Category: VideoGIE

Underwater EMR for the diagnosis of diffuse infiltrative gastric cancer

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Post written by Yushi Kawakami, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. It was suspected that a 75-year-old woman had advanced infiltrative gastric cancer. However, endoscopic forceps biopsy specimens did not reveal adenocarcinoma. She was referred to our institute for further examination and treatment. To obtain sufficient submucosal specimens, underwater …

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Emergent endoscopic submucosal dissection for a polypoid fibroadipose tumor accidentally disgorged from the mouth: an organ-preserving minimally invasive treatment

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Post written by Yuki Morita, MD, and Toshiyuki Yoshio, MD, PhD, from the Department of Gastroenterology, Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan. An unusual, long polyp was detected extending from the hypopharynx to the lower thoracic esophagus of a patient. Polypoid fibroadipose tumors should be resected because they are occasionally malignant and …

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Endoscopic adventitial dissection of a rectal GI stromal cell tumor

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Post written by Hao Dang, BSc, and Jurjen J. Boonstra, MD, PhD, from the Department of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, The Netherlands. Endoscopic submucosal dissection has allowed the endoscopist to perform en bloc resection of various types of GI neoplasms, including subepithelial tumors (SETs). However, submucosal dissection is not feasible for SETs …

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Modified technique of peroral endoscopic myotomy using transnasal ultra-slim gastroscope in a child with achalasia cardia

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Post written by Amol Bapaye, MD, FASGE, FJGES, from the Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune, India. An 18-month female child presented with failure to thrive and regurgitation for 1 year. She was diagnosed with type II achalasia cardia on high-resolution manometry, and peroral endoscopic myotomy (POEM) was planned. …

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With a little help from my friends: percutaneously assisted internalization of a biliary drain

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Post written by Jad AbiMansour, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. We present the use of a preexisting percutaneous transhepatic biliary drain to distend the left biliary system and facilitate the completion of EUS-guided hepaticogastrostomy (EUS-HG), successfully internalizing the drain. This case highlights a multidisciplinary, collaborative approach and a …

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Endoscopic submucosal dissection of appendiceal lesions by using a novel adjustable traction device: A-TRACT-2

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Post written by Louis-Jean Masgnaux, MR, from the Gastroenterology and Endoscopy Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France. We describe the use of an adjustable endoscopic traction system, the A-TRACT-2, a handmade device that can be tightened during the procedure to increase the traction tension and greatly assist the operator in difficult cases …

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Cognitive ERCP: decision making during successful retrieval of proximally migrated biliary stent

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Post written by Arjun Chatterjee, MD, from the Department of Internal Medicine, Cleveland Clinic Foundation, Cleveland, Ohio, USA. A 56-year-old man presented with painless jaundice. A CT scan reported a pancreatic mass, and he underwent ERCP at an outside facility with the placement of a plastic biliary stent through distal biliary stricture and EUS-guided biopsy of …

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Successful management of a duodenal perforation using a through-the-scope suturing device after failed attempt at closure with an over-the-scope clip

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Post written by Maham Hayat, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We present a case of a patient with an indwelling percutaneous gastrojejunostomy tube with a chronic perforation in the duodenum from the tip of the displaced tube. Attempt at endoscopic closure using an over-the-scope clip was unsuccessful because of the …

Continue reading Successful management of a duodenal perforation using a through-the-scope suturing device after failed attempt at closure with an over-the-scope clip

Hybrid resection of GI stromal tumor with endoscopic submucosal dissection and the full-thickness resection device

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Post written by Varun Angajala, MD, MS, and Ara Sahakian, MD, from the Department of Internal Medicine, Keck School of Medicine, University of Southern California, Los Angeles, California, USA. We are excited to share our hybrid resection technique for a gastric subepithelial lesion (SEL). We performed submucosal dissection to unroof and expose the surface of the …

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The interventional direct peroral cholangioscopy toolbox for endoscopic snare resection of a high-grade biliary intraductal neoplasia

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Post written by Jerry Yung-Lun Chin, MBBS, FRACP, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA, and the Department of Gastroenterology and Hepatology, Waikato Hospital, Te Whatu Ora, Hamilton, New Zealand. Direct peroral cholangioscopy (DPOC) is a valuable diagnostic and therapeutic tool for various biliary disorders. It also is economically favorable compared …

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