A novel balloon dilation catheter facilitating endoscopic papillary balloon dilation in patients with Roux-en-Y gastrectomy

Post written by Yuki Tanisaka, MD, PhD, from Saitama Medical University International Medical Center, Saitama, Japan. Endoscopic stone extraction in patients with surgically altered anatomy (SAA) using balloon enteroscopy is considered difficult. Although endoscopic papillary balloon dilation (EPBD) is one of the necessary procedures to extract the stone, EPBD in patients with SAA is challenging because …

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Successful retrieval of a retained fractured ERCP guidewire in the pancreatic duct

Post written by Jorge D. Machicado, MD, MPH, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. In this video, we describe a case of a guidewire that fractured in the pancreatic duct during ERCP and different tools used for its successful removal. This occurred during attempts at placing a plastic …

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Endoscopic repair of surgically transected bile duct using overlapping covered metal stents

Post written by Thomas Tielleman, MD, from the University of Texas Southwestern Medical Center, Dallas, Texas, USA. This is a case of a 48-year-old man who underwent cholecystectomy complicated by hemoperitoneum requiring take-backs to the operating room. A complete bile duct transection ultimately complicated the surgeries. Cholangiography from ERCP and percutaneous transhepatic cholangiography confirmed a large …

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The Lambda stenting technique: a new approach to address EUS-guided biliary drainage–associated adverse events

Post written by Hiroki Sato, MD, PhD, Hidemasa Kawabata, MD, PhD, and Mikihiro Fujiya, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Asahikawa Medical University, Asahikawa, Hokkaido, Japan. We encountered 2 cases of stent migrations and 1 case with repeated cholangitis. In the first 2 cases, the metal stent inserted during the first …

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Treatment of Bouveret syndrome with stone fragmentation using an endoscopic submucosal dissection knife

Post written by Fiona Milne, MD, from Queen's University, Kingston Health Sciences Centre, Kingston, Ontario, Canada. Our case describes a 61-year-old man with a 3-decade history of recurrent cholecystitis who presented with Bouveret syndrome. A CT scan showed a 5-cm obstructing gallstone in the proximal duodenum. Surgery was considered to be high risk, given medical comorbidities. …

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VideoGIE now accepting Industry Education articles

VideoGIE has launched a new article type, Industry Education, with the goal of providing vetted educational content about current and upcoming endoscopic technologies. Key features will include tips and tricks showing manufacturer-approved equipment uses and settings. Accepted submissions will be posted on the VideoGIE website, hosted for 1 year with the option to renew, and …

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Migrated lumen-apposing stent trapped within a pancreatic fluid collection: Forward-view EUS for the rescue!

Post written by Pradev Inavolu, MD, DM, Wladyslaw Januszewicz, MD, PhD, and Sundeep Lakhtakia, MD, DM, from AIG Hospitals and Asian Institute of Gastroenterology, Hyderabad, Telangana, India. We encountered a case of maldeployment of a lumen-apposing mental stent (LAMS) into the pseudocyst cavity with loss of access. Typically, such an adverse event necessitates a surgical intervention …

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Saline-immersion endoscopic submucosal dissection using pocket-creation method

Post written by Siddharth B. Javia, MD, from Confluence Health, Wenatchee Valley Medical Group, Wenatchee, Washington, USA. This video is about removing a large cecal polyp using an endoscopic submucosal dissection (ESD) technique. We facilitate this ESD in the cecum by using a combination of pocket-creation method and saline-immersion technique. ESD is a challenging technique to …

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EUS-guided enteroenterostomy to facilitate peroral altered anatomy ERCP

Post written by Romik P. Srivastava, MD, from the Medical University of South Carolina, Charleston, South Carolina, USA. In our video series, we present 4 cases of patients with non—gastric bypass altered anatomy who required complex ERCP. To facilitate peroral ERCP using a therapeutic gastroscope or duodenoscope, we created an EUS-guided enteroenterostomy in order to shorten …

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Use of inducible and limiting fluorescence in laparoscopic endoscopic cooperative surgery

Post written by Masaya Uesato, MD, PhD, Yoshihiro Kurata, MD, PhD, Yasunori Matsumoto, MD, PhD, Shunsuke Kainuma, MD, Takuya Hirosuna, MD, Ryota Otsuka, MD, PhD, Koichi Hayano, MD, PhD, and Hisahiro Matsubara, MD, PhD, from the Department of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba, Japan. We show you a case with a 6-mm-diameter …

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