Post written by Yervant Ichkhanian, MD, from the Department of Medicine, Henry Ford Hospital, Detroit, Michigan, USA. A 67-year-old man with a history of total gastrectomy before Roux-en-Y esophagojejunostomy reconstruction in the setting of gastric adenocarcinoma presented with extensive choledocholithiasis with a benign terminal bile duct stricture. In our case, the patient underwent jejuno-enterostomy using a …
Category: VideoGIE
Endoscopic full-thickness resection with retroperitoneal dissection for duodenal myogenic cyst with adjustable traction from an independently controlled snare
Post written by Ding-Ek Toh, MD, from the Division of Gastroenterology, Department of Internal Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, and Chu-Kuang Chou, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, and the Obesity Center, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chiayi, Taiwan. This video represents a novel method to …
Cryotherapy for removal of an embedded, partially covered esophageal stent
Post written by Aman Deep, MD, from the Department of Nephrology, Asante Rogue Regional Medical Center, Medford, Oregon, USA. Esophageal stents are used to relieve obstruction in diverse benign and malignant esophageal conditions. However, excessive granulation tissue may make the removal of such stents challenging, and it increases the risk of adverse events such as bleeding …
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Use of a novel endoscopic tack and suture system for the management of pancreatocolonic fistula
Post written by Arunkumar Krishnan, MBBS, from the Section of Gastroenterology and Hepatology, West Virginia University School of Medicine, Morgantown, West Virginia, USA. We demonstrate a technique for the closure of pancreatocolonic fistulae (PCF) using an X-Tack Endoscopic HeliX System (Apollo Endosurgery, Austin, Tex, USA). GI tract fistulation is an uncommon but important consequence of acute …
Endoscopic removal of a retained esophageal stent using the stent-in-stent technique
Post written by Jose Antonio Navarro Almario, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA. In this video, we demonstrate the use of the stent-in-stent technique to extract a retained esophageal stent. The formation of granulation tissue secondary to placement of an esophageal stent is common and can serve …
A novel bedside swallowed optical sensor for detection of upper GI bleeding
Post written by Andrew C. Storm, MD, Director of Endoscopy, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. GI bleeding is among the most common admitting diagnoses within gastroenterology. Most GI bleeding occurs in the upper GI tract along a spectrum of severity ranging from massive variceal hemorrhage through mild or self-limited oozing associated …
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Mid-gut exploration: video-capsule endoscopy cannot always determine the insertion route of device-assisted enteroscopy
Post written by Michael Fernandez Y Viesca, MD, from the Department of Gastroenterology Hepatopancreatology and Digestive Oncology, Erasme Hospital, Brussels, Belgium. This video case shows how challenging it can be to choose the correct insertion route (anterograde vs retrograde) before an enteroscopy based on video-capsule time index landmarks. Indeed, these time indexes are not always reliable …
Endoscopic management of gastrojejunocolic fistula after endoscopic gastrojejunostomy
Post written by Tamasha Persaud, MD, from New York Presbyterian/Weill Cornell Medical Center, New York, New York, USA. In this video case report, we describe the formation of a gastrojejunocolic fistula (GCF) as a rare delayed sequela of EUS-guided gastrojejunostomy (EUS-GJ) and demonstrate how tandem stent placement with a long covered metal stent can be an …
Use of a novel dual-action clip for closure of complex endoscopic resection defects
Post written by Mike Tzuhen Wei, MD, from Stanford University, Stanford, California, and Veterans Affairs Palo Alto, Palo Alto, California, USA. In our presentation, we demonstrate the use of a dual-action clip and clips with atraumatic teeth in facilitating the closure of endoscopic submucosal dissection defects. We found that the dual-action clip (Micro-Tech Endoscopy USA, Ann …
Continue reading Use of a novel dual-action clip for closure of complex endoscopic resection defects
A case of pancreatic duct stones treated with electrohydraulic lithotripsy through a duodenal ulcer
Post written by Shosuke Hosaka, MD, from the Department of Gastroenterology, Chiba-nishi General Hospital, Matsudo, Chiba, Japan, and the Department of Gastroenterology and Gastrointestinal Endoscopy, Tokyo Metropolitan Geriatric Medical Center, Tokyo, Japan. Endoscopic procedures such as ERCP and EUS are making significant contributions to the diagnosis and treatment of disorders in the biliopancreatic system in clinical …
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