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 …
Category: VideoGIE
Bilateral balloon expandable biodegradable stent (Y-stent) for postcholecystectomy perihilar biliary stricture
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 …
Leiomyomatosis masquerading as sigmoid achalasia: a rare occurrence
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
Endoscopic submucosal dissection for superficial pharyngeal carcinoma using transnasal endoscope
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 …
Combined bridging and antegrade stent placement during transmural treatment for malignant hilar biliary obstruction in a patient with surgically altered anatomy
Post written by Hassan Atalla, MSc, and Hideyuki Shiomi, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe, Japan, and Hepatology and Gastroenterology Unit, Department of Internal Medicine, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt. A 69-year-old woman who had undergone a distal gastrectomy combined …
EUS-guided gastrojejunostomy and hepaticogastrostomy for malignant duodenal and biliary obstruction
Post written by Kevin D. Platt, MD, and Ryan J. Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. Our case describes a 59-year-old woman with metastatic ovarian cancer who presented with nausea with vomiting and jaundice secondary to a large mesenteric mass that was causing both gastric outlet and …
EUS-guided choledochoduodenostomy as a rescue after failed ERCP and percutaneous transhepatic biliary drainage in the management of postoperative benign biliary stricture
Post written by Sundeep Lakhtakia, MD, MNAMS, DM, FASGE, from the Department of Medical Gastroenterology, AIG Hospitals and Asian Institute of Gastroenterology, Hyderabad, Telangana, India. A young woman who had surgical choledocho-duodenostomy 5 years ago for biliary adverse events soon after cholecystectomy presented with biliary obstruction. MRCP revealed a smooth mid-CBD stricture, intra-hepatic stone with …
EUS diagnosis of asymptomatic type III choledochal cyst
Post written by Mohannad Abou Saleh, MD, Catherine Vozzo, DO, and Prabhleen Chahal, MD, from the Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio. We describe the EUS diagnosis of a type IIIA choledochal cyst in an 81-year-old woman with a history of diabetes mellitus type II, hypertension, hyperlipidemia, GERD, and irritable bowel …
Continue reading EUS diagnosis of asymptomatic type III choledochal cyst
Endoscopic negative pressure therapy for upper gastrointestinal leaks
Post written by Rami Archid, MD, from the Department of General, Visceral and Transplant Surgery, Eberhard-Karls-University Hospital, Tuebingen, Germany. A 61-year-old male patient was treated for Siewert type I gastroesophageal junction adenocarcinoma. Neoadjuvant chemotherapy using FLOT regimen (5-fluorouracil, leucovorin, oxaliplatin, docetaxel) with Trastuzumab was followed by esophagectomy with cervical esophagogastrostomy. On postoperative day 3, he …
Continue reading Endoscopic negative pressure therapy for upper gastrointestinal leaks
Single-step EUS-guided drainage of a pancreatic pseudocyst with a modified guidewire as a cystotome
Post written by Wei An, MD, Dan Wang, MD, and Liang-Hao Hu, MD, from the Department of Gastroenterology, ChangHai Hospital, The Second Military Medical University, Shanghai, China. A 69-year-old man with a history of chronic pancreatitis was referred to our hospital for severe abdominal distention and vomiting. Computed tomography revealed multiple pancreatic calcifications and a …
endoscopedia.com 