Endoscopic fenestration of a symptomatic esophageal duplication cyst

Post written by Theodore James, MD, from the University of North Carolina at Chapel Hill. We describe a case of a woman with dysphagia, found to have an esophageal duplication cyst. These are rare entities in adults and have classically required surgical resection. We describe a novel technique for endoscopic fenestration of the cyst in …

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Biliary ascariasis: mimicker of biliary stent

Post written by Malay Sharma from the Jaswant Rai Speciality Hospital. We present a case of acute cholangitis due to biliary ascariasis mimicking biliary stent on ultrasonography. Biliary ascariasis is not commonly seen in western countries, hence the reason for showcasing this video. A 50-year-old-man presented with acute cholangitis. He underwent multiple ERCP procedures with …

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En bloc resection of a large symptomatic duodenal lipoma by ESD

Post written by Bing Hu, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, West China Hospital, Sichuan University, China. This video presents a case in which EGD showed a huge mass in the duodenum. There was a Forrest-type 2B ulcer at the distal end. CT and EUS characteristics were consistent for lipoma. On …

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Endoscopic salvage of a large EJA dehiscence

Post written by Omar Mousa, MBBS, from the Department of Gastroenterology and Hepatology, Mayo Clinic Florida. A 34-year-old woman with invasive gastric adenocarcinoma underwent total gastrectomy with en bloc splenectomy, distal esophagectomy, subtotal pancreatectomy, and intraoperative percutaneous jejunal tube placement. An esophagojejunostomy anastomosis (EJA) dehiscence was suspected 7 days after the initial procedure when the …

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Digital single-operator pancreatoscopy for evaluation of IPMN

Post written by David Albers, MD, from the Department of Gastroenterology, Elisabeth-Krankenhaus Essen, academic teaching hospital of the University of Duisburg-Essen. Main-duct-IPMN and mixed-type-IPMN are frequently associated with malignancy and usually leaded to surgery; however, branch-duct-IPMNs biologically behave more indolent. Prediction of malignancy is a crucial point to distinguish between surgical therapy and conservative management …

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Salvage therapy for colonic mechanical obstruction

Post written by Georgios Mavrogenis, MD, from the Endoscopy Department, Mediterraneo Hospital, Athens, Greece. This case illustrates the endoscopic management of a 7-cm-long obstruction of the distal colon that was not amenable to stenting, dilation, or surgery. The patient suffered from pseudo-diarrhea and gas retention. His abdomen was very distended and painful. CT scan and …

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Salvage resection of recurrent polyp after polypectomy

Post written by Michiko Wada, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan. We report a case of a 77-year-old woman who had undergone polypectomy for a polyp on the anastomosis of past laparoscopic sigmoidectomy but was referred to our endoscopy unit with recurrent polyp. …

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