Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA. We present the first reported use of an EUS-guided gastrojejunostomy for the treatment of gastric outlet obstruction from a large duodenal hematoma. A 44-year-old man with a history of alcoholic pancreatitis presented …
Category: VideoGIE
Minimal water exchange colonoscopy
Post written by Jen-Hao Yeh, MD, and Hsi-Yuan Chien, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, E-DA Hospital/I-shou University, Kaohsiung, and the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Taiwan Adventist Hospital, Taipei, Taiwan. Water colonoscopy is very useful to reduce pain and facilitate intubation for difficult colons. …
Endoscopic tunneled stricturotomy in the treatment of stenosis after sleeve gastrectomy
Post written by Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, from the Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. We present a case of a 22-year-old obese woman with a history of laparoscopic sleeve gastrectomy. The surgery was uncomplicated; however, the patient was slow in advancing her diet. For the first …
Endoscopic closure of the defect after ESD with metal clips and surgical sutures
Post written by Zhendong Jin, MD, from the Department of Gastroenterology, Changhai Hospital Affiliated to the Second Military Medical University, Shanghai, China. A patient accepted ESD for a SMT originated from the muscularis propria layer, which was located at the anterior wall of the gastric body. In consideration of muscular injury, the large defect was …
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Endoscopic full thickness resection of a long intussuscepted appendix using a colonoscope
Post written by Ghassan M. Hammoud, MD, MPH, from the Division of Gastroenterology and Hepatology, University of Missouri School of Medicine, Columbia, Missouri, USA. The cecum is cleansed and irrigated with water thoroughly. The inverted appendix is captured at its base with endoscopic detachable snares. We used 3detachable snares to ensure sufficient closure of the …
Endoscopic Removal of Silastic Gastric Band
Post written by Saurabh Chawla, MD, from the Emory University School of Medicine, Atlanta, Georgia, USA. We present a case of a patient presenting with abdominal pain who had a sleeve gastrectomy with silastic band placement several years prior to his presentation. Upon further investigation, the silastic band was noted to be eroding into the …
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ESD of a large rectal lesion by use of a novel tissue retractor system
Post written by Salmaan Jawaid, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida, USA. We presented a case of successful endoscopic submucosal dissection of a large rectal lesion using a novel tissue retractor system. This unique platform allowed us to generate constant tissue tension and permitted frequent manipulation of the …
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EUS-guided placement of coils and glue for the management of large bleeding fundic varices
Post written by Victoria Gómez, MD, from the Mayo Clinic, Jacksonville, Florida, USA. We present a case of a 58-year-old woman in whom challenging gastric fundic varices were managed successfully with endoscopic variceal obturation using EUS-guided coil placement with subsequent glue injection. Treatment options were limited in this patient due to radiographic findings of liver …
Large-caliber metal stent controls entry site bleeding during EUS-guided drainage of walled-off necrosis
Post written by Radhika Chavan, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. A 35-year-old man, diagnosed with acute necrotizing pancreatitis 7 weeks ago, presented with abdominal pain and fever for 2 weeks. Evaluation showed mild leukocytosis with raised amylase and lipase levels. Endoscopic ultrasound (EUS) showed large walled-off necrosis (WON) with minimal …
Per-oral endoscopic myotomy with endoscopic septum division
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video case, we describe per oral endoscopic myotomy (POEM) in a case of achalasia with large diverticulum at the lower end of esophagus. POEM was performed in the standard fashion. In addition, the septum between diverticulum and submucosal …
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