Post written by Robert Bechara, MD, from the Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. The introduction of endoscopic submucosal dissection (ESD) has revolutionized the management of superficial gastrointestinal neoplasia. In the esophagus, the stricture rate after a circumstantial ESD (cESD) without any prophylaxis medications is virtually 100%. There have been many reported …
Category: VideoGIE
Underwater endoscopic mucosal resection of a rectal adenoma in the nondistensible rectum from severe fecal incontinence
Post written by Sukit Pattarajierapan, MD, from the Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. Our video presents a challenging case of difficult polypectomy in the nondistensible rectum from severe fecal incontinence. An 89-year-old woman with ischemic heart disease and hypertension underwent laparoscopic sigmoidectomy for stage II sigmoid …
EUS-guided hepaticogastrostomy for management of cholangitis, hepatolithiasis, and anastomotic stricture after Roux-en-Y hepaticojejunostomy
Post written by Rishi Pawa, MD, FACG, from the Wake Forest School of Medicine, Winston-Salem, North Carolina. A 43-year-old woman with history of Roux-en-Y hepaticojejunostomy (secondary to Strasberg type E1 common bile duct injury at the time of her cholecystectomy) presented with cholangitis, hepatolithiasis, and hepaticojejunostomy (HJ) anastomotic stricture. She initially underwent an EUS-guided hepaticogastrostomy …
Endoscopic retrieval of multiple sewing needles by using the tip of a magnetic tube
Post written by Shinichi Morita, MD, from the Department of Gastroenterology and Hepatology, Uonuma Institute of Community Medicine Niigata University Hospital, Niigata, Japan. Endoscopic foreign body retrieval is an established treatment for accidental ingestion. Although forceps are most frequently used, grasping may be difficult depending on the type and shape of the foreign body. The …
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EUS-guided gastroenterostomy to treat gastric outlet obstruction in a patient with gastric lymphoma followed by pyloric recanalization using a rendezvous technique
Post written by Michael Lajin, MD, from Sharp Grossmont Hospital, La Mesa, California. A 66-year-old man was diagnosed with gastric lymphoma and received chemotherapy. He developed pulmonary tuberculosis and was started on TB medications. He presented with vomiting and 80-pound weight loss. Endoscopy revealed a pyloric ulcer resulting in outlet obstruction and proximal gastric ulcers. …
Use of cyanoacrylate glue in gastric variceal bleed: a modified technique without using lipiodol
Post written by Pankaj N. Desai, MS, FASGE Gastro, from the Department of Endoscopy & Endosonography, and the Department of Clinical Research, Surat Institute of Digestive Sciences (SIDS), Surat, India. Our video describes a simple technique of injection of cyanoacrylate glue for the management of gastric variceal bleed. We use 0.5ml aliquots of n butyl …
Successful endoscopic management of adult ileocecal intussusception secondary to a large ileal lipoma
Post written by Akira Teramoto, MD, from the Gastrointestinal Center, Sano Hospital, Kobe, Japan. Our video presents a case of adult ileocecal intussusception due to a lipoma. The intussusception was endoscopically repositioned, and the lipoma was removed by polypectomy. Although ileocecal intussusception is not a common disease, we believe that many institutions do experience 1 …
Small-bowel aspiration during upper esophagogastroduodenoscopy: Rao technique
Post written by Satish S.C. Rao, MD, PhD, from the Digestive Health Center, Department of Medicine, Augusta University, Augusta, Georgia. Small intestinal bacterial overgrowth (SIBO) is a common yet underrecognized problem. Because symptoms alone are poor predictors of SIBO, diagnostic testing is required. Today, most experts agree, and the recent American College of Gastroenterology guidelines …
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Endoscopic radiofrequency ablation for palliative treatment of hilar cholangiocarcinoma
Post written by Ana Luísa Lopes dos Santos Silva, MD, from the Gastroenterology Department, Centro Hospitalar São João, Porto, Portugal. Our video reports 3 patients with a diagnosis of perihilar cholangiocarcinoma, who underwent endoscopic radiofrequency ablation with palliative intent. In all cases, endoscopic retrograde cholangiopancreatography with single-operator cholangioscope was performed due to cholestasis symptoms to …
ESD of early-stage rectal cancer using full-time red dichromatic imaging to minimize and avoid significant bleeding
Post written by Aoi Kita, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine, Maebashi, Japan. Red Dichromatic Imaging (RDI), a novel image-enhanced endoscopy technology (IEE), has been reported to improve the visibility of deep vessels and bleeding points compared to white-light imaging. We present …
