Post written by Masanori Kobayashi, MD, PhD, from the Department of Gastroenterology and Hepatology, Tokyo Medical and Dental University (TMDU), Tokyo, Japan. This video shows a rare case where hepatocellular carcinoma (HCC) mainly progressing to the bile duct was observed by peroral cholangioscopy (POCS). HCC, in which a primary tumor cannot be detected in the …
Category: VideoGIE
Magnetic compression anastomosis via EUS-guided hepaticogastrostomy for recanalization of complete common hepatic bile duct transection
Post written by Yingluk Sritunyarat, MD, from the Gastrointestinal Endoscopy Excellence Center, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. Traditionally, the treatment for bile duct transection is surgical-created bilio-enteric bypass. With recent advanced techniques to avoid the need for surgery, the magnetic-compression technique …
Cholangioscopy-guided removal of a proximally migrated biliary stent using a modified standard polypectomy snare
Post written by Moamen Gabr, MD, MSc, from the Division of Digestive Diseases and Nutrition, University of Kentucky, Lexington, Kentucky. A 72-year-old male with diagnosis of pancreatic head adenocarcinoma requiring endoscopic biliary stent placement 2 weeks prior to admission presented with signs of biliary obstruction. Imaging showed proximal migration of a previously placed biliary stent. …
Active bleeding from downhill varices: case report and management
Post written by Aleem Azal Ali, MBBS, Sonal Jadeja, DO, and Bruno De Souza Ribeiro, MD, from the University of Florida, College of Medicine, Jacksonville, Florida, USA. This video manuscript describes the case of a 49-year-old man who presented in hypovolemic shock secondary to hematemesis. He had a similar presentation, 2 weeks prior, when EGD …
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Cholangioscopy in primary sclerosing cholangitis: a case series of dominant strictures and cholangiocarcinoma
Post written by Sooraj Tejaswi, MD, MSPH, FASGE, from the Division of Gastroenterology & Hepatology, University of California Davis School of Medicine, Sacramento, California. This video case series describes and differentiates between the cholangioscopic features of benign dominant strictures and cholangiocarcinoma in PSC. It demonstrates that the morphologic features of cholangiocarcinoma in PSC is varied. …
Endoscopic transcecal appendectomy under laparoscopic single-port assistance
Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. We presented endoscopic transcecal appendectomy under laparoscopic single-port assistance for a flat-elevated tumor completely covering the appendiceal orifice in the video. The lesion was a flat-elevated tumor completely covering the appendiceal orifice, measuring 15 mm in …
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EUS-guided biliary rendezvous as an emergent rescue after failed choledochoduodenostomy using a lumen-apposing metal stent
Post written by Joan B. Gornals, MD, PhD, from the Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de Bellvitge-IDIBELL, University of Barcelona, Catalonia, Spain. A 60-year-old man with pancreatic cancer and liver metastases who had been referred previously for biliary drainage was recommended palliative treatment. After a failed ERCP, same-session EUS-guided biliary drainage was …
Step-by-step instruction: using an endoscopic tack and suture device for gastrointestinal defect closure
Post written by Andrew C. Storm, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota. In this video manuscript, we describe a step-by-step setup and use of a new endoscopic tool for tissue closure and fixation using the X-Tack device. X-Tack consists of a series of tacks on a suture that may …
Evolution of re-epithelialization postcircumferential esophageal endoscopic submucosal dissection
Post written by Robert Bechara, MD, from the Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. The introduction of endoscopic submucosal dissection (ESD) has revolutionized the management of superficial gastrointestinal neoplasia. In the esophagus, the stricture rate after a circumstantial ESD (cESD) without any prophylaxis medications is virtually 100%. There have been many reported …
Underwater endoscopic mucosal resection of a rectal adenoma in the nondistensible rectum from severe fecal incontinence
Post written by Sukit Pattarajierapan, MD, from the Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. Our video presents a challenging case of difficult polypectomy in the nondistensible rectum from severe fecal incontinence. An 89-year-old woman with ischemic heart disease and hypertension underwent laparoscopic sigmoidectomy for stage II sigmoid …
