Post written by Dario Ligresti, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione - Istituto di Ricovero e Cura a Carattere Scientifico, and Giacomo Emanuele Maria Rizzo, MD, from the Department of Surgical and the Department of Surgical, Oncological and Oral Sciences, University …
Continue reading A rare case of pedunculated ampulloma: EUS view and resection
Post written by Bakht S. Cheema, MD, from Digestive Disease Consultants, and Yusuke Hashimoto, MD, MMA, from the University of Florida Health, Jacksonville, Florida, USA. A 44-year-old man presented with postprandial vomiting and jaundice. He had an episode of acute-on-chronic pancreatitis complicated with a pseudocyst and a spontaneous large duodenal intramural hemorrhage causing duodenal luminal obstruction …
Post written by Khanh Hoang Nicholas Le, MD, MS, from the University of California San Diego Medical Center, San Diego, California, USA. This video describes a 48-year-old woman with history of a mini-gastric bypass converted to a Roux-en-Y gastric bypass who was found to have a gastric pouch staple-line (GPSL) leak, later complicated by a gastrogastric …
Post written by Shunya Takayanagi, MD, from NTT Medical Center Tokyo, Tokyo, Japan. Distal attachments placed on the endoscope tip are useful for cecal intubation of the colonoscope, detecting polyps by depressing the fold. Various diameter endoscopes need multiple types of attachment, which can be costly. Therefore, we developed a silicon attachment that adheres to the …
Post written by Joan B. Gornals, MD, PhD, from the Hospital Universitari de Bellvitge, Barcelona, Spain. This is a case of a patient with a recurrent biliary obstruction caused by sump syndrome with dysfunctional endoscopic biliary drainage who underwent EUS-guided choledochoduodenostomy (8- x 8-mm lumen-apposing metal stent [LAMS] + coaxial 7F x 5-cm pigtail) in a …
Post written by Wasseem Skef, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA. We present a case of a patient with a refractory benign stricture treated with a fully covered metal stent who was lost to follow-up during the COVID-19 pandemic and developed severe progressive dysphagia …
Post written by Grace E. Kim, MD, from the Section of Gastroenterology, Hepatology, and Nutrition, and Uzma D. Siddiqui, MD, from the Center for Endoscopic Research and Therapeutics, University of Chicago, Chicago, Illinois, USA. This instructional video reviews the management of duodenal polyps, including sporadic duodenal and ampullary adenomas. Although these are typically benign lesions, they …
Continue reading Endoscopic resection techniques for duodenal and ampullary adenomas
Post written by Ilaria Tarantino, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS–ISMETT, and Giacomo Emanuele Maria Rizzo, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS–ISMETT, and the Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), University of Palermo, Palermo, Italy. A 75-year-old woman with malignant gastric outlet …
Post written by Samuel Han, MD, from The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. In this video with 2 cases, we describe a technique for performing an EUS-guided gastrojejunostomy using commonly available endoscopic devices, including an 18- to 20-mm dilation balloon (CRE Balloon Dilatation Catheter; Boston Scientific, Marlborough, Mass, USA). Upon identifying the site …
Continue reading Dilation balloon-occlusion technique for EUS-guided gastrojejunostomy
Post written by Maria Manuela Estevinho, MD, and Rolando Pinho, MD, from the Department of Gastroenterology, Vila Nova de Gaia Espinho Hospital Center, Vila Nova de Gaia, Portugal. We report on a modified Zenker peroral endoscopic myotomy (Z-POEM) technique (tunneling-free) that was carried out on 4 patients. Initially, a mucosal incision was made over the septum …
Continue reading Tunneling-free peroral endoscopic septotomy for Zenker diverticulum
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