Post written by Erica Park, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. We describe a case of a patient who underwent an orthotopic liver transplantation from a donation after circulatory death. Dehiscence of the biliary anastomosis complicated her post-transplant course, requiring return to …
Continue reading Biliary cast syndrome in Roux-en-Y hepaticojejunostomy anatomy
Post written by Maham Hayat, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Our case is that of an 86-year-old woman with a history of achalasia and symptomatic epiphrenic diverticulum (ED) who was referred for peroral endoscopic myotomy (POEM) with simultaneous diverticulotomy. Endoscopy revealed a large ED and an …
Post written by William Hirsch, MD, from the Division of Internal Medicine, Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA, and Mohammad Bilal, MD, from the Division of Gastroenterology & Hepatology, Minneapolis VA Medical Center, University of Minnesota. Our video case details the process of adding dilute epinephrine to commercially available submucosa lifting agents. After …
Post written by Rintaro Fukuda, MD, and Naminatsu Takahara, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan, and Yousuke Nakai, MD, PhD, from the Department of Endoscopy and Endoscopic Surgery, Graduate School of Medicine, The University of Tokyo. Retained guidewire is not a rare adverse event …
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 …
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 …
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 …
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 …
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 …
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, …
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