Post written by Jan Peveling-Oberhag, MD, from the Department of Gastroenterology, Klinikum Stuttgart, Stuttgart, Germany. The cryobiopsy technique is a new method for tissue extraction that allows for extraction of high tissue amounts with a minimal diameter endoscopic instrument. Forceps biopsies through the very small working channel of a cholangioscope are oftentimes unrepresentative. In this …
Category: VideoGIE
Successful planned piecemeal endoscopic resection using gel immersion and an over-the-scope clip for a lesion extensively extended into the colonic diverticulum
Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 78-year-old man was referred to our institute for treatment of a flat elevated (20-mm diameter) lesion observed around and within the diverticulum near the ileocecal valve of the ascending colon. The lesion border was marked via an …
Duodenal stenting as a palliative approach to a malignant duodenocolonic fistula
Post written by Yassmin Hegazy, MD, from the Department of Medicine and the Department of Internal Medicine, University of Alabama Birmingham Hospital, Birmingham, Alabama, USA. Our case is about a 73-year-old man with a history of GERD and diabetes mellitus who presented with a 1-week history of hematochezia with associated nausea, vomiting, diarrhea, and epigastric pain. …
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Fluorescence confocal microscopy for rapid evaluation of EUS fine-needle biopsy in pancreatic solid lesions
Post written by Serena Stigliano, MD, PhD, from the Therapeutic Endoscopy Department, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy. Fluorescence confocal laser microscopy (FCM) allows imaging of tissues in the fresh state, with minimal preparation and without any damage, distortion, or loss of tissue. We recently investigated its use in the evaluation of samples obtained with …
EUS of a submucosal lesion at the appendiceal orifice using a double-balloon endoluminal intervention platform
Post written by Sardar Momin Shah-Khan, MD, from the Section of Gastroenterology and Hepatology, West Virginia University, Morgantown, West Virginia, USA. We present the case of a patient referred for EUS evaluation of a submucosal lesion at the appendiceal orifice. We used a double-balloon endoluminal intervention platform to perform both radial and linear EUS with fine-needle …
EUS-guided liver biopsy using a novel hydrostatic stylet technique
Post written by Patrick T. Magahis, BA, from the Joan & Sanford I. Weill Medical College of Cornell University, and SriHari Mahadev, MD, MS, from the Division of Gastroenterology and Hepatology, New York-Presbyterian Hospital/Weill Cornell Medicine, New York, New York, USA. We present a novel EUS-guided liver biopsy (EUS-LB) approach, the hydrostatic stylet technique, resulting in …
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Endoscopic submucosal dissection of a gigantic gastric polyp aided by a novel retraction device and complicated by upper esophageal sphincter laceration during retrieval
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. An 87-year-old woman with multiple comorbidities was found to have a gigantic gastric polyp (11 × 8 cm) with a broad short stalk containing an area of irregular vascular patterns worrisome for high-grade dysplasia. Attempting polypectomy using an endoloop was challenging because of the …
Endoscopic pyloric exclusion—EUS-guided gastrojejunostomy combined with endoscopic suturing and closure of the pylorus: a novel approach to failed surgical repair of a perforated duodenal ulcer
Post written by Kambiz Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe a novel endoscopic procedure that results in complete diversion of the gastric stream away from the duodenum and into the proximal jejunum. Duodenal bypass was achieved using a 2-step approach. Step 1 involved diverting the gastric stream into …
Novel simulator of endoscopic hemostasis with actual endoscope and devices
Post written by Takeshi Kanno, MD, PhD, from the Division of Gastroenterology, Tohoku University Graduate School of Medicine, and the Department of Education and Support for Regional Medicine, Tohoku University Hospital, Sendai, Japan. Simulators capable of reproducing spurting bleeding that can be used to acquire endoscopic hemostasis with actual devices in a clinical setting have been …
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Underwater EMR for the diagnosis of diffuse infiltrative gastric cancer
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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