Uncommon cause of cholangitis due to a migrated pancreatic stone into the common bile duct

Post written by David M. de Jong, BSc, from the Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands. A 62-year-old man was referred to our tertiary hospital for endoscopic therapy of previously diagnosed alcoholic chronic pancreatitis. After initial stent placement, he underwent electrohydraulic lithotripsy (EHL) of 2 pancreatic duct stones …

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Axis-keeping shortening technique for colonic intubation

  Post written by Shunsuke Yamamoto, MD, PhD, Yasushi Sano, MD, PhD, Nima Mottacki, MD, and Helmut Neumann, MD, PhD, from the Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital, Osaka, Japan, the Gastrointestinal Center, Sano Hospital, Kobe, Japan, the Department of Internal Medicine, Division of Gastroenterology, Sahlgrenska University Hospital, Goteborg, Sweden, …

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Water-pocket endoscopic submucosal dissection of an early esophageal adenocarcinoma in a patient with portal hypertension and varices

Post written by Lovekirat Dhaliwal, MBBS, and Prasad G. Iyer, MD MSc, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota. A 65-year-old man with alcohol-related liver disease and COPD was recently diagnosed with esophageal adenocarcinoma on a background of varices. EUS demonstrated a 2-cm hypoechoic mass invading into deep mucosa. PET-CT scan …

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Loop combined endoscopic clip and cyanoacrylate injection to treat severe gastric varices with spleno-renal shunt

Post written by Ping Li, MD, from the Department of Gastroenterology and Hepatology, Beijing Ditan Hospital, Capital Medical University, Beijing, China. We employed a new method to obstruct severely isolated gastric varices with a massive spleno-renal shunt and to reduce embolic risk. This novel method did not only successfully prevent recurrent hemorrhage but also reduced …

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A recurrent lesion with severe fibrosis of colorectal ESD using the combination of pocket-creation method and traction device

Post written by Naohisa Yoshida, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan. Colorectal endoscopic submucosal dissection (ESD) is spreading in the world, but there are still several problems such as poor manipulation, breathing movement, severe fibrosis, and long procedure time. …

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Successful resection of a giant pedunculated pharyngeal liposarcoma by ESD with countertraction using grasping forceps

Post written by Hayato Yamaguchi, MD, PhD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Our video case describes successful resection of a giant pedunculated pharyngeal liposarcoma in the esophagus by endoscopic submucosal dissection using grasping forceps. Hypopharyngeal and esophageal liposarcomas are very rare, and these tumors are mainly diagnosed as …

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High-resolution manometry–guided endoscopic myotomy in a case with jackhammer esophagus

Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video case, we demonstrated the technique of peroral endoscopic myotomy (POEM) in a case with Jackhammer esophagus. The highlight of the video is the selection of the appropriate length of esophageal myotomy using high-resolution esophageal manometry. The point …

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Use of a rigidizing overtube for altered-anatomy ERCP

Post written by Mike Tzuhen Wei, MD, from Stanford University, Stanford, and Veterans Affairs Palo Alto, Palo Alto, California. We present 2 cases in which the rigidizing overtube was used to facilitate performance of altered-anatomy ERCP. In the first case, a 53-year-old woman with history of Roux-en-Y hepaticojejunostomy presented for management of intrahepatic stones. Interventional …

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Use of a rigidizing overtube to complete an incomplete colonoscopy

Post written by Mike T. Wei, MD, from Stanford University, Stanford, and Veterans Affairs Palo Alto, Palo Alto California. We present a case of a 64-year-old man with history of C5 spinal cord injury who presented for screening colonoscopy. Unfortunately, due to significant looping, the colonoscope was only able to reach the transverse colon. The colonoscope …

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Endoluminal vacuum therapy in the management of a large gastrobronchial fistula

Post written by Sarah Durbin, BS, Jose Luis Aranez, MD, and Robert Jay Sealock, MD, from the Baylor College of Medicine, Houston, Texas. The case details a patient with a distant history of esophagectomy with gastric conduit that presented with a large gastrobronchial fistula resulting in necrotizing pneumonia. The patient was not an immediate candidate …

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