Endoscopic management of pancreatic duct disruption with large mediastinal pseudocyst

Post written by Vivian Ortiz, MD, Muhammad Nadeem Yousaf, MD, and Harry R. Aslanian, MD, from the Department of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, Yale-New Haven Hospital, New Haven, Connecticut, USA. A 47-year-old woman with alcohol-related chronic pancreatitis, chronic portal vein thrombosis and, left-sided pleural effusion presented with a …

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A novel endoscopic technique to obtain rectal biopsy specimens in children with suspected Hirschsprung’s disease

Post written by Zaheer Nabi, MD, DNB, from the Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India. A 3-year-old girl presented with a history of constipation since early infancy. Anorectal manometry was performed, and the absence of recto-anal inhibitory reflex raised the suspicion of Hirschsprung’s disease (HD). To confirm the diagnosis of HD, rectal …

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Endoscopic aspects of temporary gastric electrical stimulator lead placement

Post written by Minesh Mehta, MD, and Gregg Wendorf, MD, from the Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, University of Louisville, Louisville, Kentucky, USA. Our video details the technique and tools required to successfully and safely place temporary gastric electrodes endoscopically, even in the presence of retained gastric contents. Gastric electrical stimulation …

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Electrohydraulic lithotripsy under double-balloon endoscope–assisted direct cholangioscopy

Post written by Tatsuya Sato, MD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. This is a case report of double-balloon endoscope-assisted direct cholangioscopy in a patient with a history of total gastrectomy and Roux-en-Y (R-Y) reconstruction. Electrohydraulic lithotripsy (EHL) was necessary to remove large and multiple bile …

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A modified method of endoclip-and-snare to assist in ESD with mucosal traction

Post written by Qiang Zhang, MD, from the Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China. Our team explored a modified method of assisting in ESD in the upper GI tract, with the application of a snare and endoclips (SC-ESD). We reported 3 cases: Case 1 was …

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Pancreatic duct rendezvous with pancreatoscopy through the minor papilla

Post written by Erin Y. Chew, BS, Bibin T. Varghese, BS, and Robert J. Sealock, MD, from the Department of Gastroenterology, Baylor College of Medicine, Houston, Texas, USA. An 18-year-old woman presented to our hospital with diffuse abdominal pain and visible distention. She reported a history of acute pancreatitis 2 months earlier. Physical examination revealed …

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Crossing the minefield: EUS-guided transesophageal biliary rendezvous

Post written by Sundeep Lakhtakia, MD, DM, from the Asian Institute of Gastroenterology, Hyderabad, India. An elderly male presented with obstructive jaundice due to malignant distal biliary obstruction related to pancreatic head mass. There was associated portal vein thrombosis causing portal cavernoma and large esophago-gastric varices along with ascites. Repeated attempts to drain the obstructed …

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