Post written by Michael Lajin, MD, from SHARP Health, San Diego, California, USA. A 51-year-old male presented with abdominal pain due to recurrent pyogenic cholangitis. MRCP showed severe intrahepatic ductal dilatation involving the lateral segment of the left liver lobe with multiple intraductal stones. A transpapillary cholangioscope was unable to reach the targeted peripheral ducts. …
Category: VideoGIE
Division of a long-term symptomatic tissue bridge for reversal of endoscopic sleeve gastroplasty
Post written by Andrew Canakis, DO, from the Division of Gastroenterology & Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. A young woman who had undergone endoscopic sleeve gastroplasty (ESG) was referred due to persistent symptoms of delayed gastric emptying and resulting malnutrition. Endoscopic reversal of the sleeve was recommended to avoid a …
The utility of image-enhanced endoscopy and Lugol’s for the assessment of esophageal squamous carcinoma
Post written by Robert Bechara, MD, from Hotel Dieu Hospital, Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. Chromoendoscopy with Lugol’s is a valuable technique for the detection of esophageal squamous cell carcinoma (ESCC). The sensitivity and specificity of a “pink color sign” for high-grade dysplasia or worse after Lugol’s staining is reported to …
Cholangioscopy-guided double-guidewire technique for complex malignant hilar obstruction
Post written by Margaret G. Keane, MBBS, MSc, from the Department of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA. A 77-year-old man presented to our institution with jaundice, right upper quadrant pain, loss of appetite, and weight loss. Blood tests confirmed a raised Bilirubin (8.6 mg/dl), abnormal LFTs (Alkaline phosphatase 320 IU/L, AST …
Quadruple, 4-segment, triple sector “Y-shaped stents” in complex hilar cholangiocarcinoma after cholangitis from plastic stents
Post written by Mohamed A. Abdallah, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, Minnesota, USA. We describe a case of a 70-year-old female with unresectable, locally advanced Bismuth-Corlette classification type IV perihilar cholangiocarcinoma who presented with cholangitis from plastic stents. In this case, we placed four uncovered self-expanding metal …
Palliation of malignant distal colonic obstruction via percutaneous endoscopic colostomy using a lumen-apposing metal stent
Post written by Todd H. Baron, MD, MASGE, from the Division of Gastroenterology and Hepatology, Director of Advanced Therapeutic Endoscopy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. This is a patient who had terminal cancer and sigmoid colonic obstruction not adequately relieved by overlapping, well-positioned, self-expandable metal luminal stents. Because he …
Anatomical features of duodenal folds: a key feature to consider during endoscopic resection of duodenal neoplasms
Post written by Yoshimasa Miura, MD, PhD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan. This video shows an important point that duodenal folds have wide submucosal spaces but no muscularis. If endoscopists understand these characteristics, duodenal neoplasms can be successfully resected. It has been unknown for a long …
Endoscopic ultrasound-guided pancreaticoduodenostomy with a forward-viewing echoendoscope
Post written by Shigenobu Yoshimura, MD, from the Department of Gastroenterology, Kameda Medical Center, Chiba, Japan. This video case shows an endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) using transduodenal puncture sites performed for malignant pancreatic duct obstruction. We performed EUS-PD from the long position with a forward-viewing (FV) echoendoscope. EUS-PD has emerged as a feasible …
Prophylactic appendiceal retrograde intraluminal stent placement (PARIS)
Post written by Margaret G. Keane, MBBS, MSc, from the Johns Hopkins Hospital, Department of Gastroenterology and Hepatology, Baltimore, Maryland. In our video, we describe the case of a 52-year-old man who was referred to our institution for the management of a 1.5-cm semi-pedunculated polyp that was found during a routine screening colonoscopy. The polyp …
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Endoscopic submucosal dissection by using a new traction device
Post written by Masami Omae, MD, from the Division of Medicine, Department of Upper Gastrointestinal Diseases, Karolinska University Hospital and Karolinska Institute, Stockholm, Sweden. We report a case of endoscopic submucosal dissection (ESD) using a new off-the-shelf traction device that is easy to deploy and enables easier access to the submucosa during ESD. Several devices …
Continue reading Endoscopic submucosal dissection by using a new traction device
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