Post written by Abbinaya Elangovan, MD, from the University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio, USA. We report on a patient with pancreatic adenocarcinoma who presented with recurrent GI bleeding. He underwent multiple investigations that did not reveal the etiology of bleeding. A bulging was noted in the duodenum in upper endoscopy …
Category: VideoGIE
Endoscopic blind limb reduction with septotomy: a novel endoscopic approach to candy cane syndrome after Roux-en-Y gastric bypass
Post written by Kambiz Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe a new endoscopic procedure to treat candy cane syndrome in Roux-en-Y gastric bypass patients. The syndrome refers to patients who have undergone Roux-en-Y gastric bypass and developed significant and sometimes debilitating postprandial abdominal discomfort that is often relieved …
Resection of large terminal ileum polyp: usefulness of underwater EMR
Post written by Satoki Shichijo, MD, PhD, from Osaka International Cancer Institute, Osaka, Japan. We performed underwater EMR for a 20-mm Paris Ip polyp at the terminal ileum. The lumen of the terminal ileum was infused with normal saline through the waterjet of the colonoscope. This made the polyp float and permitted thorough inspection despite the …
Continue reading Resection of large terminal ileum polyp: usefulness of underwater EMR
Endoscopic removal of a weight-loss device with stoma closure using a tack-and-suture device
Post written by Christopher McGowan, MD, MSCR, AGAF, ABOM, FASGE, from True You Weight Loss, Cary, North Carolina, USA. In this video, we describe our technique for the endoscopic removal of an AspireAssist weight-loss device (Aspire Bariatrics, King of Prussia, Penn, USA) with simultaneous prophylactic stoma closure. The device was approved by the U.S. Food and …
Antireflux mucoplasty, an evolution of endoscopic antireflux therapy for refractory GERD
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This study introduces a novel therapeutic approach known as antireflux mucoplasty (ARM-P) to tackle the challenges associated with proton pump inhibitor (PPI)—refractory GERD. Previously, we pioneered 2 techniques, antireflux mucosectomy (ARMS) and antireflux mucosal ablation (ARMA), which …
Endoscopic submucosal dissection of colon polyps with submucosal fibrosis using the combination of near-focus mode and traction device
Post written by Sukit Pattarajierapan, MD, from the Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. We present 2 cases of a lateral spreading tumor with the pseudo-depressed nongranular type (LST-NG-PD) with submucosal fibrosis at the ascending colon. The tumors were challenging to resect by endoscopic submucosal dissection (ESD) with …
Tips and tricks for endoscopic transpapillary gallbladder drainage
Post written by Jad AbiMansour, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. The video highlights best practices, devices, and techniques for endoscopic transpapillary gallbladder drainage through a series of narrated cases ranging from routine to technically challenging. Endoscopic transpapillary gallbladder drainage is an invaluable tool for palliation of acute cholecystitis …
Continue reading Tips and tricks for endoscopic transpapillary gallbladder drainage
EUS-guided Braun-type enteroenterostomy for management of an afferent limb–type obstruction in a patient with prior surgical gastrojejunostomy
Post written by Kamal M. Hassan, MD, from Weill Cornell Medicine, New York, New York, USA. In this case, a 78-year-old patient with a history of numerous abdominal surgeries complicated by adhesions and small-bowel obstructions underwent an eventual surgical gastrojejunostomy. The patient developed progressive peroral intolerance, and imaging revealed an acquired afferent loop syndrome as a …
Clip-and-line traction method for difficult ERCP cannulation due to choledochocoele
Post written by Mark Henrik Bonnichsen, MBBS (Hon), from the Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore. We describe a case of a 77-year-old woman who underwent ERCP for choledocholithiasis and surveillance MRCP for an intraductal papillary mucinous neoplasm. MRCP also showed an incidental choledochocoele. At ERCP, the choledochocoele made visualization of the …
Continue reading Clip-and-line traction method for difficult ERCP cannulation due to choledochocoele
A challenging case of pancreaticogastric anastomotic stricture in a patient with surgically altered anatomy
Post written by Yervant Ichkhanian, MD, from Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, and Internal Medicine, Henry Ford Hospital, Detroit, Michigan, USA. This was a case of a 64-year-old woman with a history of Roux-en-Y gastric bypass and a subsequent Whipple reconstruction with pancreatico-gastrostomy (PG) who presented to our center with a …
endoscopedia.com 