Endoscopic submucosal dissection of recurrent, circumferential, distal rectal tumor with severe submucosal fibrosis using multiple clip-line tractions

Post written by Darshan Parekh, MBBS, MS, from the Department of Endoscopy, Thane Institute of Gastroenterology, Thane, Maharashtra, India, and Ken Ohata, MD, PhD, from the NTT Medical Center Tokyo, Tokyo, Japan. A 69-year-old woman underwent endoscopic submucosal dissection (ESD) for a recurrent, circumferential, rectal tumor starting just above the anal verge and extending 5 cm …

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How to make cost-effective polyp simulators for high-fidelity simulation-based training in postpolypectomy bleeding management and EMR

Post written by Ally Zhao, OSSD, from the Division of Gastroenterology, St. Michael's Hospital, Toronto, Ontario, Canada. The video article showcases 3 novel endoscopic simulators designed for practicing management of postpolypectomy bleeding, conventional EMR, and underwater EMR. Common and inexpensive household materials can be used to assemble these simulators, as demonstrated in a stepwise manner in …

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Patient educational videos on T1 colorectal cancer

Post written by Nik Dekkers, MD, from Leiden University Medical Center, Leiden, The Netherlands. This article is the first of VideoGIE's new Patient Education article type. To learn more about VideoGIE submission requirements, visit the journal website. To our knowledge, standardized information provision for T1 colorectal cancer (T1CRC) patients is lacking. These videos describe the medical …

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A case of duodenal variceal bleeding treated by Doppler-guided endoscopic cyanoacrylate injection

Post written by Abbinaya Elangovan, MD, from the University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio, USA. We report on a patient with pancreatic adenocarcinoma who presented with recurrent GI bleeding. He underwent multiple investigations that did not reveal the etiology of bleeding. A bulging was noted in the duodenum in upper endoscopy …

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Endoscopic blind limb reduction with septotomy: a novel endoscopic approach to candy cane syndrome after Roux-en-Y gastric bypass

Post written by Kambiz Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe a new endoscopic procedure to treat candy cane syndrome in Roux-en-Y gastric bypass patients. The syndrome refers to patients who have undergone Roux-en-Y gastric bypass and developed significant and sometimes debilitating postprandial abdominal discomfort that is often relieved …

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Resection of large terminal ileum polyp: usefulness of underwater EMR

Post written by Satoki Shichijo, MD, PhD, from Osaka International Cancer Institute, Osaka, Japan. We performed underwater EMR for a 20-mm Paris Ip polyp at the terminal ileum. The lumen of the terminal ileum was infused with normal saline through the waterjet of the colonoscope. This made the polyp float and permitted thorough inspection despite the …

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Endoscopic removal of a weight-loss device with stoma closure using a tack-and-suture device

Post written by Christopher McGowan, MD, MSCR, AGAF, ABOM, FASGE, from True You Weight Loss, Cary, North Carolina, USA. In this video, we describe our technique for the endoscopic removal of an AspireAssist weight-loss device (Aspire Bariatrics, King of Prussia, Penn, USA) with simultaneous prophylactic stoma closure. The device was approved by the U.S. Food and …

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Antireflux mucoplasty, an evolution of endoscopic antireflux therapy for refractory GERD

Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This study introduces a novel therapeutic approach known as antireflux mucoplasty (ARM-P) to tackle the challenges associated with proton pump inhibitor (PPI)—refractory GERD. Previously, we pioneered 2 techniques, antireflux mucosectomy (ARMS) and antireflux mucosal ablation (ARMA), which …

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Endoscopic submucosal dissection of colon polyps with submucosal fibrosis using the combination of near-focus mode and traction device

Post written by Sukit Pattarajierapan, MD, from the Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. We present 2 cases of a lateral spreading tumor with the pseudo-depressed nongranular type (LST-NG-PD) with submucosal fibrosis at the ascending colon. The tumors were challenging to resect by endoscopic submucosal dissection (ESD) with …

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Tips and tricks for endoscopic transpapillary gallbladder drainage

Post written by Jad AbiMansour, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. The video highlights best practices, devices, and techniques for endoscopic transpapillary gallbladder drainage through a series of narrated cases ranging from routine to technically challenging. Endoscopic transpapillary gallbladder drainage is an invaluable tool for palliation of acute cholecystitis …

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