Post written by Kamal M. Hassan, MD, from Weill Cornell Medicine, New York, New York, USA. In this case, a 78-year-old patient with a history of numerous abdominal surgeries complicated by adhesions and small-bowel obstructions underwent an eventual surgical gastrojejunostomy. The patient developed progressive peroral intolerance, and imaging revealed an acquired afferent loop syndrome as a …
Category: VideoGIE
Clip-and-line traction method for difficult ERCP cannulation due to choledochocoele
Post written by Mark Henrik Bonnichsen, MBBS (Hon), from the Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore. We describe a case of a 77-year-old woman who underwent ERCP for choledocholithiasis and surveillance MRCP for an intraductal papillary mucinous neoplasm. MRCP also showed an incidental choledochocoele. At ERCP, the choledochocoele made visualization of the …
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A challenging case of pancreaticogastric anastomotic stricture in a patient with surgically altered anatomy
Post written by Yervant Ichkhanian, MD, from Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, and Internal Medicine, Henry Ford Hospital, Detroit, Michigan, USA. This was a case of a 64-year-old woman with a history of Roux-en-Y gastric bypass and a subsequent Whipple reconstruction with pancreatico-gastrostomy (PG) who presented to our center with a …
Use of an adapted bronchoscope for peroral endoscopic myotomy in a pediatric patient weighing less than 10 kg
Post written by Carlos Robles-Medranda, MD, from the Instituto Ecuatoriano de Enfermedades Digestivas (IECED), Guayaquil, Ecuador. In this video case presentation, we illustrate a compelling clinical scenario involving an underweight 2-year-old girl who presented with a confirmed diagnosis of achalasia. In a noteworthy facet, parental refusal for surgical intervention prompted the consideration of an alternative endoscopic …
Aberrant placement of functional lumen imaging probe into mediastinum during peroral endoscopic myotomy
Post written by Yusuke Fujiyoshi, MD, and Christopher Teshima, MD, MSc, PhD, from the Advanced Therapeutic Endoscopy Centre, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada. We experienced a peroral endoscopic myotomy (POEM) case in which the EndoFLIP (Medtronic, Inc, Shoreview, Minn, USA) catheter was inserted into the submucosal tunnel and inflated into the mediastinum, …
A successful case of an endoscopic submucosal dissection using a combination of the pocket-creation method and traction with a spring-and-loop with clip for early gastric cancer with severe ulcer scarring
Post written by Fumisato Sasaki, MD, PhD, from Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. The pocket-creation method (PCM) has been reported as a useful method in endoscopic submucosal dissection (ESD). On the other hand, the spring-and-loop with clip (S-O clip; Zeon Medical, Tokyo, Japan) is a useful …
Maximizing limited space: usefulness of percutaneous cricothyrotomy and super-soft hood for hypopharyngeal endoscopic submucosal dissection
Post written by Marc Julius H. Navarro, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan, the Institute of Digestive and Liver Diseases, St. Luke’s Medical Center, Quezon City, and the Section of Gastroenterology, Department of Medicine, Makati Medical Center, Makati City, Philippines. In this video, we present a case of en …
Endoscopically guided sutured gastropexy: a novel treatment of gastric volvulus
Post written by Sanjhai L. Ramdeen, MD, from the Department of Minimally Invasive Surgery, and GIE Senior Associate Editor David L. Diehl, MD, FASGE, from the Department of Gastroenterology, Geisinger Medical Center, Danville, Pennsylvania, USA. Our recent VideoGIE publication describes a minimally invasive technique for treating gastric volvulus that involved teamwork between the gastroenterology and minimally …
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Improvised dual lumen nasojejunal feeding tube with gastric decompression
Post written by Justin Ryan L. Tan, MD, from Chinese General Hospital and Medical Center, Manila, Philippines. Gastric outlet obstruction (GOO) is an incapacitating condition in which the patient becomes malnourished while constantly being at risk of aspiration. A dual lumen nasojejunal tube allows simultaneous postpyloric feeding and drainage of the obstructed proximal segment. The paucity …
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Cholangioscopy-guided salvage retrieval of a migrated stent at a hepaticojejunostomy anastomosis using a colonoscope
Post written by Samuel Han, MD, MS, from The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. In this video, we describe the use of cholangioscopy through a colonoscope to successfully retrieve a stent that had migrated into the duct during ERCP in a patient with surgically altered anatomy (Roux-en-Y hepaticojejunostomy). After attempting conventional methods …
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