Post written by Manuel Perez-Miranda, MD, PhD, from Hospital Universitario Rio Hortega, Valladolid, Spain. A patient with a transected bile duct after cholecystectomy presenting with high-output bile leakage was successfully treated with staged endoscopy. EUS-guided hepaticogastrostomy was used first to internalize externally diverted bile flow. At a follow-up endoscopy, a cholangioscope by ERCP grasped a …
Category: VideoGIE
Enhancing stent length and stability with a novel through-the-scope suturing platform: a case series
Post written by Shailendra Singh, MD, and Ayowumi A. Adekolu, MD, from West Virginia University, Morgantown, West Virginia, USA. We present a case series showing the use of a through-the-scope suturing (TTSS) system (X-Tack; Apollo Endosurgery, Austin, Tex, USA) for fixing 2 fully covered self-expandable metal stents (FCSEMSs) for creating longer stents as well as …
Endoscopic sleeve gastroplasty using mixed-tooth grasping forceps as an alternative to the tissue helix
Post written by Chase Wooley, BS, from True You Weight Loss, Cary, North Carolina, USA. In this video case, we demonstrate the advantages of using a mixed-tooth grasping forceps rather than the traditional tissue helix to acquire full-thickness gastric folds during the endoscopic sleeve gastroplasty (ESG) procedure. A customized animation highlights the risk of transmural tissue …
Retrograde endosonography for diagnosing imaging-occult cancer at the head of the pancreas in a patient with distal gastrectomy and Roux-en-Y reconstruction
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. A 73-year-old man with a history of distal gastrectomy presented with jaundice and 20-pound weight loss. Abdominal CT with intravenous contrast showed cholelithiasis and a dilated biliary tree without evidence of choledocholithiasis or neoplasm. MRCP was not possible because of shrapnel. He …
A modified approach for closing endoscopic submucosal dissection defects using clip with line pulley securing technique and endoloop
Post written by Yohei Minato, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. We modified the clip with line pulley suturing (CLiPS) technique using a plastic detachable snare. A clip with a string is placed at the distal margin of the mucosal defect. A second clip is then hooked onto …
Closure in antireflux mucoplasty using anchor prong clips: dead space–eliminating technique
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This study features the dead space—eliminating technique (DET) as a novel closure method during antireflux mucoplasty (ARM-P) for proton pump inhibitor refractory—dependent GERD. Other techniques such as antireflux mucosectomy and antireflux mucosal ablation have shown effectiveness in meta-analyses, …
Salvage endoscopic resection for perforation site recurrence of colonic polyp
Post written by Deepak Madhu, MD, MRCP, DM, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. A 79-year-old patient underwent endoscopic submucosal dissection (ESD) for resection of a colonic polyp. The resection was complicated by an intraprocedural perforation, which an endoscopic omental patch closed. A surveillance endoscopy performed 1 year later showed …
Continue reading Salvage endoscopic resection for perforation site recurrence of colonic polyp
Gel-immersion EMR for hemorrhagic gastric hyperplastic polyp
Post written by Naoki Akizue, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, Chiba University, Chiba, Japan. Viscoclear (Otsuka Pharmaceutical Factory, Tokushima, Japan) is a new gel without electrolytes that consists of xanthan gum, locust bean gum, concentrated glycerin, and purified water. The gel used for gel-immersion EMR is highly viscous and easily …
Continue reading Gel-immersion EMR for hemorrhagic gastric hyperplastic polyp
Endoscopic removal of 2 types of eroded gastric bands using endoscopic scissors
Post written by Mark Hanscom, MD, from Weill Cornell Medicine, New York, New York, USA. With this video case, we present the endoscopic removal of 2 types of eroded gastric bands. In the first case, a patient presented following adjustable laparoscopic gastric band (Lap-Band) placement with weight regain. Initial testing with an upper GI series identified …
Continue reading Endoscopic removal of 2 types of eroded gastric bands using endoscopic scissors
A novel method of bilateral biliary decompression by EUS-guided hepaticogastrostomy with bridging stenting using the partial stent-in-stent method for reintervention of multiple metal stent failure
Post written by Hidenobu Hara, MD, from the Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan. EUS-guided hepaticogastrostomy (EUS-HGS) has become an effective method for biliary drainage, particularly in cases of hilar bile duct obstruction. This report presents the case of an 84-year-old woman with unresectable perihilar cholangiocarcinoma of bismuth type IV. …
endoscopedia.com 