Post written by Anand R. Kumar, MD, MPH, FASGE, from Thomas Jefferson University, Philadelphia, Pennsylvania, USA. We combined ERCP and endoscopic submucosal dissection techniques to resect a large periampullary duodenal paraganglioma. This was a unique case where the biliary and pancreatic openings could be moved away from the paraganglioma with ERCP and protected during endoscopic …
Continue reading Endoscopic resection of a periampullary duodenal paraganglioma
Post written by Ylanna Fortes, MD, Renata Nobre, MD, PhD, Bruno da Costa Martins, MD, PhD, and Fauze Maluf-Filho, MD, PhD, from the Department of Endoscopy, Cancer Institute of São Paulo, University of São Paulo, São Paulo, Brazil. A 71-year-old man with a history of esophageal squamous cell carcinoma underwent surveillance endoscopy. During systematic examination …
Continue reading From endoscopic diagnosis to curative treatment: superficial pharyngeal cancer
Post written by Riku Nakajima, MD, Wataru Sano, MD, Sachiko Shimizu, MD, Naoki Sugimura, MD, PhD, Daizen Hirata, MD, PhD, Mineo Iwatate, MD, PhD, Mikio Fujita, MD, PhD, and Yasushi Sano, MD, PhD, from the Gastrointestinal Center, Sano Hospital, Kobe, Japan. Our article presents 4 patients who underwent underwater endoscopic submucosal dissection for large colonic …
Post written by Muhammad Ahmad Bashir, MD, and Shailendra Singh, MD, from West Virginia University, Morgantown, West Virginia, USA. Our video demonstrates the use of EUS-guided radiofrequency ablation (RFA) to control bleeding GI tract malignancies in 2 patients. Under real-time sonographic guidance, we advanced a RFA needle directly into the core of each malignant mass. …
Post written by Fumisato Sasaki, MD, PhD, from Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. We present the case of an 80-year-old man with a history of distal gastrectomy who had GERD refractory to medical therapy. Endoscopy revealed Los Angeles grade B reflux esophagitis, bile retention in …
Post written by Michael Lajin, MD, from Sharp HealthCare, La Mesa, California, USA. In this case series, we present 3 patients who underwent EUS-directed transenteric ERCP (EDEE) (2 with Roux-en-Y hepaticojejunostomy [RYHJ] and 1 with Roux-en-Y distal gastrectomy) to treat biliary strictures or stones or to replace percutaneous transhepatic biliary drainage (PTBD) with endoscopic stent …
Post written by Soma Fukuda, MD, from the Department of Gastroenterology, Institute of Medicine, University of Tsukuba, Ibaraki, Japan. We present a case of obstructive pancreatitis in a 70-year-old woman with pancreatic head cancer undergoing chemotherapy. Transpapillary pancreatic duct drainage failed because of complete ductal obstruction by the tumor. EUS-guided pancreatic duct drainage was therefore …
Post written by Abdulrahman Qatomah, MBBS, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA, and Department of Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, and Marvin Ryou, MD, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard …
Continue reading Endoscopic ultrasound–guided variceal therapy: tips, tricks, and pitfalls
Post written by Shyam Thakkar, MD, and Ayowumi A. Adekolu, MD, from the Department of Gastroenterology & Hepatology, West Virginia University, Morgantown, West Virginia, USA. We present 2 cases involving patients with undifferentiated pancreatic lesions (pancreatic head in case 1 and pancreatic uncinate process in case 2) concerning for malignancy who underwent EUS-guided sampling. In …
Continue reading From indeterminant to septic: the rapid transformation of a pancreatic lesion
Post written by Ariosto Hernández-Lara, MD, MSc, from the Institute of Image-Guided Surgery, Angeles Health System, Strasbourg, France. In this video, we present proof of concept of indocyanine green (ICG)-guided ERCP in a 30-kg pig that underwent duodenoscopy with a therapeutic colonoscope to reach the pig’s papilla and maintain insufflation while receiving 0.1 mg/kg ICG …
