Colorectal ESD for a lesion on the dentate line area resected with a scissor-type knife

Post written by Naohisa Yoshida, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan. A lesion on the dental line area is challenging for ESD because it has lots of vessels, and the anal duct is narrow for approach. We described how …

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Balloon overtube-assisted cholangioscopy and laser lithotripsy of large bile duct stones

Post written by Jaehoon Cho, MD, and Ara B. Sahakian, MD, from the Department of Internal Medicine, Los Angeles County Hospital and University of Southern California Medical Center, and the Division of Gastrointestinal and Liver Diseases, University of Southern California Keck School of Medicine, Los Angeles, California, USA. In this video, we describe successful balloon …

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EUS-guided cystesophagostomy using a LAMS for drainage of a pancreatic fluid collection in a pediatric patient

Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. An 8-year-old boy was referred for abdominal pain of unclear etiology, dysphagia, and failure to thrive. He had multiple visits to the emergency room over a 5-year period for abdominal pain of unclear etiology. After routine evaluation …

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EUS-directed transgastric ERCP

Post written by Antonio Mendoza Ladd, MD, from the Department of Medicine, Division of Gastroenterology, Texas Tech University Health Sciences Center at El Paso, El Paso, Texas, USA. This is a case of a patient with impending ascending cholangitis secondary to choledocolithiasis in the setting of a Roux-en-Y anatomy. Given her surgical anatomy, we discussed …

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ESD with scissor-type knife for pedunculated polyp with short and thick stalk

Post written by Shunsuke Yamamoto, MD, PhD, and Morteza Shafazand, MD, from the Department of Gastroenterology, Sahlgrenska University Hospital, Östra, Sweden. This is a case of a pedunculated polyp in the sigmoid colon whose stalk is short and thick, and we resected it using a scissor-type endoscopic knife. We wanted to demonstrate how to maneuver …

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Bleeding at Roux-en-Y jejunojejunal anastomosis after orthotopic liver transplantation

Post written by Chaitanya Allamneni, MD, from the Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. A young woman with a medical history of primary sclerosing cholangitis/autoimmune hepatitis overlap syndrome diagnosed at age 2, complicated by decompensated cirrhosis, underwent orthotopic liver transplantation (OLT). During OLT she underwent a standard Roux-en-Y hepaticojejunostomy. Twenty-four …

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Retrieval and redeployment of migrated LAMS to facilitate endoscopic necrosectomy of walled-off necrosis

Post written by Shashideep Singhal, MD, FASGE, from the Gastrointestinal Care Consultants, Houston, Texas, USA.                  Walled-off necrosis (WON) develops as a sequel to acute pancreatitis. Approximately 15% of patients with acute pancreatitis can experience WON. EUS-guided transmural drainage of WON has been a safe, efficacious, and widely used therapeutic modality in recent times. The …

Continue reading Retrieval and redeployment of migrated LAMS to facilitate endoscopic necrosectomy of walled-off necrosis