Successful endoscopic submucosal dissection for a huge lipoma in the terminal ileum

Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. The video describes successful endoscopic submucosal dissection (ESD) for a huge lipoma in the terminal ileum. A 74-year-old man underwent a computed tomography because of intermittent lower-abdominal pain, and the images revealed a tumor in the …

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Gastric peroral endoscopic myotomy for refractory gastroparesis

Post written by Shaimaa Elkholy, MD, from the Gastroenterology Division, Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt. We present here a case of a middle-aged male patient with history of refractory gastroparesis post-surgical fundoplication. Despite using extensive medical treatment of antiemetics and prokinetics, his condition was deteriorating. We performed G-POEM, which is …

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Endoscopic treatment of symptomatic insulinoma with a new EUS-guided radiofrequency ablation device

Post written by Mihir S. Wagh, MD, FACG, FASGE, from the Division of Gastroenterology, University of Colorado-Denver School of Medicine, Aurora, CO, USA. We report EUS-guided ablation of symptomatic insulinoma with the newly available EUSRA device. Our video highlights the EUSRA device, the technique used for ablation, and successful clinical, physiologic, and radiologic results after …

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Dynamic and multifocal clip and band countertraction for endoscopic submucosal dissection

Post written by Georgios Mavrogenis, MD, from the Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece. This video illustrates how to perform ESD with clip and band countertraction in the stomach and colon. We present several variations of clip and band countertraction. In particular, we demonstrate the standard technique, the application of multiple complexes for clips/bands …

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Oxygen saturation imaging as a useful tool for visualizing the mode of action of photodynamic therapy for esophageal cancer

Post written by Masayuki Suyama, MD, PhD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. This video case series presents the usefulness of oxygen saturation imaging for photodynamic therapy for esophageal cancer. Oxygen saturation (OS) imaging is a novel technique that directly measures and visualizes the tissue oxygen saturation …

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Endoscopic full-thickness resection of a stomach gastrointestinal stromal tumor using a dedicated full-thickness resection device

Post written by Dennis Yang, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida. We present a case of a 60-year-old man with a 15-mm gastrointestinal stromal tumor (GIST) in the stomach. The patient elected for resection instead of surveillance. After multidisciplinary discussion, the decision was to proceed with endoscopic removal. …

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Motorized spiral enteroscope-assisted retrieval of video capsule in a patient with Crohn’s disease

Post written by Mohan Ramchandani, MD, DM, from the Department of Medical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India. We describe a case of  young man with history of chronic kidney disease on maintenance hemodialysis. He underwent capsule endoscopy (CE) 6 months ago for evaluation of obscure occult gastrointestinal bleeding requiring multiple transfusions. CE revealed ileal stricture, …

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Lessons learned from a salvage procedure for LAMS misplacement during EUS-guided gastrojejunal bypass

Post written by Bruno Costa Martins, MD, PhD, from the Hospital Alemão Oswaldo Cruz, Endoscopy Unit, São Paulo, Brazil. We described a case of an 88-year-old patient with obstructive symptoms due to advanced head pancreatic neoplasm. EUS-guided gastrojejunal bypass (EUS-GJ) was chosen to palliate gastric outlet obstruction symptoms. EUS-GJ bypass was attempted with the aid …

Continue reading Lessons learned from a salvage procedure for LAMS misplacement during EUS-guided gastrojejunal bypass

Endoscopic resection of a duodenal Brunner gland hamartoma presenting with GI bleeding

Post written by Tara Keihanian, MD, MPH, and Sunil Amin, MD, MPH, from the Department of Medicine, Division of Gastroenterology, University of Miami Miller School of Medicine, Miami, Florida. A 64-year-old man with multiple comorbidities presented to our hospital with a 3-day history of weakness, melena, and acute anemia. Upper endoscopy (EGD) showed a large …

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Endoscopic management of symptomatic walled-off omental fat necrosis

Post written by C. Roberto Simons-Linares, MD, and Prabhleen Chahal, MD, from the Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio. We describe a case a 57-year-old man with a history of neuroendocrine tumor of the pancreas status post-laparoscopic distal pancreatectomy and splenectomy that presented to us with severe abdominal pain and found …

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