Alternative approach to hemostatic particle spraying for treatment of GI bleeding

Post written by Stuart K. Amateau, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Gastrointestinal bleeding is a leading cause of morbidity and mortality in the United States and occasionally patients exhibit refractory bleeding despite standard endoscopic therapy. Although used internationally for the …

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Narrow-band imaging, volumetric laser endomicroscopy, and pathologic findings in Barrett’s esophagus

Post written by Norio Fukami, MD, AGAF, FACG, FASGE, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona, USA. The case described in the video is a 36-year-old man with 10-year history of Barrett’s esophagus undergoing surveillance every 3 years who was referred for endoscopic resection on nodular dysplasia with cancer in the …

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Endoscopic resection of a gigantic gastric polyp causing symptomatic iron-deficiency anemia

Post written by Vivek Kaul, MD, FASGE, from the Division of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, New York, USA. We have presented a case of endoscopic resection of a large gastric polyp/mass that was responsible for symptomatic, recurrent, transfusion-dependent iron deficiency anemia and gastrointestinal bleeding in our patient. This patient had …

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Endoclip papilloplasty for a patulous and incompetent biliary papilla

Post written by Yonghui Huang, MD, from the Department of Gastroenterology, Peking University International Hospital & Peking University Third Hospital, Beijing, China. An innovative endoscopic strategy was demonstrated for preserving the function of Oddi sphincter after large endoscopic sphincterotomy (EST) in a patient with a large stone of the CBD. After successful extraction of CBD …

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EUS-FNA of 2 right atrial masses

Post written by Rafael Romero-Castro, MD, PhD, from the Hospital Universitario Virgen Macarena, Seville, Spain. We report EUS-FNA in 2 patients with right atrial masses, 1 of them requiring 3 passes to obtain diagnostic cytologic material. I think these 2 cases deserve to be known by the community of endosonographers because of 2 main reasons. …

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Management of afferent limb obstruction by EUS-guided jejunojejunostomy and placement of LAMS

Post written by Hassan Ghoz, MD, and Victoria Gómez, MD, from the Division of Gastroenterology and Hepatology, Section of Advanced Endoscopy, Mayo Clinic, Jacksonville, Florida, USA. We describe a case of a patient presenting with malignant afferent loop obstruction (ALO) which we managed using EUS-guided creation of a jejunojejunostomy with a lumen-apposing metal stent (LAMS). …

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Endoscopic suturing for closure of ESD defects

Post written by Samuel Han, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. In this Tools and Techniques video, we describe a formalized technique to close defects created by ESD using endoscopic suturing. Essentially, we suggest proceeding from the site most distal to the scope insertion …

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