Post written by Syed Hamaad Rahman, DO, from Methodist Dallas Medical Center, Dallas, Texas, USA. We describe the case of a 26-year-old woman who had undergone laparoscopic sleeve gastrectomy (LSG) and presented with severe intolerance of oral intake, reflux, and weight loss. She was found to have stenosis of the gastric sleeve with presence of a …
Category: VideoGIE
Gastrogastric intussusception and acute pancreatitis caused by a large pyloric gland adenoma treated with endoscopic submucosal dissection
Post written by Robert Bechara, MD, from Queen's University, Kingston Health Sciences Center, Kingston, Ontario, Canada. This is a case of a 75-year-old woman with gastrogastric intussusception and acute pancreatitis caused by a 6-cm dysplastic pyloric gland adenoma, which we treated using endoscopic submucosal dissection (ESD). The decision to showcase this video was driven by …
Two clues make a proof: EUS-directed transgastric ERCP in twice-surgically altered anatomy—Roux-en-Y gastric bypass conversion of a sleeve gastrectomy
Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Institute, Milan, Italy. In the realm of endoscopy, the advent of lumen-apposing metal stents (LAMSs) has paved the way for innovative solutions to challenges once considered insurmountable. One such breakthrough is the technique known as EUS-directed transgastric ERCP (EDGE), which …
The cliff descending method to facilitate parallel view during endoscopic submucosal dissection in the gastric fornix
Post written by Douglas Motomura, MD, from the Department of Gastroenterology, University of British Columbia, Vancouver, British Colombia, Canada, and Toshitatsu Takao, MD, PhD, from the Department of Gastroenterology, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan. This is a case of early gastric cancer in the fundus of the stomach. Treatment was provided with …
EUS-guided gastrojejunostomy using a pre-existing PEG with jejunal extension for target bowel opacification
Post written by Laurens Janssens, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. A 71-year-old woman presented with abdominal pain, nausea, vomiting, and normal liver test results. A CT scan demonstrated gastric outlet obstruction (GOO). Extensive work-up could not reveal the etiology of an extrinsic duodenal compression, and we were unable …
Cholangioscopy-guided tunneling and coaxial stenting of a large choledocholithiasis: a novel approach to mechanical lithotripsy
Post written by Abdulrahman Qatomah, MBBS, from the Department of Gastroenterology and Hepatology, McGill University, Montreal, Quebec, Canada. A large common bile duct stone was found in a patient with cholangitis. The stone was difficult to manage using the conventional ERCP method. Sessions of cholangioscopy-guided lithotripsy also failed to achieve stone fragmentation. We wanted to highlight …
Successful multidisciplinary urgent management of life-threatening intraprocedural bleeding after EUS-guided fine-needle biopsy of a pulmonary mass
Post written by Giacomo Emanuele Maria Rizzo, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS - ISMETT, and Ilaria Tarantino, MD, from the PhD program, Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), University of Palermo, Palermo, Italy. An 82-year-old man with a previous diagnosis of adenocarcinoma in the right side of …
Endoscopic submucosal dissection for a duodenal polyp at the upper aspect of the duodenal bulb using a newly developed endoscope
Post written by Satoki Shichijo, MD, PhD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. A polyp at the upper aspect of the duodenal bulb was identified by follow-up endoscopy after Helicobacter pylori eradication. The oral side of the tumor was adjacent to the pylorus, but the anal margin could not be …
EUS-guided gastroenterostomy using a novel through-the-scope exchangeable dual-balloon enteroclysis catheter: a potentially secure and scalable approach
Post written by Yen-I Chen, MD, MSc, and Ali Bessissow, MD, from McGill University Health Centre, Montreal, Quebec, Canada. Our video illustrates the use of a novel through-the-scope exchangeable dual-balloon catheter (DUBX, Naja; Chess Medical, Montreal, Quebec, Canada) to assist EUS-guided gastroenterostomy (EUS-GE) in malignant gastric outlet obstruction. Our case shows the streamline through-the-scope insertion of …
Peroral endoscopic myotomy for a pediatric case of suspected congenital esophageal stenosis
Post written by Hirofumi Abe, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan. We present an extremely rare case that was highly suspicious for congenital esophageal stenosis (CES) and successfully treated with modified peroral endoscopic myotomy (POEM). The patient was a 5-year-old girl with …
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