Cholangioscopy-guided double-guidewire technique for complex malignant hilar obstruction

Post written by Margaret G. Keane, MBBS, MSc, from the Department of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA. A 77-year-old man presented to our institution with jaundice, right upper quadrant pain, loss of appetite, and weight loss. Blood tests confirmed a raised Bilirubin (8.6 mg/dl), abnormal LFTs (Alkaline phosphatase 320 IU/L, AST …

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Quadruple, 4-segment, triple sector “Y-shaped stents” in complex hilar cholangiocarcinoma after cholangitis from plastic stents

Post written by Mohamed A. Abdallah, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA. We describe a case of a 70-year-old female with unresectable, locally advanced Bismuth-Corlette classification type IV perihilar cholangiocarcinoma who presented with cholangitis from plastic stents. In this case, we placed four uncovered self-expanding metal …

Continue reading Quadruple, 4-segment, triple sector “Y-shaped stents” in complex hilar cholangiocarcinoma after cholangitis from plastic stents

Palliation of malignant distal colonic obstruction via percutaneous endoscopic colostomy using a lumen-apposing metal stent

Post written by Todd H. Baron, MD, MASGE, from the Division of Gastroenterology and Hepatology, Director of Advanced Therapeutic Endoscopy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. This is a patient who had terminal cancer and sigmoid colonic obstruction not adequately relieved by overlapping, well-positioned, self-expandable metal luminal stents. Because he …

Continue reading Palliation of malignant distal colonic obstruction via percutaneous endoscopic colostomy using a lumen-apposing metal stent

Anatomical features of duodenal folds: a key feature to consider during endoscopic resection of duodenal neoplasms

Post written by Yoshimasa Miura, MD, PhD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan. This video shows an important point that duodenal folds have wide submucosal spaces but no muscularis. If endoscopists understand these characteristics, duodenal neoplasms can be successfully resected.       It has been unknown for a long …

Continue reading Anatomical features of duodenal folds: a key feature to consider during endoscopic resection of duodenal neoplasms

Endoscopic ultrasound-guided pancreaticoduodenostomy with a forward-viewing echoendoscope

Post written by Shigenobu Yoshimura, MD, from the Department of Gastroenterology, Kameda Medical Center, Chiba, Japan. This video case shows an endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) using transduodenal puncture sites performed for malignant pancreatic duct obstruction. We performed EUS-PD from the long position with a forward-viewing (FV) echoendoscope. EUS-PD has emerged as a feasible …

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Prophylactic appendiceal retrograde intraluminal stent placement (PARIS)

Post written by Margaret G. Keane, MBBS, MSc, from the Johns Hopkins Hospital, Department of Gastroenterology and Hepatology, Baltimore, Maryland. In our video, we describe the case of a 52-year-old man who was referred to our institution for the management of a 1.5-cm semi-pedunculated polyp that was found during a routine screening colonoscopy. The polyp …

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Endoscopic submucosal dissection by using a new traction device

Post written by Masami Omae, MD, from the Division of Medicine, Department of Upper Gastrointestinal Diseases, Karolinska University Hospital and Karolinska Institute, Stockholm, Sweden. We report a case of endoscopic submucosal dissection (ESD) using a new off-the-shelf traction device that is easy to deploy and enables easier access to the submucosa during ESD. Several devices …

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Cost-effective modified endoscopic vacuum therapy for the treatment of gastrointestinal transmural defects

Post written by Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, from the Gastrointestinal Endoscopy Unit, Gastroenterology Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. We highlight a cost-effective modified endoscopic vacuum therapy (EVT) technique for the management of gastrointestinal transmural defects and demonstrate the step-by-step process …

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Successful ESD for a tumor located completely within a colonic diverticulum after inversion of the diverticulum using a traction device

Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. We presented endoscopic submucosal dissection (ESD) for a tumor located completely within a colonic diverticulum using a traction device in the video. The lesion was a flat-elevated tumor completely located within a colonic diverticulum in the …

Continue reading Successful ESD for a tumor located completely within a colonic diverticulum after inversion of the diverticulum using a traction device

Esophageal ESD on postendoscopic variceal ligation scars with injection under red dichromatic imaging

Post written by Kurato Miyazaki, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, and the Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. Red dichromatic imaging (RDI) is a recently developed novel image-enhanced endoscopy that enables one to visualize blood vessels …

Continue reading Esophageal ESD on postendoscopic variceal ligation scars with injection under red dichromatic imaging