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 …
Category: VideoGIE
EUS-guided rendezvous with a steerable access needle in choledocholithiasis
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
Novel combination of a 0.018-inch guidewire, dedicated thin dilator, and 22-gauge needle for EUS-guided hepaticogastrostomy
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 …
Management of a COVID-19 patient in the endoscopy suite
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
Endoscopic submucosal dissection of early gastric cancer in a patient with situs inversus totalis
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 …
Fibrous-membrane resection for hepaticojejunostomy anastomosis obstruction under enteroscopic and cholangioscopic double views
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 …
Usefulness of a thin-endoscope ESD using the traction device for early gastric cancer in a patient with esophageal stricture
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 …
Novel suture placement to affix overlapping metal stents in the treatment of an acute leak after sleeve gastrectomy
Post written by Jessica Yu, MD, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan. We present a case of a 45-year-old woman who presented with a leak and peri-gastric fluid collection 6 weeks after a vertical sleeve gastrectomy (VSG). This was initially treated with percutaneous drainage and placement of a …
A simple and cost-effective method: piecemeal cold snare polypectomy without injection for a large sessile serrated lesion ≥20 mm
Post written by Yoshiaki Kimoto, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. A flat and fold-over 25-mm lesion covered with rich mucus was pointed out at the ascending colon. We diagnosed the lesion as SSL without dysplasia. Using a 10-mm oval-type snare (SnareMaster Plus; Olympus, Tokyo, Japan), the near …
Endoscopic submucosal dissection using a new super-soft hood and the multipoint traction technique
Post written by Yusuke Fujiyoshi, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This video shows an endoscopic submucosal dissection of a 25-mm 0-IIa+Is lesion in the gastric cardia. A newly developed super-soft hood (Space Adjuster, TOP Corp, Tokyo, Japan) was used as a distal attachment of the endoscope. A …
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