Post written by Bo Sun, MD, from the Department of Gastroenterology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China. This case was a 40-year-old woman with a 2-month history of increased bowel movements and feelings of incomplete evacuation. Her colonoscopy detected a rectal submucosal elevation with unrevealing biopsy results. Pelvic MRI suggested a rectal …
Category: VideoGIE
EUS-guided gastroenterostomy assisted by extrinsic abdominal compression to treat gastric obstruction after surgical resection of a GI stromal tumor
Post written by Michael Lajin, MD, from the Sharp Grossmont Hospital, La Mesa, California. EUS-guided gastroenterostomy is increasingly utilized to treat gastric outlet obstruction after surgery. We describe a case of EUS-guided gastroenterostomy facilitated by extrinsic abdominal compression to treat gastric obstruction following surgical resection of a gastrointestinal stromal tumor. A 77-year-old woman underwent laparoscopic resection of …
Use of a new traction device to expose the base of a pedunculated appendiceal polyp
Post written by Hirosato Tamari, MD, from the Department of Endoscopy, Hiroshima University Hospital, Hiroshima, Japan. A 67-year-old man underwent a positron emission tomography/computed tomography (PET/CT) scan for thyroid cancer and was found to have an accumulation in the cecum (SUVmax value: 8.1) and in the thyroid gland. Colonoscopy revealed a pedunculated appendiceal polyp. The …
Continue reading Use of a new traction device to expose the base of a pedunculated appendiceal polyp
Colovaginal fistula closure using a cardiac septal defect occluder
Post written by Omar Sadiq, MD, from the Division of Gastroenterology, Henry Ford Hospital, Detroit, Michigan. We present a case of a 70-year-old woman who developed a colovaginal fistula following debulking surgery for stage 3 ovarian carcinoma. She refused further surgical intervention, and endoscopic interventions such as over-the-scope clips and endoscopic suturing were not successful. …
Continue reading Colovaginal fistula closure using a cardiac septal defect occluder
Delayed endoscopic closure of a giant gastric perforation
Post written by Ravishankar Asokkumar, MBBS, MRCP, from the Department of Gastroenterology and Hepatology, Singapore General Hospital, and DUKE-NUS Graduate Medical School, Singapore. We described a case demonstrating the endoscopic closure technique of a large iatrogenic gastric perforation presenting in a delayed fashion. The perforation was closed using multiple over-the-scope clips, and we avoided surgery. …
Continue reading Delayed endoscopic closure of a giant gastric perforation
Overtube-guided electrohydraulic lithotripsy through digital cholangioscopy for difficult biliary stones in a postoperative patient
Post written by Hassan Atalla, MSc, and Arata Sakai, MD, PhD, from the Hepatology and Gastroenterology Unit, Department of Internal Medicine, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt, and the Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan. A 60-year-old man with history of Roux-en-Y hepaticojejunostomy for …
Endoscopic tamponade using a fully covered self-expandable metallic stent for massive biliary bleeding from a pseudoaneurysm rupture during metallic stent removal
Post written by Nao Fujimori, MD, PhD, from the Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. Hemobilia is a rare but life-threatening adverse event related to pancreato-biliary diseases, transhepatic percutaneous, or endoscopic interventions. The rupture of the pseudoaneurysm after a plastic stent or self-expandable metallic stents (SEMSs) …
Triple-loop clip for the traction-assisted colorectal ESD
Post written by Shuichi Miyamoto, MD, PhD, from the Department of Gastroenterology and Hepatology, Hakodate Municipal Hospital, Hakodate, and the Department of Gastroenterology and Hepatology, Hokkaido University Faculty of Medicine and Graduate School of Medicine, Sapporo, Japan. Recently, the effectiveness of traction-assisted ESD has been reported, and there are various devices for applying countertraction. These …
Continue reading Triple-loop clip for the traction-assisted colorectal ESD
Hemostatic forceps used as a scissor-type knife in combination with the transanal-traction method for assisted ESD in the area of the dentate line
Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, HM Hospitales Group, and the Department of Clinical Sciences, School of Medicine, University of CEU San Pablo, Boadilla del Monte, Madrid, Spain. In this video case report, we present a patient who was diagnosed with a subtle Paris 0-IIb …
Use of a double-lumen cytology brush catheter to allow double-guidewire technique for endoscopic interventions
Post written by Kavel H. Visrodia, MD, from the Division of Gastroenterology, Massachusetts General Hospital, Boston, Massachusetts. In this video case series, we describe 3 distinct cases in which the use of a double-lumen cytology brush catheter to place 2 guidewires facilitated successful endoscopic interventions. The first is a case of an endoscopic retrograde cholangiopancreatography …
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