Post written by Louis-Jean Masgnaux, MR, from the Gastroenterology and Endoscopy Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France. We describe the use of an adjustable endoscopic traction system, the A-TRACT-2, a handmade device that can be tightened during the procedure to increase the traction tension and greatly assist the operator in difficult cases …
Category: VideoGIE
Cognitive ERCP: decision making during successful retrieval of proximally migrated biliary stent
Post written by Arjun Chatterjee, MD, from the Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA. A 56-year-old man presented with painless jaundice. A CT scan reported a pancreatic mass, and he underwent ERCP at an outside facility with the placement of a plastic biliary stent through distal biliary stricture and EUS-guided biopsy of …
Successful management of a duodenal perforation using a through-the-scope suturing device after failed attempt at closure with an over-the-scope clip
Post written by Maham Hayat, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We present a case of a patient with an indwelling percutaneous gastrojejunostomy tube with a chronic perforation in the duodenum from the tip of the displaced tube. Attempt at endoscopic closure using an over-the-scope clip was unsuccessful because of the …
Hybrid resection of GI stromal tumor with endoscopic submucosal dissection and the full-thickness resection device
Post written by Varun Angajala, MD, MS, and Ara Sahakian, MD, from the Department of Internal Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA. We are excited to share our hybrid resection technique for a gastric subepithelial lesion (SEL). We performed submucosal dissection to unroof and expose the surface of the …
The interventional direct peroral cholangioscopy toolbox for endoscopic snare resection of a high-grade biliary intraductal neoplasia
Post written by Jerry Yung-Lun Chin, MBBS, FRACP, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA, and the Department of Gastroenterology and Hepatology, Waikato Hospital, Te Whatu Ora, Hamilton, New Zealand. Direct peroral cholangioscopy (DPOC) is a valuable diagnostic and therapeutic tool for various biliary disorders. It also is economically favorable compared …
EUS-guided jejuno-enterostomy in a patient with total gastrectomy with Roux-en-Y esophagojejunostomy to facilitate cholangioscopy with electrohydraulic lithotripsy
Post written by Yervant Ichkhanian, MD, from the Department of Medicine, Henry Ford Hospital, Detroit, Michigan, USA. A 67-year-old man with a history of total gastrectomy before Roux-en-Y esophagojejunostomy reconstruction in the setting of gastric adenocarcinoma presented with extensive choledocholithiasis with a benign terminal bile duct stricture. In our case, the patient underwent jejuno-enterostomy using a …
Endoscopic full-thickness resection with retroperitoneal dissection for duodenal myogenic cyst with adjustable traction from an independently controlled snare
Post written by Ding-Ek Toh, MD, from the Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, and Chu-Kuang Chou, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, and the Obesity Center, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan. This video represents a novel method to …
Cryotherapy for removal of an embedded, partially covered esophageal stent
Post written by Aman Deep, MD, from the Department of Nephrology, Asante Rogue Regional Medical Center, Medford, Oregon, USA. Esophageal stents are used to relieve obstruction in diverse benign and malignant esophageal conditions. However, excessive granulation tissue may make the removal of such stents challenging, and it increases the risk of adverse events such as bleeding …
Continue reading Cryotherapy for removal of an embedded, partially covered esophageal stent
Use of a novel endoscopic tack and suture system for the management of pancreatocolonic fistula
Post written by Arunkumar Krishnan, MBBS, from the Section of Gastroenterology and Hepatology, West Virginia University School of Medicine, Morgantown, West Virginia, USA. We demonstrate a technique for the closure of pancreatocolonic fistulae (PCF) using an X-Tack Endoscopic HeliX System (Apollo Endosurgery, Austin, Tex, USA). GI tract fistulation is an uncommon but important consequence of acute …
Endoscopic removal of a retained esophageal stent using the stent-in-stent technique
Post written by Jose Antonio Navarro Almario, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA. In this video, we demonstrate the use of the stent-in-stent technique to extract a retained esophageal stent. The formation of granulation tissue secondary to placement of an esophageal stent is common and can serve …
endoscopedia.com 