Cholangioscopy in primary sclerosing cholangitis

Post written by Sooraj Tejaswi, MD, MSPH, FASGE, from the Division of Gastroenterology & Hepatology, University of California Davis School of Medicine, Sacramento, California. This is a case series of 5 patients, demonstrating several unique and varied benign features of PSC. We describe a novel phenotypic classification of benign features, whereby we categorize findings into …

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Disposable digital percutaneous cholangioscope-aided retrieval of a plastic biliary stent after failed retrieval at ERCP

Post written by Sooraj Tejaswi, MD, MSPH, from the Division of Gastroenterology & Hepatology, University of California Davis School of Medicine, Sacramento, California. We describe the collaborative effort of the use of the novel short cholangioscope-aided percutaneous retrieval of a plastic biliary stent after being unable to retrieve the stent during ERCP. The patient was …

Continue reading Disposable digital percutaneous cholangioscope-aided retrieval of a plastic biliary stent after failed retrieval at ERCP

Nonsurgical rescue after basket-stone impaction by endoscopic cutting of a metallic lithotripter and laser lithotripsy

Post written by Toshiaki Terauchi, MD, from the Department of Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan. This report presents a 64-year-old male who underwent successful rescue using a nonsurgical endoscopic approach to remove an impacted mechanical lithotripter basket, due to a 17-mm common bile duct stone. The basket impaction occurred at an outside hospital, and …

Continue reading Nonsurgical rescue after basket-stone impaction by endoscopic cutting of a metallic lithotripter and laser lithotripsy

The pocket-creation method facilitates gastric ESD and overcomes challenging situations

Post written by Masafumi Kitamura, MD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan. Gastric ESD using the PCM can be performed with a uniform strategy, regardless of the location of the lesion, and it is more straightforward for the operator than conventional methods. We here present 2 representative cases …

Continue reading The pocket-creation method facilitates gastric ESD and overcomes challenging situations

Successful removal of a giant esophageal lipoma with hybrid endoscopic submucosal dissection

Post written by Ameya Deshmukh, DO, from the Department of Internal Medicine, Saint Louis University - SOM, St. Louis, Missouri. In this video, we showcase the removal of a 7-cm esophageal lipoma in a patient who presented with dysphagia (Eckardt score of 6) and weight loss. Endoscopic submucosal dissection (ESD) was used to expose the …

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Endoscopic sleeve gastroplasty is feasible after failed modified primary obesity surgery endoluminal procedure

Post written by Vincenzo Bove, MD, from the Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, and the Centre for Endoscopic Research Therapeutics and Training (CERTT), Catholic University of Rome, Rome, Italy. This video shows the first case of endoscopic sleeve gastroplasty (ESG) with Apollo Overstitch 2 years after a previous modified primary obesity …

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Soft palate findings associated with a high risk of esophageal squamous cell carcinoma using an endoscopic system with enhanced depth-of-field imaging

Post written by Kotaro Waki, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. We previously reported that 3 endoscopic findings of melanosis, whitish epithelium, and vasodilation in the soft palate are associated with a high risk of esophageal squamous cell carcinoma (ESCC) and are considered useful as indicators of ESCC. …

Continue reading Soft palate findings associated with a high risk of esophageal squamous cell carcinoma using an endoscopic system with enhanced depth-of-field imaging

How to trick artificial intelligence: rectal heterotopic gastric lateral spreading tumor

Post written by Matteo Badalamenti, MD, from the Department of Biomedical Sciences, Humanitas University, and the IRCCS Humanitas Research Hospital, Digestive Endoscopy Unit, Division of Gastroenterology, Milan, Italy. A 54-year-old came to our attention for a follow-up colonoscopy. During the exam we visualized in the rectum a granular homogeneous lateral spreading tumor (LST), macroscopically covered …

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Novel approaches to minimize intraoperative bleeding during ESD of a large rectal lateral spreading tumor extended to the dentate line with internal hemorrhoids

Post written by Fabian Emura, MD, PhD, FASGE, from the Division of Gastroenterology, Universidad de La Sabana, Chía, and the Advanced GI Endoscopy, EmuraCenter LatinoAmerica, Bogotá DC, Colombia. This video case describes how we applied surgically vascular control principles to reduce the risk of adverse events during third space endoscopy. As the risk of bleeding …

Continue reading Novel approaches to minimize intraoperative bleeding during ESD of a large rectal lateral spreading tumor extended to the dentate line with internal hemorrhoids

Electrohydraulic lithotripsy under the mother-baby cholangioscope system using a colonoscope for large common bile duct stones in a patient with Roux-en-Y reconstruction

Post written by Ryuichi Tezuka, MD, from the Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan. We presented electrohydraulic lithotripsy (EHL) under the mother-baby cholangioscope system using a colonoscope for large common bile duct stones in a patient with Roux-en-Y reconstruction. A man with a history of Roux-en-Y reconstruction for gastric ulcer and radiofrequency ablation …

Continue reading Electrohydraulic lithotripsy under the mother-baby cholangioscope system using a colonoscope for large common bile duct stones in a patient with Roux-en-Y reconstruction