Digital single-operator pancreatoscopy for evaluation of IPMN

Post written by David Albers, MD, from the Department of Gastroenterology, Elisabeth-Krankenhaus Essen, academic teaching hospital of the University of Duisburg-Essen. Main-duct-IPMN and mixed-type-IPMN are frequently associated with malignancy and usually leaded to surgery; however, branch-duct-IPMNs biologically behave more indolent. Prediction of malignancy is a crucial point to distinguish between surgical therapy and conservative management …

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Salvage therapy for colonic mechanical obstruction

Post written by Georgios Mavrogenis, MD, from the Endoscopy Department, Mediterraneo Hospital, Athens, Greece. This case illustrates the endoscopic management of a 7-cm-long obstruction of the distal colon that was not amenable to stenting, dilation, or surgery. The patient suffered from pseudo-diarrhea and gas retention. His abdomen was very distended and painful. CT scan and …

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Salvage resection of recurrent polyp after polypectomy

Post written by Michiko Wada, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan. We report a case of a 77-year-old woman who had undergone polypectomy for a polyp on the anastomosis of past laparoscopic sigmoidectomy but was referred to our endoscopy unit with recurrent polyp. …

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Overtube-assisted pneumatic dilation for achalasia in megaesophagus

Post written by Shashideep Singhal from the University of Texas Health Science Center at Houston. A 63-year-old man with a long-standing history of achalasia presented for pneumatic dilation. Several technical problems were associated with pneumatic balloo dilation in this case, which had resulted in failure of an earlier attempt. Because of a tortuous megaesophagus with …

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Linitis plastica: a harbinger of an unusual cause of gastric wall thickening

Post written by Debdeep Banerjee, Saikiran Raghavapuram, and Benjamin Tharian from the Division of Gastroenterology, Department of Internal Medicine, University of Arkansas for Medical Sciences and the School of Medicine, Texas Tech University Health Sciences Center. In this video submission, we describe a woman with a past history of breast cancer who had undergone mastectomy …

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Endoscopic incision method to treat refractory esophageal stricture

Post written by Bing Hu, MB, from the Department of Gastroenterology, West China Hospital of Sichuan University, Chengdu, Sichuan, China. Our video case report describes a 34-year-old woman with refractory esophageal stricture that resulted from scar formation after endoscopic submucosal dissection of a fibroma. Esophagography showed the stricture located at the level of T6 with a …

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Mucosubmucosal elongated colonic polyp

Post written by Jennifer L. Horsley-Silva, MD, and David E. Fleischer, MD from the Division of Gastroenterology and Hepatology, Mayo Clinic,  in Phoenix, Arizona, USA. Our video is of a surveillance colonoscopy that demonstrated a 12 mm elongated, pedunculated polyp that was “wormlike” in appearance and found in the ascending colon. An EndoLoop detachable ligating device …

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