Post written by Ryan Law, DO, from the Department of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. We present a 93-year-old man with classic symptoms and manometric findings consistent with type III achalasia with an associated large epiphrenic esophageal diverticulum. He underwent an anterior POEM at an outside institution. He presented to …
Category: VideoGIE
Capsule endoscopy for investigating the digestion process
Post written by Shunji Fujimori, MD, PhD, AGAF, from the Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan. I tried to capture the endoscopic view of digestion and absorption processes in the small intestine. You can take ordinary food even after total gastrectomy. Of course, you can't eat a lot because …
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Transient hypotension during endoscopic resection of gangliocytic paraganglioma with ampullary involvement
Post written by Tadashi Katayama, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, and the Department of Internal Medicine, Tokyo Dental College, Ichikawa General Hospital, Chiba, Japan. Gangliocytic paraganglioma with ampullary involvement was resected endoscopically with a 15-mm snare. During resection of the tumor, the …
Biliary reintervention with inversion technique in the duodenum with short-type double-balloon endoscope
Post written by Naminatsu Takahara, MD, PhD, and Yousuke Nakai, MD, PhD, from the Department of Endoscopy and Endoscopic Surgery, The University of Tokyo, Tokyo, Japan. A 51-year-old man was referred for the management of malignant biliary obstruction (MBO) and gastric outlet obstruction (GOO) due to pancreatic head cancer. A biliary covered metallic stent and …
Failure of over-the-scope clip to control duodenal ulcer bleeding despite successful application
Post written by Calvin J. Koh, MBBS, from the Division of Gastroenterology and Hepatology, Medicine, National University Hospital, and Faculty of Medicine, National University of Singapore, Singapore. This case shows a patient with a large, oozing (Forrest 1b) duodenal ulcer for which an over-the-scope clip was deployed successfully to the ulcer base with the bleeding …
Thoughts on an academic endoscopy career
Post written by Amitabh Chak, MD, MS, from the University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA. I want to thank Dr. G.S. Raju, VideoGIE Editor-in-Chief for asking me to do an article on an academic endoscopy career. It made me reflect back on 28 years that have …
Usefulness of a multibending endoscope in gastric endoscopic submucosal dissection
Post written by Koichi Hamada, MD, from the Department of Minimally Invasive Surgical and Medical Oncology, Fukushima Medical University, Fukushima and the Department of Gastroenterology, Southern-Tohoku General Hospital, Koriyama. This case study presents a series of patients with early gastric cancer undergoing endoscopic submucosal dissection (ESD) using a multibending endoscope (GIF-2TQ260M; Olympus Medical Corp, Tokyo, …
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Hemostatic powder for the intraductal treatment of biliary cancer bleeding
Post written by Lorenzo Fuccio, MD, and Vito Sansone, MD, from the Gastroenterology Unit, Department of Medical and Surgical Sciences, S. Orsola-Malpighi University Hospital, Bologna, Italy. The patient we described is a 87-year old woman, diagnosed with a Klatskin cholangiocarcinoma which was unsuitable for curative treatments, whom obtained a complete biliary drainage only after positioning …
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A challenging case of gastric endoscopic submucosal dissection
Post written by Seiichiro Abe, MD, PhD, from the Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. A 62-year-old woman underwent screening esophagogastroduodenoscopy, and a suspicious 80-mm elevated, laterally spreading lesion was found involving the greater curvature of the upper gastric body. Biopsy showed well-differentiated tubular adenocarcinoma. The patient opted for endoscopic submucosal dissection (ESD). …
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Use of multiple covered metal esophageal stents for treatment of Boerhaave syndrome in achalasia
Post written by Theodore W. James, MD, MSc, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA. We describe the case of a 95-year old-woman with known achalasia who presented after vomiting forcefully and developing a perforation of the esophagus, also known as Boerhaave syndrome. In most scenarios, …
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