Post written by Mayu Nishiyama, MD, Shigeto Ishii, MD, Toshio Fujisawa, MD, PhD, Hiroaki Saito, MD, PhD, and Hiroyuki Isayama, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan. This is a case of unresectable hilar cholangiocarcinoma in a 74-year-old man. He developed acute cholecystitis after biliary stent placement …
Category: VideoGIE
EUS-guided drainage of a pelvic abscess
Post written by Ignacio Fernández-Urién, MD, PhD, from the Gastroenterology Department, Complejo Hospitalario de Navarra, Navarra, Spain. We presented the case of a 50-year-old woman with an 8-cm pelvic abscess secondary to an acute diverticulitis that was drained guided by EUS. First, we punctured the lesion with a 19-gauge needle, and 5 mL of purulent …
Hybrid argon plasma coagulation: a new modality for treatment of a diffuse foregut anastomotic dysplastic lesion
Post written by Truptesh H. Kothari, MD, from the Center for Advanced Therapeutic Endoscopy, Division of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, New York, United States. Our case was an elderly patient who had history of Roux-en-y gastric bypass many years ago, now presented to his gastroenterologist for abdominal pain. On upper …
ESD and submucosal tunneling endoscopic resection for obstructive lipomas
Post written by Georgios Mavrogenis, MD, from the Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece. This video describes the resection of an obstructive duodenal lipoma by means of submucosal tunneling endoscopic resection (STER) and the resection of obstructive colonic lipoma by means of endoscopic submucosal dissection (ESD) Big lipomas are always challenging to remove. The …
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“Posterior-like” anterior per-oral endoscopic myotomy
Post written by Georgios Mavrogenis, MD, from the Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece. Endoscopists are free to choose between anterior of posterior based on their preference. Recent data illustrate that posterior POEM is faster and less prone to mucosal injuries. Conversely, some studies have associated anterior POEM with less post-myotomy acid reflux. We …
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Endoscopic replacement technique for migrated LAMS during endoscopic pancreatic necrosectomy
Post written by Mitsuru Okuno, MD, PhD, from the Department of Gastroenterology, Gifu Municipal Hospital, Gifu, Japan. EUS-guided drainage of walled-off necrosis (WON) is the accepted efficient and safe standard of care. The LAMS has a large lumen (up to 10 mm) and dual flanges that tightly adhere the LAMS to the fistula within the …
Rescue of a delayed spontaneously migrated lumen-apposing metal stent placed to facilitate transluminal ERCP
Post written by Prabhleen Chahal, MD, FACG, FASGE, and C. Roberto Simons-Linares, MD, MSc, from the Gastroenterology and Hepatology Department, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA. We present a case of a delayed spontaneously migrated lumen-apposing metal stent (LAMS) that was placed in a patient with a history of Roux-en-Y gastric bypass …
Modified attachment method using an S-O clip for gastric ESD
Post written by Mitsuru Nagata, MD, from the Department of Endoscopy, Shonan Fujisawa Tokushukai Hospital, Kanagawa, Japan. In this report, we present 2 cases of gastric neoplasm treated using S-O clip-assisted endoscopic submucosal dissection (ESD) and discuss the use of the S-O clip for gastric ESD. The S-O clip (Zeon Medical, Tokyo, Japan) is a …
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Conscious transnasal hybrid ESD enables safe and painless en bloc resection
Post written by Yohei Minato, MD, from the NTT Medical Center, Tokyo, Japan. With the transnasal endoscopy, we successfully performed hybrid endoscopic submucosal dissection (ESD) of an early gastric cancer without sedation. Endoscopic Submucosal Dissection (ESD) is a technically demanding and time-consuming procedure, which is usually performed under sedation. Recently, hybrid ESD was developed as …
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Endoclip-assisted giant colon lipoma resection
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 reported a case of a symptomatic giant sigmoid colon lipoma (7 cm × 6 cm) that was successfully removed with endoclip assisted dissection. Considering its size, thick stalk, and the possibility …
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