Combination of a 19-gauge needle and 0.018-inch guidewire with a Y-connector during EUS-guided hepaticogastrostomy

Post written by So Nakaji, MD, from the Department of Gastroenterology, Kameda Medical Center, Chiba, Japan. EUS-guided hepaticogastrostomy (EUS-HGS) can be performed by either first injecting the contrast medium or inserting the guidewire. Each method has advantages and disadvantages. It is desirable to inject the contrast medium with a guidewire loaded in a needle such …

Continue reading Combination of a 19-gauge needle and 0.018-inch guidewire with a Y-connector during EUS-guided hepaticogastrostomy

Endoscopic management of magnet ingestion and its adverse events in children

Post written by Radhika Chavan, MD, DNB, from the Ansh Clinic, Ahmedabad, Gujarat, India. In this video case series, we report adverse events related to the prolonged retention of magnets and endoscopic management in children. Three children each ingested 2 magnets of different shapes and sizes with variable periods of ingestion. They presented with abdominal …

Continue reading Endoscopic management of magnet ingestion and its adverse events in children

Endoscopic submucosal dissection with ductotomy for the resection of a gastric duplication cyst with a communicating duct

Post written by Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology Hepatology and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. A 40-year-old woman with persistent upper abdominal pain was found to have a 3-cm subepithelial lesion in the prepyloric area and was referred to our center. EUS showed an anechoic cyst in the …

Continue reading Endoscopic submucosal dissection with ductotomy for the resection of a gastric duplication cyst with a communicating duct

Follow-up outcomes of mucosal defect closures after endoscopic resection using a helix tacking system and endoclips

Post written by Sonmoon Mohapatra, MD, and Norio Fukami, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, Arizona, USA. In this video, we describe the follow-up outcomes of 5 patients who underwent endoscopic resection (ER) and secure mucosal defect closure using the X-Tack endoscopic HeliX tacking system (Apollo Endosurgery, Austin, Tex, USA) …

Continue reading Follow-up outcomes of mucosal defect closures after endoscopic resection using a helix tacking system and endoclips

A specimen collection technique to ensure that the resected specimen is safely retrieved after duodenal endoscopic submucosal dissection

Post written by Marie Kurebayashi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. This video describes the collection method for duodenal specimens resected by endoscopic submucosal dissection (ESD). With this method, we leave a thin bundle of about 1 mm of submucosal fibers for the linkage of the resected specimen …

Continue reading A specimen collection technique to ensure that the resected specimen is safely retrieved after duodenal endoscopic submucosal dissection

Magnetic compression anastomosis for treatment of biliary stricture after cholecystectomy

Post written by Dong Ki Lee, MD, PhD, from the Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. This video shows the process and the result of magnetic compression anastomosis (MCA) for treating a biliary stricture after cholecystectomy that could not be treated with conventional methods. A cholangiogram showed …

Continue reading Magnetic compression anastomosis for treatment of biliary stricture after cholecystectomy

Successful endoscopic full-thickness resection of an exophytic subepithelial lesion with double scope traction technique

Post written by Yuto Shimamura, MD, from Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. Our video demonstrates a case of successful endoscopic resection of an exophytic subepithelial lesion in the stomach by applying a double scope traction technique. The creation of a mucosal opening followed by dissection of the lesion was performed …

Continue reading Successful endoscopic full-thickness resection of an exophytic subepithelial lesion with double scope traction technique

Jailbreaking a metal biliary stent through a duodenal stent

Post written by Nicholas M. McDonald, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA. In our video manuscript, we describe a case of recurrent malignant biliary and duodenal obstruction that was caused by tumor ingrowth after prior coaxial biliary and metal stenting. The tumor ingrowth was treated with …

Continue reading Jailbreaking a metal biliary stent through a duodenal stent

Endoscopic submucosal dissection to treat squamous cell carcinoma in situ of the anal canal

Post written by Michael Lajin, MD, from SHARP HealthCare, San Diego, California, USA. The standard treatment for squamous cell anal cancer is chemoradiation treatment. A few case reports from Japan address resecting early squamous cell anal cancer by endoscopic submucosal dissection (ESD). We presented a case series of squamous carcinoma in situ of the anal canal …

Continue reading Endoscopic submucosal dissection to treat squamous cell carcinoma in situ of the anal canal

Quit screwing around: magnetic retrieval of an appendiceal foreign body

Post written by Jad P. AbiMansour, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. This video case is about a 65-year-old carpenter who had a CT scan performed for back pain and was incidentally found to have a metallic screw retained in his appendix. The surgical team referred the patient …

Continue reading Quit screwing around: magnetic retrieval of an appendiceal foreign body