EUS-guided duodenojejunostomy by use of a 2-cm LAMS to treat proximal jejunal stricture in a patient with chronic pancreatitis

Post written by Michael Lajin, MD, from the Sharp Grossmont Hospital, La Mesa, California, USA. A 26-year-old man presented with a 2-week history of nausea and vomiting. His medical history was significant for recurrent pancreatitis secondary to hypertriglyceridemia, infected walled-off necrosis requiring cystogastrostomy, splenic vein thrombosis resulting in severe portal hypertensive gastropathy, and large gastric …

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Novel use of endoscopic morcellator to clear large obscuring clot in patient with upper-GI bleed

Post written by John Gubatan, MD, from the Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California, USA. We present a case of a 79-year-old woman with a history of cirrhosis who presented with hematemesis and was found to have a large blood clot in the lesser curvature and fundus of the …

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Greater-curvature POEM with diverticuloseptotomy for the treatment of achalasia in a patient with a large epiphrenic diverticulum

Post written by Ryan Law, DO, from the Department of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. We present a 93-year-old man with classic symptoms and manometric findings consistent with type III achalasia with an associated large epiphrenic esophageal diverticulum. He underwent an anterior POEM at an outside institution. He presented to …

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Capsule endoscopy for investigating the digestion process

Post written by Shunji Fujimori, MD, PhD, AGAF, from the Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan. I tried to capture the endoscopic view of digestion and absorption processes in the small intestine. You can take ordinary food even after total gastrectomy. Of course, you can't eat a lot because …

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Transient hypotension during endoscopic resection of gangliocytic paraganglioma with ampullary involvement

Post written by Tadashi Katayama, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, and the Department of Internal Medicine, Tokyo Dental College, Ichikawa General Hospital, Chiba, Japan. Gangliocytic paraganglioma with ampullary involvement was resected endoscopically with a 15-mm snare. During resection of the tumor, the …

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Biliary reintervention with inversion technique in the duodenum with short-type double-balloon endoscope

Post written by Naminatsu Takahara, MD, PhD, and Yousuke Nakai, MD, PhD, from the Department of Endoscopy and Endoscopic Surgery, The University of Tokyo, Tokyo, Japan. A 51-year-old man was referred for the management of malignant biliary obstruction (MBO) and gastric outlet obstruction (GOO) due to pancreatic head cancer. A biliary covered metallic stent and …

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Failure of over-the-scope clip to control duodenal ulcer bleeding despite successful application

Post written by Calvin J. Koh, MBBS, from the Division of Gastroenterology and Hepatology, Medicine, National University Hospital, and Faculty of Medicine, National University of Singapore, Singapore. This case shows a patient with a large, oozing (Forrest 1b) duodenal ulcer for which an over-the-scope clip was deployed successfully to the ulcer base with the bleeding …

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