Category: VideoGIE

Simultaneous detection and characterization of diminutive polyps with the use of AI

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Post written by Yuichi Mori, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. We present a novel computer-aided system that enables automated polyp detection followed by immediate polyp characterization in a real-time fashion using an endocytoscope, a colonoscope with a function of 520-fold endomicroscopy (CF-H290ECI; Olympus Corp., Tokyo, Japan). …

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Step-by-step use of hemostatic powder

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Post written by Andrew C. Storm, MD, from the Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA. Our video is meant to be used as a teaching tool, demonstrating the step-by-step use of hemostatic powder for GI hemorrhage. More specifically, malignancy-associated bleeding, as shown in this case, is difficult to manage endoscopically, and …

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Submucosal per-oral endoscopic myotomy for a large Zenker’s diverticulum

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Post written by Valerio Balassone, MD, PhD, from the Universita Campus Bio-Medico di Roma, Rome, Italy. This is a preliminary experience with an innovative technique to treat large Zenker’s diverticulum. It demonstrates innovative tools and techniques to separate the mucosa from the septum in order to achieve a complete septum division without the concern of …

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A unique case of ileal Dieulafoy’s lesion diagnosed and treated by cap-assisted water immersion colonoscopy

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Post written by Philip T. Chen, MD, FACG, from the United Gastroenterologists, Irvine, California, USA. We describe a case of an 83-year-old woman presenting with melena and anemia.  An actively bleeding ileal Dieulafoy’s lesion was found 30 cm proximal to the ileocecal valve (measurement based on withdrawal) and treated through colonoscopy with deep ileal intubation …

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A case of hemobilia secondary to cancer of the gallbladder confirmed by cholangioscopy

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Post written by Linda Zhang, MBBS, from the Department of Gastroenterology and Hepatology, St George Hospital, Kogarah, Australia. This article discusses the management of hemobilia due to gallbladder malignancy in a frail, elderly patient with multiple comorbidities, which limited the available therapies. Our patient was a 90-year-old female who presented with biliary obstruction and melaena. …

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Polyloop anchor technique to close large gastric fistula

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Post written by Tarun Kaura, MD, from the Aurora St Luke’s Medical Center, Milwaukee, Wisconsin, USA. A 60-year-old female presented with acute pancreatitis complicated by large acute pancreatic fluid collection, which later formed a symptomatic pseudocyst. This was drained endoscopically by placing a lumen-apposing metal stent. Unfortunately, she developed gastric perforation requiring surgery. The patient …

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Underwater ESD in saline solution using a bent-type knife for duodenal tumor

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Post written by Mitsuru Nagata, MD, from the Department of Endoscopy, Shonan Fujisawa Tokushukai Hospital, Kanagawa, Japan. We present a case of a duodenal tumor that was treated by underwater ESD using a bent-type knife (Hook Knife J) and discuss potential advantages of underwater ESD. Most studies on underwater ESD involved the use of only …

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Reusing an electrocautery-enhanced stent deployment catheter to place additional pigtail stents

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Post written by Andrew C. Storm, MD, from the Mayo Clinic College of Medicine and Science, Rochester, Minnesota, USA. We have presented the novel reuse of the electrocautery-enhanced lumen-apposing metal stent deployment catheter to permit transduodenal wire access and stent placement to create a dual AXIOS cystgastrostomy and double pigtail cystduodenostomy. Management of disconnected pancreatic …

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Endoscopic restoration of completely transected and prolapsed common bile duct

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Post written by Jorge Vargas, MD, from the Social Security System of Costa Rica, Hospital of Liberia, Guanacaste, Costa Rica. During a regular ERCP, a forceful stone extraction of a big stone was performed, and a frightening complication occurred. The common bile duct prolapsed into the duodenal lumen. After several cannulation attempts, we were able …

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Precutting EMR with full or partial circumferential incision with a snare tip

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Post written by Naohisa Yoshida, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Kyoto Prefectural University of Medicine, Graduate School of Medical Science, Kyoto, Japan. We herein introduce 2 cases in which precutting EMR with a snare was performed. The first case was a IIa+IIc lesion 10 mm in size on the sigmoid …

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