Post written by Michael Lajin, MD, from Sharp Grossmont Hospital, La Mesa, California. A 66-year-old man was diagnosed with gastric lymphoma and received chemotherapy. He developed pulmonary tuberculosis and was started on TB medications. He presented with vomiting and 80-pound weight loss. Endoscopy revealed a pyloric ulcer resulting in outlet obstruction and proximal gastric ulcers. …
Category: VideoGIE
Use of cyanoacrylate glue in gastric variceal bleed: a modified technique without using lipiodol
Post written by Pankaj N. Desai, MS, FASGE Gastro, from the Department of Endoscopy & Endosonography, and the Department of Clinical Research, Surat Institute of Digestive Sciences (SIDS), Surat, India. Our video describes a simple technique of injection of cyanoacrylate glue for the management of gastric variceal bleed. We use 0.5ml aliquots of n butyl …
Successful endoscopic management of adult ileocecal intussusception secondary to a large ileal lipoma
Post written by Akira Teramoto, MD, from the Gastrointestinal Center, Sano Hospital, Kobe, Japan. Our video presents a case of adult ileocecal intussusception due to a lipoma. The intussusception was endoscopically repositioned, and the lipoma was removed by polypectomy. Although ileocecal intussusception is not a common disease, we believe that many institutions do experience 1 …
Small-bowel aspiration during upper esophagogastroduodenoscopy: Rao technique
Post written by Satish S.C. Rao, MD, PhD, from the Digestive Health Center, Department of Medicine, Augusta University, Augusta, Georgia. Small intestinal bacterial overgrowth (SIBO) is a common yet underrecognized problem. Because symptoms alone are poor predictors of SIBO, diagnostic testing is required. Today, most experts agree, and the recent American College of Gastroenterology guidelines …
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Endoscopic radiofrequency ablation for palliative treatment of hilar cholangiocarcinoma
Post written by Ana Luísa Lopes dos Santos Silva, MD, from the Gastroenterology Department, Centro Hospitalar São João, Porto, Portugal. Our video reports 3 patients with a diagnosis of perihilar cholangiocarcinoma, who underwent endoscopic radiofrequency ablation with palliative intent. In all cases, endoscopic retrograde cholangiopancreatography with single-operator cholangioscope was performed due to cholestasis symptoms to …
ESD of early-stage rectal cancer using full-time red dichromatic imaging to minimize and avoid significant bleeding
Post written by Aoi Kita, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology and Hepatology, Gunma University Graduate School of Medicine, Maebashi, Japan. Red Dichromatic Imaging (RDI), a novel image-enhanced endoscopy technology (IEE), has been reported to improve the visibility of deep vessels and bleeding points compared to white-light imaging. We present …
Successful duodenal endoscopic submucosal dissection using multiple clip-and-thread traction for a large tumor located in the duodenal bulb
Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 74-year-old man was referred to our institute for the treatment of a large flat-elevated tumor (diameter, 50 mm) in the duodenal bulb. We selected ESD for the en bloc resection of the lesion, and the …
Postfundoplication submucosal prolapse syndrome
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi. We report and describe a previously unrecognized pathology called postfundoplication submucosal prolapse syndrome (PFSPS); we coined the terminology based on the imaging and pathological findings. We hypothesized that the mucosa and submucosal layers …
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Mucosa-preserving Zenker’s diverticulotomy
Post written by Linda Yun Zhang, MBBS, from the Division of Gastroenterology & Hepatology, Johns Hopkins Medicine, Baltimore, Maryland. We present a 78-year-old woman with a short-septum Zenker’s diverticulum successfully treated with a mucosa preserving Zenker’s diverticulotomy. In this technique, in contrast to the original Zenker’s peroral endoscopic myotomy (Z-POEM) technique, mucosal incision and entry …
Band ligation-assisted endoscopic mucosal resection of an intradiverticular polyp
Post written by Mohammed Barawi, MD, from the Division of Gastroenterology and Interventional Endoscopy, Ascension St John Hospital, Detroit, Michigan. In this video, we present the case of a healthy 50-year-old man who was seen for routine colonoscopy and was found to have a 7-mm polyp within the base of a diverticulum. The colonoscopy was …
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