A novel teaching tool for visualizing the invisible bile duct axis in 3 dimensions during biliary cannulation (Compact Disc method)

Post written by Mamoru Takenaka, MD, PhD, from the Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka-sayama, Japan. The selective biliary cannulation is difficult to master, especially for cases of papillae with a long oral protrusion (LOP). In such cases, visualization of the invisible bile duct axis in 3 dimensions (3D) is …

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Sterile disposable elevator cap in the reduction of cross-contamination

Post written by Carlos Robles-Medranda, MD, from the Instituto Ecuatoriano de Enfermedades Digestivas (IECED, Guayaquil, Ecuador. In the present Tools and Techniques video recently published on VideoGIE, we presented our experience with a novel duodenoscope with a sterile disposable elevator cap for the performance of 700 ERCP procedures. This equipment, which has a 35% reduced …

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Extrabiliary applications of fully covered antimigration biliary metal stents

Post written by Fateh Bazerbachi, MD, from the Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts. In this case series, our team demonstrates examples of luminal applications of specialized fully covered antimigration biliary stents in different challenging scenarios. Specifically, we apply these small-caliber stents in benign radiation pan-esophageal stricture, distal malignant esophageal stricture, enteral anastomotic …

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An organ-sparing approach: endoscopic submucosal hydrodissection followed by appendectomy to remove giant synchronous adenomas in a patient with prior left hemicolectomy

Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, HM Hospitales Group, Boadilla del Monte, and the Department of Clinical Sciences. School of Medicine, University of CEU San Pablo, Boadilla del Monte, Madrid, Spain. In this video case report, we present a patient  who had a previous left …

Continue reading An organ-sparing approach: endoscopic submucosal hydrodissection followed by appendectomy to remove giant synchronous adenomas in a patient with prior left hemicolectomy

Endoscopic closure assisted by a novel traction device after duodenal ESD

Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 58-year-old man was found to have a flat-elevated lesion of 20 mm in size in the second portion of the duodenum. We selected endoscopic submucosal dissection (ESD) for en bloc resection because endoscopic mucosal resection …

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Endoscopic submucosal tunneling dissection: use of a novel bipolar radiofrequency and microwave-powered device for colorectal ESD

Post written by Thomas R. McCarty, MD, and Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. In this video presentation, we describe a case of successful en bloc resection of a 60-mm laterally spreading tumor granular type (LST-G) rectal lesion using …

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EUS-guided transrectal drainage of pelvic fluid collections using electrocautery-enhanced lumen-apposing metal stents

Post written by Andrea Lisotti, MD, from the Gastroenterology Unit, Hospital of Imola, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy. Pelvic fluid collections (PFCs) are frequent adverse events of abdominal surgery or inflammatory conditions. Percutaneous approach for deep PFC could be challenging and could result in longer and painful recovery; trans-vaginal …

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Permanent endoscopic reversal of Roux-en-Y gastric bypass for diagnosis and long-term palliation of pancreatic cancer

Post written by Seifeldin Hakim, MD, and Phillip S. Ge, MD, from the Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. Patients with Roux-en-Y gastric bypass (RYGB) anatomy face unique technical challenges in the management of pancreaticobiliary malignancy. EUS-guided RYGB reversal (known as EDGE or GATE …

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EUS-guided rendezvous with a steerable access needle in choledocholithiasis

Post written by Sundeep Lakhtakia, MD, DM, from the Asian Institute of Gastroenterology, AIG Hosiptals, Telangana, India. A patient with past cholecystectomy presented with symptomatic CBD stones. He had unsuccessful ERCPs due to duodenal deformity and non-visualized papilla located within a large duodenal diverticulum. This video case has 2 interesting segments. In first part, EUS …

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Novel combination of a 0.018-inch guidewire, dedicated thin dilator, and 22-gauge needle for EUS-guided hepaticogastrostomy

Post written by Yoshihide Kanno, MD, from the Department of Gastroenterology, Sendai City Medical Center, Sendai, Japan. We presented a case of a patient with a surgically altered gastrointestinal anatomy who underwent EUS-guided hepaticogastrostomy (EUS-HGS) using a combination of a newly developed 0.018-inch guidewire, a dedicated thin dilator, and a 22-gauge needle. We often encounter …

Continue reading Novel combination of a 0.018-inch guidewire, dedicated thin dilator, and 22-gauge needle for EUS-guided hepaticogastrostomy