Post written by Najib Nassani, MD, MSc, from CentraCare Interventional Endoscopy Program, St. Cloud Hospital, St. Cloud, Minnesota, USA. We reported on the case of a 64-year-old woman who had a cholecystectomy several years ago and presented with recurrent choledocholithiasis and cholangitis despite previous ERCPs. Upon balloon sweep during ERCP, a stone attached to the bile …
Category: VideoGIE
Usefulness of artificial intelligence–assisted digital single-operator cholangioscopy as a second-opinion consultation tool during interhospital assessment of an indeterminate biliary stricture: a case report
Post written by Carlos Robles-Medranda, MD, FASGE, AGAF, from the Endoscopy Division, Instituto Ecuatoriano de Enfermedades Digestivas (IECED), Guayaquil, Ecuador. We describe a case of a patient cared for in a medical facility abroad (Colombia) who presented with jaundice and proximal common bile duct stenosis detected with MRCP. EUS identified a homogeneous hypoechoic lesion localized at …
A rare case of pedunculated ampulloma: EUS view and resection
Post written by Dario Ligresti, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione - Istituto di Ricovero e Cura a Carattere Scientifico, and Giacomo Emanuele Maria Rizzo, MD, from the Department of Surgical and the Department of Surgical, Oncological and Oral Sciences, University …
Continue reading A rare case of pedunculated ampulloma: EUS view and resection
Needle-knife incision and drainage of duodenal intramural hematoma relieving duodenal and biliary obstruction
Post written by Bakht S. Cheema, MD, from Digestive Disease Consultants, and Yusuke Hashimoto, MD, MMA, from the University of Florida Health, Jacksonville, Florida, USA. A 44-year-old man presented with postprandial vomiting and jaundice. He had an episode of acute-on-chronic pancreatitis complicated with a pseudocyst and a spontaneous large duodenal intramural hemorrhage causing duodenal luminal obstruction …
Management of a gastric pouch staple-line leak and its adverse events with multimodal endoscopic techniques including endoscopic vacuum therapy
Post written by Khanh Hoang Nicholas Le, MD, MS, from the University of California San Diego Medical Center, San Diego, California, USA. This video describes a 48-year-old woman with history of a mini-gastric bypass converted to a Roux-en-Y gastric bypass who was found to have a gastric pouch staple-line (GPSL) leak, later complicated by a gastrogastric …
The usefulness of a newly invented transparent silicon attachment: static electricity fastening tape hood
Post written by Shunya Takayanagi, MD, from NTT Medical Center Tokyo, Tokyo, Japan. Distal attachments placed on the endoscope tip are useful for cecal intubation of the colonoscope, detecting polyps by depressing the fold. Various diameter endoscopes need multiple types of attachment, which can be costly. Therefore, we developed a silicon attachment that adheres to the …
Conversion of a dysfunctional choledochoduodenostomy to transpapillary drainage via a trans-lumen-apposing metal stent choledochoduodenoscopy
Post written by Joan B. Gornals, MD, PhD, from the Hospital Universitari de Bellvitge, Barcelona, Spain. This is a case of a patient with a recurrent biliary obstruction caused by sump syndrome with dysfunctional endoscopic biliary drainage who underwent EUS-guided choledochoduodenostomy (8- x 8-mm lumen-apposing metal stent [LAMS] + coaxial 7F x 5-cm pigtail) in a …
Novel use of an endoscopic morcellator to assist in removal of a fully embedded esophageal stent
Post written by Wasseem Skef, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA. We present a case of a patient with a refractory benign stricture treated with a fully covered metal stent who was lost to follow-up during the COVID-19 pandemic and developed severe progressive dysphagia …
Endoscopic resection techniques for duodenal and ampullary adenomas
Post written by Grace E. Kim, MD, from the Section of Gastroenterology, Hepatology, and Nutrition, and Uzma D. Siddiqui, MD, from the Center for Endoscopic Research and Therapeutics, University of Chicago, Chicago, Illinois, USA. This instructional video reviews the management of duodenal polyps, including sporadic duodenal and ampullary adenomas. Although these are typically benign lesions, they …
Continue reading Endoscopic resection techniques for duodenal and ampullary adenomas
Complete intraperitoneal maldeployment of a lumen-apposing metal stent during EUS-guided gastroenteroanastomosis for malignant gastric outlet obstruction: rescue retrieval with peritoneoscopy through natural orifice transluminal endoscopic surgery
Post written by Ilaria Tarantino, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS–ISMETT, and Giacomo Emanuele Maria Rizzo, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS–ISMETT, and the Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), University of Palermo, Palermo, Italy. A 75-year-old woman with malignant gastric outlet …
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