Endoscopic management of gastrojejunocolic fistula after endoscopic gastrojejunostomy

Post written by Tamasha Persaud, MD, from New York Presbyterian/Weill Cornell Medical Center, New York, New York, USA. In this video case report, we describe the formation of a gastrojejunocolic fistula (GCF) as a rare delayed sequela of EUS-guided gastrojejunostomy (EUS-GJ) and demonstrate how tandem stent placement with a long covered metal stent can be an …

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Use of a novel dual-action clip for closure of complex endoscopic resection defects

Post written by Mike Tzuhen Wei, MD, from Stanford University, Stanford, California, and Veterans Affairs Palo Alto, Palo Alto, California, USA. In our presentation, we demonstrate the use of a dual-action clip and clips with atraumatic teeth in facilitating the closure of endoscopic submucosal dissection defects. We found that the dual-action clip (Micro-Tech Endoscopy USA, Ann …

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A case of pancreatic duct stones treated with electrohydraulic lithotripsy through a duodenal ulcer

Post written by Shosuke Hosaka, MD, from the Department of Gastroenterology, Chiba-nishi General Hospital, Matsudo, Chiba, Japan, and the Department of Gastroenterology and Gastrointestinal Endoscopy, Tokyo Metropolitan Geriatric Medical Center, Tokyo, Japan. Endoscopic procedures such as ERCP and EUS are making significant contributions to the diagnosis and treatment of disorders in the biliopancreatic system in clinical …

Continue reading A case of pancreatic duct stones treated with electrohydraulic lithotripsy through a duodenal ulcer

Endoscopic full-thickness resection of gastric ulceration with persistent low-grade dysplasia using full-thickness resection device

Post written by Natalie Wilson, MD, from the Department of Internal Medicine, University of Minnesota Medical Center, and Mohammad Bilal, MD, from the Division of Gastroenterology and Hepatology, University of Minnesota Medical Center, and Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota, USA. In this case, we describe the successful resection of a 15-mm partially healed …

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Endoscopic submucosal dissection with reinforcement using a laparoscopic approach for a duodenal cavernous hemangioma

Post written by Yoriaki Komeda, MD, PhD, from the Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka, Japan. We performed endoscopic submucosal dissection (ESD) with reinforcement using a laparoscopic approach (duodenal-laparoscopic and endoscopic coordinated surgery [D-LECS] with ESD) for a duodenal cavernous hemangioma. Cavernous hemangiomas including duodenum are derived from the submucosa. Even …

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Endoscopic rescue of anastomotic dehiscence after urgent gastric bypass revision

Post written by Steven R. Siegal, MD, from AdventHealth, Orlando, Florida, USA. We demonstrate a case of a Roux-en-Y anastomotic dehiscence that was rescued via total endoscopic means over various sessions. It is important to know the available endoscopic tools and how they can be used in a complementary fashion to essentially perform surgical procedures. It …

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Novel articulating through-the-scope traction device

Post written by Hiroyuki Aihara, MD, PhD, Director, Endoscopic Tissue Resection Program, Brigham and Women’s Hospital, and Associate Professor of Medicine, Harvard Medical School, Boston, Massachusetts, USA. Current techniques and devices for traction in endoscopic submucosal dissection (ESD) own inherent limitations such as technical complexity, lack of adjustability, or demanding preparation. Recently, a single-operator, through-the-scope, articulating …

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Successful minimally invasive management of adverse events following EUS-guided gallbladder drainage in a suboptimal surgical patient

Post written by Bianca L. Di Cocco, MD, from the Division of Internal Medicine, New York Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, USA. In this video case report, we show how endoscopic techniques can be used to treat adverse events during EUS-guided gallbladder drainage (EUS-GB). The patient was a 44-year-old woman with cholelithiasis …

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Possibility of ultrathin endoscopy in radial incision and cutting for esophageal strictures

Post written by Mako Koseki, MD, and Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. In this video, we present a case of a refractory esophageal stricture caused by anastomosis of gastric tube reconstruction for advanced esophageal carcinoma. We treated the stricture with radial incision and cutting (RIC) using ultrathin endoscopy. …

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EUS-guided gastrojejunostomy for management of malignant gastric outlet obstruction in a patient with Roux-en-Y anatomy

Post written by Rishi Pawa, MD, FACG, from the Wake Forest School of Medicine, Winston-Salem, North Carolina, USA. A 56-year-old man with a medical history of metastatic duodenal adenocarcinoma, status postpartial gastrectomy, and duodenectomy with Roux-en-Y gastrojejunostomy (GJ) presented with gastric outlet obstruction. Endoscopy revealed an ulcerated stricture at the gastrojejunal anastomosis, with biopsies confirming recurrent …

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