Post written by Sarah Durbin, BS, Jose Luis Aranez, MD, and Robert Jay Sealock, MD, from the Baylor College of Medicine, Houston, Texas. The case details a patient with a distant history of esophagectomy with gastric conduit that presented with a large gastrobronchial fistula resulting in necrotizing pneumonia. The patient was not an immediate candidate …
Continue reading Endoluminal vacuum therapy in the management of a large gastrobronchial fistula
Post written by Mohan Ramchandani, MD, DM, from the Department of Medical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India. A 73-year-old man was diagnosed with a case of carcinoma gastroesophageal junction. He underwent total gastrectomy with regional lymphadenectomy (D1 gastrectomy) and intrathoracic oesophagojejunostomy with Roux-en-Y jejunojejunal anastomosis. Post operatively he developed an anastomotic leak. After stabilization …
Post written by Ali Zakaria, MD, from the Division of Gastroenterology, Ascension Providence Hospital, Southfield, Michigan. We present a case of an 82-year-old female patient with progressively worsening dysphagia to solid food, regurgitation, globus sensation, and halitosis. Barium esophagram revealed a 40-mm anterolateral protrusion at the level of the proximal cervical esophagus, consistent with KJD. …
Post written by Dayyan Adoor, MD, and Zachary L. Smith, DO, from the Department of Internal Medicine and the Division of Gastroenterology and Liver Disease, University Hospitals Cleveland Medical Center, Cleveland, Ohio. A 66-year-old woman with poorly-differentiated pancreatic adenocarcinoma underwent a Whipple that was complicated by a biliary leak requiring placement of an internal external …
Continue reading Percutaneous- and EUS-guided gastroenterostomy for malignant afferent limb syndrome
Post written by Osamu Dohi, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan. An 84-year-old woman had a circumferential SNADET that was detected during esophagogastroduodenoscopy. We performed laparoscopy and endoscopy cooperative surgery (LECS) with ESD technique and laparoscopic closure for the …
Post written by Mahesh Goenka, DM, FACG, FASGE, AGAF, from Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, India. A prototype aerosol chamber was designed using a medical grade 4-mm thick polycarbonate sheet. The chamber has 4 holes, 2 on the head side used for endotracheal intubation and 2 on the side walls. The …
Post written by Yohei Nishikawa, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Showa University, Tokyo, Japan. For esophageal diverticulum with symptoms, thoracoscopic or laparoscopic surgery is usually performed. We reported a case of an endoscopic esophageal diverticulum resection by applying the peroral endoscopic myotomy (POEM) and POEM + Fundoplication (POEM-F) techniques, …
Continue reading Peroral endoscopic myotomy with diverticulum resection
Post written by Hugo Uchima, MD, from the Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias i Pujol, Badalona, and the Endoscopic Unit, Teknon Medical Center, Barcelona, Spain. In this video, we describe the technical and anatomic endoscopic references to preserve the innermost gastric oblique fibers (sling fibers) during posterior POEM, based on the location …
Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. The video describes successful endoscopic submucosal dissection (ESD) for a huge lipoma in the terminal ileum. A 74-year-old man underwent a computed tomography because of intermittent lower-abdominal pain, and the images revealed a tumor in the …
Continue reading Successful endoscopic submucosal dissection for a huge lipoma in the terminal ileum
Post written by Shaimaa Elkholy, MD, from the Gastroenterology Division, Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt. We present here a case of a middle-aged male patient with history of refractory gastroparesis post-surgical fundoplication. Despite using extensive medical treatment of antiemetics and prokinetics, his condition was deteriorating. We performed G-POEM, which is …
Continue reading Gastric peroral endoscopic myotomy for refractory gastroparesis
