Post written by Hiroko Nakahira, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Underwater endoscopic mucosal resection (EMR) was performed for a large duodenal adenoma in a patient with familial adenomatous polyposis, and the mucosal defect after underwater EMR was closed with line-assisted complete closure technique. Endoscopic mucosal resection for …
Category: VideoGIE
Endoscopic resection of a giant fibrovascular esophageal polyp by use of a scissor-type knife
Post written by Kenji Yamazaki, MD, PhD, from the Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, Japan. We described a case of a giant fibrovascular esophageal polyp endoscopically resected by use of a scissor-type knife. Fibrovascular esophageal polyps are rare, and most of these are enormous and arise from the cricopharynx or upper …
Gastric and duodenal pseudomelanosis: a new insight into its pathogenesis
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. We report a case of gastric and duodenal pseudomelanosis; its full development was documented on serial upper endoscopies over 2 years, preceded by an 18-month daily iron supplement, interval development of iron …
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Duodenal ESD for a large protruded lesion located just behind the pyloric ring
Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 72-year-old man was found to have a large protruded tumor measuring approximately 60 mm in diameter in the duodenal bulb. He underwent ESD under general anesthesia in the operating room. After local injection of sodium hyaluronate …
Continue reading Duodenal ESD for a large protruded lesion located just behind the pyloric ring
Electrohydraulic lithotripsy through a fistula of EUS-guided hepaticogastrostomy
Post written by Tatsuya Sato, MD, Yousuke Nakai, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. A 50-year-old man with a history of hepaticojejunostomy and Roux-en-Y reconstruction suffered from recurrent cholangitis due to bilateral intrahepatic stones. After failed double-balloon endoscope-assisted ERCP and percutaneous transhepatic biliary drainage, …
Continue reading Electrohydraulic lithotripsy through a fistula of EUS-guided hepaticogastrostomy
EUS-guided natural orifice transluminal endoscopic surgery for rescue of a fractured Jackson-Pratt drain
Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA. We describe our experience rescuing a Jackson-Pratt drain that was inadvertently severed using transduodenal puncture into the peritoneum followed by passage of a linear echoendoscope into …
Laser dissection for recalcitrant pancreaticojejunostomy anastomotic stricture
Post written by Samuel Han, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. In this video case report, we describe the use of laser dissection to treat a refractory pancreaticojejunostomy anastomotic stricture. Using a holmium laser fiber (272 µm), we treated the stricture in 3 quadrants …
Continue reading Laser dissection for recalcitrant pancreaticojejunostomy anastomotic stricture
Management of a refractory leak after sleeve gastrectomy: the endoscopic armamentarium
Post written by Jessica X. Yu, MD, MS, and Allison R. Schulman, MD, MPH, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan, USA. We described the case of a 48-year-old woman with a history of a sleeve gastrectomy complicated by a refractory staple line leak. The patient presented 2 weeks …
Alternative approach to hemostatic particle spraying for treatment of GI bleeding
Post written by Stuart K. Amateau, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Gastrointestinal bleeding is a leading cause of morbidity and mortality in the United States and occasionally patients exhibit refractory bleeding despite standard endoscopic therapy. Although used internationally for the …
Continue reading Alternative approach to hemostatic particle spraying for treatment of GI bleeding
Narrow-band imaging, volumetric laser endomicroscopy, and pathologic findings in Barrett’s esophagus
Post written by Norio Fukami, MD, AGAF, FACG, FASGE, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona, USA. The case described in the video is a 36-year-old man with 10-year history of Barrett’s esophagus undergoing surveillance every 3 years who was referred for endoscopic resection on nodular dysplasia with cancer in the …
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