Post written by Fumihiro Inoue, MD, from the Gastrointestinal Center & Institute of Minimally-Invasive Endoscopic Care (i-MEC), Sano Hospital, Kobe, Japan. Anal condyloma acuminatum (CA) is known as one of the most common sexually transmitted diseases. It is a disease that is occasionally seen in daily practice and is sometimes difficult to distinguish from anal …
Continue reading A case of anal condyloma acuminatum observed by endocytoscopy
Post written by Nicholas M. McDonald, MD, from the Division of Gastroenterology and Hepatology, University of Minnesota, Minneapolis, Minnesota. A 23-year-old woman with a history of nausea, vomiting, and a 40-lb weight loss resulting in a BMI of 14.5 was referred for evaluation. Her symptoms were attributed to gastroparesis. Prior to referral, she had undergone …
Post written by Ryan Law, DO, from the University of Michigan, Ann Arbor, Michigan. In our case presentation we describe a patient who presented to our institution with concern for biliary pathology in the setting of prior Roux-en-Y gastric bypass with an indwelling percutaneous biliary drain. Importantly, this patient underwent a sleeve gastrectomy prior to …
Post written by Hideyuki Shiomi, PhD, MD, from the Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan. The double-guidewire technique (DGT) is considered as a promising salvage approach in difficult biliary cannulation cases. Nevertheless, with the interference of the pancreatic duct guidewire (P-GW) against cannulation devices, this technique …
Post written by Ariel A. Benson, MD, from the Faculty of Medicine, Hebrew University of Jerusalem, and the Institute of Gastroenterology and Hepatology, Hadassah University Medical Center, Jerusalem, Israel. In this video we describe the evaluation and treatment of a chronic, symptomatic tracheoesophageal (TE) fistula in an adult patient. The etiology of the patient’s TE …
Continue reading Closure of a chronic complex tracheoesophageal fistula by using endoscopic suturing
Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. We introduce a continuous saliva suction tube that can be used during endoscopy (Salsuction; Fujifilm Medical Co, Ltd, Tokyo, Japan). Not only is this device disposable and easy to set up with a mouthpiece, it also …
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi. The author reports a 56-year-old woman with an 11-mm biopsy-proven duodenal bulb low-grade neuroendocrine tumor (NET) or carcinoid tumor. She was referred by surgery for endoscopic ablation. Using a multi-band ligator device (Saeed …
Post written by Sundeep Lakhtakia, MD, DM, and Harsh Vardhan Tevethia, MD, DM, from the Department of Medical Gastroenterology, AIG Hospitals and Asian Institute of Gastroenterology, Hyderabad, Telangana, India. Following complicated laparoscopic cholecystectomy, a young woman developed a biliary stricture that required several ERCP sessions. She presented with recurrent jaundice. MRCP revealed a perihilar stricture …
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video, we performed peroral endoscopic myotomy in a young man diagnosed with sigmoid achalasia based on endoscopy, esophageal manometry, and barium swallow. During submucosal tunneling, a submucosal lesion was identified. Despite extensive dissection, the margins of the submucosal …
Continue reading Leiomyomatosis masquerading as sigmoid achalasia: a rare occurrence
Post written by Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. During endoscopic procedures, it is a great advantage that the diameter of the endoscope is small. It is possible to enter a narrow space, and it is also possible to approach a lesion that cannot be approached by the …
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