Post written by Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. Endoscopic procedures pose the risk of contact, droplet, and aerosol infections. Infection control is therefore important during these procedures, but it has not always been adequately achieved. With the advent of the COVID-19 pandemic, infection control during endoscopy is …
Category: VideoGIE
High-risk main-duct intraductal papillary mucinous neoplasm successfully treated with EUS-guided chemoablation
Post written by Kayla M. Hartz, DO, from the Penn State Hershey Medical Center, Hershey, Pennsylvania. This case is an example of a successful EUS-guided chemoablation of a patient with a high-risk, main-duct IPMN that was not a surgical candidate. This case highlights that certain high-risk features of pancreatic cysts that would have otherwise been …
Salvage circumferential ESD for refractory dysplastic Barrett’s esophagus
Post written by Robert Bechara, MD, from the Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. A 64-year-old woman with a complex Barrett’s history was referred to our esophageal center. Her treatment history included endoscopic mucosal resection (EMR) with M3 intramucosal carcinoma and incomplete response to radiofrequency ablation (RFA) of the remaining Barrett’s, as …
Continue reading Salvage circumferential ESD for refractory dysplastic Barrett’s esophagus
Uncommon cause of cholangitis due to a migrated pancreatic stone into the common bile duct
Post written by David M. de Jong, BSc, from the Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, the Netherlands. A 62-year-old man was referred to our tertiary hospital for endoscopic therapy of previously diagnosed alcoholic chronic pancreatitis. After initial stent placement, he underwent electrohydraulic lithotripsy (EHL) of 2 pancreatic duct stones …
Axis-keeping shortening technique for colonic intubation
Post written by Shunsuke Yamamoto, MD, PhD, Yasushi Sano, MD, PhD, Nima Mottacki, MD, and Helmut Neumann, MD, PhD, from the Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital, Osaka, Japan, the Gastrointestinal Center, Sano Hospital, Kobe, Japan, the Department of Internal Medicine, Division of Gastroenterology, Sahlgrenska University Hospital, Goteborg, Sweden, …
Continue reading Axis-keeping shortening technique for colonic intubation
Water-pocket endoscopic submucosal dissection of an early esophageal adenocarcinoma in a patient with portal hypertension and varices
Post written by Lovekirat Dhaliwal, MBBS, and Prasad G. Iyer, MD MSc, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota. A 65-year-old man with alcohol-related liver disease and COPD was recently diagnosed with esophageal adenocarcinoma on a background of varices. EUS demonstrated a 2-cm hypoechoic mass invading into deep mucosa. PET-CT scan …
Loop combined endoscopic clip and cyanoacrylate injection to treat severe gastric varices with spleno-renal shunt
Post written by Ping Li, MD, from the Department of Gastroenterology and Hepatology, Beijing Ditan Hospital, Capital Medical University, Beijing, China. We employed a new method to obstruct severely isolated gastric varices with a massive spleno-renal shunt and to reduce embolic risk. This novel method did not only successfully prevent recurrent hemorrhage but also reduced …
A recurrent lesion with severe fibrosis of colorectal ESD using the combination of pocket-creation method and traction device
Post written by Naohisa Yoshida, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan. Colorectal endoscopic submucosal dissection (ESD) is spreading in the world, but there are still several problems such as poor manipulation, breathing movement, severe fibrosis, and long procedure time. …
Successful resection of a giant pedunculated pharyngeal liposarcoma by ESD with countertraction using grasping forceps
Post written by Hayato Yamaguchi, MD, PhD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Our video case describes successful resection of a giant pedunculated pharyngeal liposarcoma in the esophagus by endoscopic submucosal dissection using grasping forceps. Hypopharyngeal and esophageal liposarcomas are very rare, and these tumors are mainly diagnosed as …
High-resolution manometry–guided endoscopic myotomy in a case with jackhammer esophagus
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video case, we demonstrated the technique of peroral endoscopic myotomy (POEM) in a case with Jackhammer esophagus. The highlight of the video is the selection of the appropriate length of esophageal myotomy using high-resolution esophageal manometry. The point …
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