Post written by Ijlal Akbar Ali, MD, from the Department of Digestive Diseases and Nutrition, Oklahoma University Health Sciences Center, Oklahoma City, Oklahoma, USA. We describe a case of a morbidly obese woman who presented to the emergency room with a 3-day history of right upper-quadrant abdominal pain. CT scan obtained demonstrated a 3-cm gallstone …
Category: VideoGIE
Endoscopic full-thickness resection of a gastric GI stromal tumor
Post written by Vincent Huberty, MD, from the Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. This is a video case report of a 76-year-old woman diagnosed with a 23-mm gastric GIST located in the fundus, on the greater curvature. Workup (including fine-needle aspiration, bite-to-bite biopsies, and EUS) …
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Successful ex-vivo probe-based confocal laser endomicroscopy of a superficial nonampullary duodenal epithelial tumor
Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 65-year-old woman was found to have a flat-elevated tumor measuring approximately 55 mm in diameter in the second part of the duodenum by endoscopy. The preoperative histological diagnosis by biopsy sampling was high-grade intraepithelial neoplasia. …
A small adenocarcinoma in the cervical esophagus
Post written by Kyosuke Tanaka, MD, PhD, from the Department of Endoscopy, Mie University Hospital, Tsu, Japan. This article presents a rare case of cervical esophageal adenocarcinoma. In this case, image-enhanced magnifying endoscopy showed clear diagnosis of adenocarcinoma, and the endoscopic resection was successful. Careful observation of the cervical esophagus could lead to the detection …
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Bite-on-bite technique for removal of a gastric subepithelial lipoma
Post written by Dean Ehrlich, MD, from the Department of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, California, USA. This video showcases the bite-on-bite technique as an approach for the diagnosis and removal of gastric subepithelial lesions. A patient was referred for evaluation of a gastric subepithelial lesion. Using the bite-on-bite technique …
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Successful endoscopic management of a malignant gastroretroperitoneal fistula
Post written by Ali Alshati, MD, from the Department of Internal Medicine, Maricopa Integrated Health System, Creighton University, Phoenix, Arizona, USA. This is a case of a gastric fistula due to involvement with lymphoma that was successfully managed endoscopically and then with systemic therapy. Endoscopic closure consisted of ablation of the fistula track with argon …
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Hemospray hemostasis in bleeding diffusely ulcerated esophagus
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. The authors present 3 consecutive cases of diffusely ulcerated esophagus with clinically significant bleeding. The first 2 cases failed conventional hemostatic treatment including clipping and injection therapy. In the third case, hemospray …
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Treatment of an epiphrenic diverticulum
Post written by Vincent Huberty, MD, from the Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium. This video case shows the treatment of an epiphrenic diverticulum with a new suturing and cutting technique. The treatment is done in 2 phases. First we placed suture anchors between the bottom …
Tissue retractor system–assisted ESD of a large rectal tumor with significant fibrosis
Post written by Salmaan Jawaid, MD, from the Division of Gastroenterology, Hepatology and Nutrition, University of Florida Health, Gainesville, Florida, USA. With the assistance of a novel tissue retractor system, we successfully performed endoscopic submucosal dissection (ESD) of a large rectal lesion that had developed significant fibrosis from direct tattoo material. Typically, performing ESD of …
Recalcitrant embedded biliary self-expanding metal stents
Post written by Marc Bernon, MB, ChB, FCS, from the Surgical Gastroenterology Unit, Division of General Surgery, University of Cape Town Health Sciences Faculty and Groote Schuur Hospital, Cape Town, South Africa. Endoscopic placement of self-expanding metal stents (SEMS) is the palliative treatment of choice for obstructive jaundice due to malignant biliary obstruction. However, a …
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