Post written by Shelini Sooklal, MD, from the Division of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic Foundation, Cleveland, Ohio, USA. This video case demonstrates the technique of using a disposable gastric overtube device to aid passage of the duodenoscope through a previously placed lumen apposing metal stent (LAMS), from the roux limb to the remnant …
Category: VideoGIE
Importance of endoscopy during permanent gastric stimulator placement
Post written by Gregg Wendorf, MD, from the University of Louisville, Louisville, Kentucky. Our case highlights a patient undergoing permanent gastric electrical stimulator (GES) placement. Part of this surgical procedure involves the surgeon attaching electrical leads from the GES to serosa of the stomach and inserting to the muscularis propria. Several adverse events related to …
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Preventing clogging of hemostatic powder during control of bleeding
Post written by Eula Plana Tetangco, MPH, MD, from the Digestive Health Center, Augusta University, Augusta, Georgia, USA. Our video demonstrates successful hemostasis of bleeding gastric fundus varices in a 71-year-old male. This was achieved with hemostatic powder TC-325 (Hemospray) using a novel technique that employs continuous flow of carbon dioxide through the catheter before …
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Recanalization of the bile duct by using percutaneous and endoscopic methods after iatrogenic injury
Post written by Arjun R. Sondhi, MD, from the Department of Internal Medicine, Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan. An 87-year-old man who suffered a complete common bile duct (CBD) transection after a cholecystectomy presented to our institution for care. To treat his bile leak, we used a combined interventional radiology approach …
Endoscopic ampullectomy of a large neuroendocrine tumor using underwater EMR technique
Post written by Anand R. Kumar, MPH, MD, from the Division of Gastroenterology, Thomas Jefferson University, Philadelphia, Pennsylvania. A young man presented with an incidental 35-mm ampullary neuroendocrine tumor detected on upper endoscopy. We chose to do an underwater ampullectomy and obtained negative margins. Endoscopic ampullectomy is an advanced procedure with variable techniques. The underwater …
Endoscopic transpapillary gallbladder stent placement in the presence of uncovered biliary metal stents using a through-the-mesh technique
Post written by Kazunari Nakahara, MD, PhD, from the Department of Gastroenterology and Hepatology, St. Marianna University, School of Medicine, Kawasaki, Japan. We describe a case of a successful endoscopic transpapillary gallbladder drainage (ETGBD) performed through the mesh of previously placed double biliary uncovered self-expandable metal stents (SEMSs) that overlapped the orifice of the cystic …
How to manage an endoscopy unit during a COVID-19 pandemic
Post written by Ping-Hong Zhou, MD, PhD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China. This video shows how to manage an endoscopy unit during the COVID-19 pandemic, with specific details on work flow, screening staff, screening patients, management in preprocedure areas and endoscopy rooms, postprocedure management, environment disinfection, …
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Usefulness of a handmade distal endoscope attachment with a transparent tape
Post written by Marie Kurebayashi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. The video describes the steps involved in making a handmade distal attachment with a transparent tape, and how it can be used for different endoscopic procedures. Distal attachments placed on the endoscope tip improve visualization of the …
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Newly developed proximal release–type colonic stent placement for malignant lower rectal obstruction
Post written by Kanae Tao, MD, from the Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Kure, Japan. Our video case depicts the use of the newly developed proximal release-type colonic self-expandable metallic stent (SEMS) for malignant lower rectal obstruction close to the anal verge. A 64-year-old man presented with …
Peroral endoscopic fundoplication: a brand-new intervention for GERD
Post written by Akiko Toshimori, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Showa University Tokyo, Japan. Last year, we reported POEM+fundoplication (POEM+F). In brief, POEM+F is a combination procedure of endoscopic myotomy and NOTES fundoplication for the purpose of preventing GERD after POEM. This time, we performed NOTES fundoplication for a …
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