Post written by Soma Fukuda, MD, from the Department of Gastroenterology, Institute of Medicine, University of Tsukuba, Ibaraki, Japan. We present a case of obstructive pancreatitis in a 70-year-old woman with pancreatic head cancer undergoing chemotherapy. Transpapillary pancreatic duct drainage failed because of complete ductal obstruction by the tumor. EUS-guided pancreatic duct drainage was therefore …
Category: VideoGIE
Endoscopic ultrasound–guided variceal therapy: tips, tricks, and pitfalls
Post written by Abdulrahman Qatomah, MBBS, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA, and Department of Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, and Marvin Ryou, MD, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard …
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From indeterminant to septic: the rapid transformation of a pancreatic lesion
Post written by Shyam Thakkar, MD, and Ayowumi A. Adekolu, MD, from the Department of Gastroenterology & Hepatology, West Virginia University, Morgantown, West Virginia, USA. We present 2 cases involving patients with undifferentiated pancreatic lesions (pancreatic head in case 1 and pancreatic uncinate process in case 2) concerning for malignancy who underwent EUS-guided sampling. In …
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Enhanced endoscopic papilla visualization for endoscopic retrograde cholangiopancreatography under indocyanine green: proof of concept in a preclinical model
Post written by Ariosto Hernández-Lara, MD, MSc, from the Institute of Image-Guided Surgery, Angeles Health System, Strasbourg, France. In this video, we present proof of concept of indocyanine green (ICG)-guided ERCP in a 30-kg pig that underwent duodenoscopy with a therapeutic colonoscope to reach the pig’s papilla and maintain insufflation while receiving 0.1 mg/kg ICG …
Piecemeal submucosal tunneling endoscopic resection of a 4-cm esophageal leiomyoma
Post written by Dennis Wang, MD, from the Division of Gastroenterology and Hepatology, University of Rochester Medical Center Department of Medicine, Rochester, and Gregory Haber, MD, MASGE, from the Division of Gastroenterology and Hepatology, New York University Department of Medicine, New York, New York, USA. We present a case of a patient with a symptomatic …
Continue reading Piecemeal submucosal tunneling endoscopic resection of a 4-cm esophageal leiomyoma
Endoscopic intermuscular dissection of a rectal gastrointestinal stromal tumor
Post written by Babak Mirminachi, MD, MPH, and Sultan Mahmood, MD, from the University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. Our video shows endoscopic resection of a distal rectal GI stromal tumor located 1.5 cm proximal to the dentate line using endoscopic intermuscular dissection. EUS initially suggested a submucosal origin, but during endoscopic submucosal …
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Through-the-scope fully covered self-expandable metal stent with biflanged ends for ampullary access in severe duodenal obstruction
Post written by Rahul Karna, MD, and Stuart K. Amateau, MD, PhD, FASGE, FACG, AGAF, from the University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Our article highlights a case of an 80-year-old white woman who presented for evaluation of biliary obstruction in the setting of indeterminate gastric outlet obstruction. The accompanying video demonstrates use …
Endoscopic mucosal resection–assisted mucosal flap creation to facilitate endoscopic submucosal dissection for gastric adenoma amid diffuse fundic gland polyposis
Post written by Rinrada Worapongpaiboon, MD, and Clement Wu, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Medicine, Baltimore, Maryland, USA, Kasenee Tiankanon, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Medicine, and Division of Gastroenterology, Department of Medicine, King Chulalongkorn Memorial Hospital and Chulalongkorn University, Bangkok, Thailand, and Saowanee Ngamruengphong, …
A low-cost ex vivo simulator for training in endoscopic hemostasis and perforation management
Post written by Samer Al-Dury, MD, PhD, from Muscat Endoscopy Academy, Endoscopy Unit, Division of Gastroenterology and Hepatology, Medical City for Military and Security Services, Muscat, Oman. This video presents a low-cost simulator designed specifically for hands-on training in both GI bleeding control and perforation management. The platform can use ex vivo animal tissue or, where available, …
Endoscopic ultrasound–guided coil–assisted retrograde transgastric occlusion of shunt efferent for gastric variceal bleeding
Post written by Rizwan Ahamed, MD, DM, Sasidharan Rajesh, MD, PDCC, and Cyriac Abby Philips, DM, from the Division of Gastroenterology and Division of Hepatobiliary Interventional Radiology, Center of Excellence in GI Sciences, Rajagiri Hospital, Kochi, India. A 41-year-old man with alcohol-related Child-Pugh B cirrhosis was referred to us after failed endoscopic glue injection for bleeding fundal varices. CT showed a …
