Post written by Ravishankar Asokkumar, MBBS, MRCP, and Gontrand Lopez-Nava, MD, PhD, from the Bariatric Endoscopy Unit, HM Sanchinarro University Hospital, Madrid, Spain, and the Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore. We described a novel primary endoscopic approach to treat obesity using the incision-less operating platform (USGI Medical, USA). We have shared …
Category: VideoGIE
EUS-guided cholecystogastrostomy for acute cholecystitis in a patient with an omphalocele
Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. We present a case of a 34-year-old woman with a history of an incompletely repaired omphalocele with recurrent small bowel obstructions and lung hypoplasia complicated by chronic respiratory failure requiring nocturnal non-invasive ventilation, who presented with concern …
Novel approach to ESD of a cecal lesion with nonlifting sign by submucosal fatty tissue with use of selective-regulation high-pressure water-jet method and immersion in saline solution
Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, HM Hospitales Group, Department of Clinical Sciences, School of Medicine, University of CEU San Pablo, Madrid, Spain. In this video case report, we describe an endoscopic submucosal dissection (ESD) of a large laterally spreading lesion in the cecum, which …
Peroral cholangioscopy–guided probe-based confocal laser endomicroscopy for preoperative diagnosis of pancreatic cancer
Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 79-year-old man was referred to our hospital because of jaundice. He had previously undergone Billroth-II gastrectomy for gastric cancer. ERCP was performed. At first, we used a SIF-H290S (Olympus Medical Systems, Tokyo, Japan) with …
Double-tunneling butterfly method for endoscopic submucosal dissection of extensive rectal neoplasms
Post written by Noriko Suzuki, MD, PhD, from The Wolfson Unit for Endoscopy, St Mark’s Hospital, London, United Kingdom. We demonstrated the application of the double-tunneling (DoT) butterfly method for ESD on 4 cases with extensive rectal neoplasms. The key feature of the DoT butterfly method is the creation of 2 tunnels that are transformed …
EUS-guided duodenojejunostomy by use of a 2-cm LAMS to treat proximal jejunal stricture in a patient with chronic pancreatitis
Post written by Michael Lajin, MD, from the Sharp Grossmont Hospital, La Mesa, California, USA. A 26-year-old man presented with a 2-week history of nausea and vomiting. His medical history was significant for recurrent pancreatitis secondary to hypertriglyceridemia, infected walled-off necrosis requiring cystogastrostomy, splenic vein thrombosis resulting in severe portal hypertensive gastropathy, and large gastric …
Novel use of endoscopic morcellator to clear large obscuring clot in patient with upper-GI bleed
Post written by John Gubatan, MD, from the Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California, USA. We present a case of a 79-year-old woman with a history of cirrhosis who presented with hematemesis and was found to have a large blood clot in the lesser curvature and fundus of the …
Greater-curvature POEM with diverticuloseptotomy for the treatment of achalasia in a patient with a large epiphrenic diverticulum
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 …
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 …
Continue reading Capsule endoscopy for investigating the digestion process
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 …
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