ESD for Barrett’s-associated adenocarcinoma in a patient with decompensated cirrhosis and esophageal varices

Post written by Sonmoon Mohapatra, MD, from the Division of Gastroenterology and Hepatology, Saint Peter’s University Hospital/Rutgers—RWJ Medical School, New Brunswick, New Jersey, USA. A 65-year-old woman with a history of Barrett’s esophagus, decompensated alcoholic cirrhosis (MELD 8, Child Pugh class B) complicated by ascites, esophageal varices, gastric antral vascular ectasia, hepatic encephalopathy, and severe …

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ESD for a laterally spreading tumor involving the colon diverticulum using a knife with water supply function

Post written by Akira Yoshida, MD, PhD, from the Division of Medicine and Clinical Science, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University, Yonago, Japan. A 50-mm diameter laterally spreading tumor (Paris 0-IIa) that involved the diverticulum on the oral side of the tumor was pointed out at the ascending colon. Colon tumor …

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Removal of proximally migrated biliary stents by using single-operator cholangioscopy

Post written by Abed Al Lehibi, MD, from Gastroenterology and Hepatology, King Fahad Medical City, Riyadh, Saudi Arabia. Our series included 3 patients whose cases, while being treated for difficult biliary stones, were complicated by proximal stent migration. Two patients had migrated plastic stents, whereas the other had a migrated metal one. Single-operator cholangioscopy (Boston …

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A novel clip-band traction device to facilitate colorectal ESD and defect closure

Post written by Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. Adequate visualization of the submucosal dissection plane is critically important for both safety and efficacy in endoscopic submucosal dissection (ESD). Recently, a novel clip-band traction device was introduced to the U.S. market (Elastic …

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Peroral endoscopic myectomy: a novel thought to reduce recurrence after previous failed myotomy

Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. This video case describes a novel technique of peroral endoscopic myotomy (POEM) in a patient with recurrence of symptoms after Heller’s myotomy. In this case, we performed POEM by posterior route ie, 5 o’clock. After completing myotomy, we performed a …

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Wire-guided and endoscopic-guided transesophageal echocardiographic probe insertion

Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases and Division of Cardiology, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. We report a 75 year-old-man with a large symptomatic Zenker's diverticulum (ZD, 4-5 cm in length) who also needed a Transesophageal echocardiography (TEE). We first performed a flexible …

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Making the transition from endoscopic submucosal dissection fellowship to independent practice

Post written by Phillip S. Ge, MD, from the Department of Gastroenterology, Hepatology, and Nutrition, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA. The video describes a 68-year-old male who underwent successful resection of a large near-circumferental laterally spreading tumor in the distal rectum. The lesion extended from within 1 mm from …

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Bleeding malignant gastric ulcer: successful endoscopic hemostasis with an over-the-scope clip

Post written by João Carlos Silva, MD, Rolando Pinho, MD, from the Department of Gastroenterology, Centro Hospitalar Vila Nova de Gaia e Espinho, Porto, Portugal. We present a case of a 76-year-old male patient with medical history of Parkinson disease admitted to the ER for hematemesis. On EGD, an ulcerated neoformation with a large adherent …

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Introducing computer-aided detection to the endoscopy suite

Post written by Jeremy R. Glissen Brown, MD, from the Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. In this issue of VideoGIE, we are excited to present a video primer that outlines a computer-aided detection (CADe) system that we have applied prospectively during screening …

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Peroral endoscopic myotomy in a patient with failed Heller’s myotomy by use of a novel bipolar radiofrequency device

Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video, we demonstrated the use of a new bipolar knife for peroral endoscopic myotomy (POEM) in a case with previous Heller’s myotomy. This knife uses radiofrequency energy for dissection and microwave energy for coagulation. The technique of POEM …

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