Post written by Natalie Wilson, MD, from the Department of Internal Medicine, University of Minnesota Medical Center, and Mohammad Bilal, MD, from the Division of Gastroenterology and Hepatology, University of Minnesota Medical Center, and Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota, USA. In this case, we describe the successful resection of a 15-mm partially healed …
Category: VideoGIE
Endoscopic submucosal dissection with reinforcement using a laparoscopic approach for a duodenal cavernous hemangioma
Post written by Yoriaki Komeda, MD, PhD, from the Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka, Japan. We performed endoscopic submucosal dissection (ESD) with reinforcement using a laparoscopic approach (duodenal-laparoscopic and endoscopic coordinated surgery [D-LECS] with ESD) for a duodenal cavernous hemangioma. Cavernous hemangiomas including duodenum are derived from the submucosa. Even …
Endoscopic rescue of anastomotic dehiscence after urgent gastric bypass revision
Post written by Steven R. Siegal, MD, from AdventHealth, Orlando, Florida, USA. We demonstrate a case of a Roux-en-Y anastomotic dehiscence that was rescued via total endoscopic means over various sessions. It is important to know the available endoscopic tools and how they can be used in a complementary fashion to essentially perform surgical procedures. It …
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Novel articulating through-the-scope traction device
Post written by Hiroyuki Aihara, MD, PhD, Director, Endoscopic Tissue Resection Program, Brigham and Women’s Hospital, and Associate Professor of Medicine, Harvard Medical School, Boston, Massachusetts, USA. Current techniques and devices for traction in endoscopic submucosal dissection (ESD) own inherent limitations such as technical complexity, lack of adjustability, or demanding preparation. Recently, a single-operator, through-the-scope, articulating …
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Successful minimally invasive management of adverse events following EUS-guided gallbladder drainage in a suboptimal surgical patient
Post written by Bianca L. Di Cocco, MD, from the Division of Internal Medicine, New York Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, USA. In this video case report, we show how endoscopic techniques can be used to treat adverse events during EUS-guided gallbladder drainage (EUS-GB). The patient was a 44-year-old woman with cholelithiasis …
Possibility of ultrathin endoscopy in radial incision and cutting for esophageal strictures
Post written by Mako Koseki, MD, and Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. In this video, we present a case of a refractory esophageal stricture caused by anastomosis of gastric tube reconstruction for advanced esophageal carcinoma. We treated the stricture with radial incision and cutting (RIC) using ultrathin endoscopy. …
EUS-guided gastrojejunostomy for management of malignant gastric outlet obstruction in a patient with Roux-en-Y anatomy
Post written by Rishi Pawa, MD, FACG, from the Wake Forest School of Medicine, Winston-Salem, North Carolina, USA. A 56-year-old man with a medical history of metastatic duodenal adenocarcinoma, status postpartial gastrectomy, and duodenectomy with Roux-en-Y gastrojejunostomy (GJ) presented with gastric outlet obstruction. Endoscopy revealed an ulcerated stricture at the gastrojejunal anastomosis, with biopsies confirming recurrent …
Long-term treatment of an ischemic jejunal stricture: Is stenting a viable option?
Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. In this video case report, we describe endoscopic management of a long, ulcerated, ischemic jejunal stricture in a patient with an extensive surgical history for weight loss and colon cancer who presented with chronic …
Continue reading Long-term treatment of an ischemic jejunal stricture: Is stenting a viable option?
Antireflux band mucosectomy: a novel minimally invasive approach for the treatment of refractory gastroesophageal reflux disease
Post written by Ameya Deshmukh, DO, from the Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, Missouri, USA, and Jose Nieto, DO, from the Borland Groover Clinic, Jacksonville, Florida, USA. In this video, we present a case series of 4 patients who underwent a novel endoscopic therapy for the treatment of refractory …
Endoscopic submucosal dissection in the right lateral position for early gastric cancer in the fornix
Post written by Hiromu Fukuda, MD, from the Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, Suita, Japan. In this video case, we show the usefulness of endoscopic submucosal dissection (ESD) in the right lateral position (RLP) for early gastric cancer (EGC) in the fornix. ESD of EGC in the fornix is challenging …
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