Endoscopic Removal of Silastic Gastric Band

Post written by Saurabh Chawla, MD, from the Emory University School of Medicine, Atlanta, Georgia, USA. We present a case of a patient presenting with abdominal pain who had a sleeve gastrectomy with silastic band placement several years prior to his presentation. Upon further investigation, the silastic band was noted to be eroding into the …

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ESD of a large rectal lesion by use of a novel tissue retractor system

Post written by Salmaan Jawaid, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida, USA. We presented a case of successful endoscopic submucosal dissection of a large rectal lesion using a novel tissue retractor system. This unique platform allowed us to generate constant tissue tension and permitted frequent manipulation of the …

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EUS-guided placement of coils and glue for the management of large bleeding fundic varices

Post written by Victoria Gómez, MD, from the Mayo Clinic, Jacksonville, Florida, USA. We present a case of a 58-year-old woman in whom challenging gastric fundic varices were managed successfully with endoscopic variceal obturation using EUS-guided coil placement with subsequent glue injection. Treatment options were limited in this patient due to radiographic findings of liver …

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Large-caliber metal stent controls entry site bleeding during EUS-guided drainage of walled-off necrosis

Post written by Radhika Chavan, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. A 35-year-old man, diagnosed with acute necrotizing pancreatitis 7 weeks ago, presented with abdominal pain and fever for 2 weeks. Evaluation showed mild leukocytosis with raised amylase and lipase levels. Endoscopic ultrasound (EUS) showed large walled-off necrosis (WON) with minimal …

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Per-oral endoscopic myotomy with endoscopic septum division

Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video case, we describe per oral endoscopic myotomy (POEM) in a case of achalasia with large diverticulum at the lower end of esophagus. POEM was performed in the standard fashion. In addition, the septum between diverticulum and submucosal …

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Simultaneous detection and characterization of diminutive polyps with the use of AI

Post written by Yuichi Mori, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. We present a novel computer-aided system that enables automated polyp detection followed by immediate polyp characterization in a real-time fashion using an endocytoscope, a colonoscope with a function of 520-fold endomicroscopy (CF-H290ECI; Olympus Corp., Tokyo, Japan). …

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Step-by-step use of hemostatic powder

Post written by Andrew C. Storm, MD, from the Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA. Our video is meant to be used as a teaching tool, demonstrating the step-by-step use of hemostatic powder for GI hemorrhage. More specifically, malignancy-associated bleeding, as shown in this case, is difficult to manage endoscopically, and …

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