Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 58-year-old man was found to have a flat-elevated lesion of 20 mm in size in the second portion of the duodenum. We selected endoscopic submucosal dissection (ESD) for en bloc resection because endoscopic mucosal resection …
Continue reading Endoscopic closure assisted by a novel traction device after duodenal ESD
Post written by Thomas R. McCarty, MD, and Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. In this video presentation, we describe a case of successful en bloc resection of a 60-mm laterally spreading tumor granular type (LST-G) rectal lesion using …
Post written by Andrea Lisotti, MD, from the Gastroenterology Unit, Hospital of Imola, Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy. Pelvic fluid collections (PFCs) are frequent adverse events of abdominal surgery or inflammatory conditions. Percutaneous approach for deep PFC could be challenging and could result in longer and painful recovery; trans-vaginal …
Post written by Seifeldin Hakim, MD, and Phillip S. Ge, MD, from the Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. Patients with Roux-en-Y gastric bypass (RYGB) anatomy face unique technical challenges in the management of pancreaticobiliary malignancy. EUS-guided RYGB reversal (known as EDGE or GATE …
Post written by Sundeep Lakhtakia, MD, DM, from the Asian Institute of Gastroenterology, AIG Hosiptals, Telangana, India. A patient with past cholecystectomy presented with symptomatic CBD stones. He had unsuccessful ERCPs due to duodenal deformity and non-visualized papilla located within a large duodenal diverticulum. This video case has 2 interesting segments. In first part, EUS …
Continue reading EUS-guided rendezvous with a steerable access needle in choledocholithiasis
Post written by Yoshihide Kanno, MD, from the Department of Gastroenterology, Sendai City Medical Center, Sendai, Japan. We presented a case of a patient with a surgically altered gastrointestinal anatomy who underwent EUS-guided hepaticogastrostomy (EUS-HGS) using a combination of a newly developed 0.018-inch guidewire, a dedicated thin dilator, and a 22-gauge needle. We often encounter …
Post written by Joseph D. Feuerstein, MD, from the Division of Gastroenterology, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA. This video is a training video to assist gastroenterologists with how to properly protect themselves with PPE equipment when performing endoscopy in patients with COVID-19. The video reviews different aspects of proper …
Continue reading Management of a COVID-19 patient in the endoscopy suite
Post written by Yohei Koyama, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Situs inversus totalis (SIT) is defined as the complete mirror-image transposition of the thoracic and abdominal viscera. It is a relatively rare congenital anomaly with an incidence of approximately 1 per 4,000 to 8,000 persons. Endoscopic submucosal …
Post written by Mitsuru Okuno, MD, PhD, from the Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan. We describe the case of occluded hepaticojejunostomy anastomosis (HJA) with a thick and hard fibrous membrane which was able to be safely resected under direct double-endoscopic views using a cholangioscope and enteroscope (short-type double balloon endoscope). This technique …
Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. The video describes the usefulness of a thin-endoscope endoscopic submucosal dissection (ESD) using the traction device for early gastric cancer in a patient with an esophageal stricture. A 72-year-old man was referred to our hospital for …
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