 pandemic, with specific details on work flow, screening staff, screening patients, management in preprocedure areas and endoscopy rooms, postprocedure management, environment disinfection, …

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Usefulness of a handmade distal endoscope attachment with a transparent tape

Post written by Marie Kurebayashi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. The video describes the steps involved in making a handmade distal attachment with a transparent tape, and how it can be used for different endoscopic procedures. Distal attachments placed on the endoscope tip improve visualization of the …

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Newly developed proximal release–type colonic stent placement for malignant lower rectal obstruction

Post written by Kanae Tao, MD, from the Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Kure, Japan. Our video case depicts the use of the newly developed proximal release-type colonic self-expandable metallic stent (SEMS) for malignant lower rectal obstruction close to the anal verge. A 64-year-old man presented with …

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Peroral endoscopic fundoplication: a brand-new intervention for GERD

Post written by Akiko Toshimori, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Showa University Tokyo, Japan. Last year, we reported POEM+fundoplication (POEM+F). In brief, POEM+F is a combination procedure of endoscopic myotomy and NOTES fundoplication for the purpose of preventing GERD after POEM. This time, we performed NOTES fundoplication for a …

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Effectiveness of endoscopic Doppler probe ultrasonography for identifying the source of colonic diverticular bleeding

Post written by Yasutoshi Shiratori, MD, from the Division of Gastroenterology, St. Luke’s International Hospital, Tokyo, Japan. Our video describes a case of colonic diverticular bleeding (CDB) in which Doppler probe ultrasonography (DOP) was used, with new systems for effective identification of stigmata of recent hemorrhage (SRH). An 89-year-old man was admitted for treatment of …

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Endoscopic vacuum therapy for postoperative GI fistula

Post written by Mateus Pereira Funari, MD, Antonio Madruga Coutinho Neto, MD, Galileu Ferreira Ayala Farias, MD, Eduardo Guimarães Hourneaux de Moura, MD, PhD, Marcos Eduardo Lera dos Santos, MD, from the Clinics Hospital of the São Paulo University Medical School (HC-FMUSP), São Paulo, São Paulo, Brazil. We describe the case of a 70-year-old male …

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Endoscopic treatment of colonic diverticular bleeding with an over-the-scope clip after failure of endoscopic band ligation

Post written by Kenji Yamazaki, MD, PhD, from the Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, Japan. We describe a case of an 86-year-old woman with a history of hypertension and colonic diverticular bleeding (CDB) who presented with severe hematochezia to a nearby medical institution. Emergency colonoscopy revealed an active diverticular hemorrhage in …

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ESD of a large duodenal neuroendocrine tumor adjacent to the pyloric ring

Post written by Sonmoon Mohapatra, MD, from the Division of Gastroenterology and Hepatology, Saint Peter’s University Hospital/Rutgers—RWJ Medical School, New Brunswick, New Jersey, USA. A 62-year-old morbidly obese (BMI 62) man with multiple comorbid conditions was found to have a 1.5-cm subepithelial duodenal lesion in the anterior wall of the duodenal bulb, located within 1 …

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The suture pulley countertraction method for challenging rectal ESD

Post written by Phillip S. Ge, MD, from the Department of Gastroenterology, Hepatology, and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. The video describes a 54-year-old woman who underwent a screening colonoscopy at which time a rectal neuroendocrine tumor was removed in piecemeal fashion, with positive lateral and deep margins. …

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Salvage endoscopic submucosal tunneling dissection using IT knife nano for an elderly patient with circumferential residual esophageal squamous cell carcinoma after radiotherapy

Post written by Mai Ego, MD, and Seiichiro Abe, MD, PhD , from Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. A 96-year-old man underwent definitive radiotherapy for extensive early esophageal squamous cell carcinoma (SCC) involving the middle esophagus. Three months after radiotherapy, a residual tumor was detected during esophagogastroduodenoscopy. A 50-mm circumferential flat lesion …

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