Category: VideoGIE

Pulley traction-assisted colonic ESD affords good visibility of submucosal layer

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Post written by Satoki Shichijo, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. We performed endoscopic submucosal dissection (ESD) for a laterally spreading tumor involving a diverticulum in the posterior wall of ascending colon. We performed traction-assisted colonic ESD using a clip-and-line, which usually makes ESD safe and efficient by …

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In vivo diagnosis of intraductal papillary mucinous neoplasm with per-oral pancreatoscopy–guided confocal laser endomicroscopy

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Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. Our patient was a 79-year-old man in whom computed tomography indicated expansion of the main pancreatic duct. Endoscopic ultrasound (EUS) showed expansion of the entire pancreatic duct but could not detect the villous protrusions. Endoscopic …

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Endoscopic vacuum therapy for a large esophageal perforation after bariatric stent placement

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Post written by Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, from the Endoscopy Unit, Gastrointestinal Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. In this video, we present a case of a large esophageal perforation that occurred after a bariatric stent placement for the treatment of …

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Endoscopic management of gossypiboma

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Post written by Radhika Chavan, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. A 30-year-old woman underwent cholecystectomy 3 weeks earlier and developed abdominal pain, vomiting, and low-grade fever within 2 weeks of surgery. On contrast-enhanced computed tomography, a large lesion with an internal reticular pattern was seen in the gastro-hepatic region. She …

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Endoscopic intra-abdominal rescue therapy of a dislodged EUS-guided hepaticogastrostomy stent

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Post written by Johannes Maubach, MD, from the Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. We report a case of an 86-year-old fragile woman who was admitted with painless jaundice and massively congested intrahepatic ducts. An outside MRCP showed a suspicious lesion in the tail of the …

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ESD of a large cecal polyp using a scissor-type knife

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Post written by Hiroyuki Aihara, MD, PhD, from the Developmental Endoscopy Laboratory, Harvard Medical School, Brigham and Women’s Hospital, and the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. In this video, we present a case of a large flat lesion in the cecum that was removed by ESD using …

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Excavation of a fossilized biliary stent

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Post written by Brian S. Lim, MD, MCR, FASGE, from the School of Medicine, University of California, and the Department of Gastroenterology, Kaiser Permanente Riverside Medical Center, Riverside, California, USA. A 60-year-old male presented with right lower-quadrant pain and fever. CT (computed tomography) abdomen showed acute appendicitis, but also an incidental biliary stent. The atient …

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Endoscopic drainage of pancreatic fluid collections by use of a novel biflanged stent

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Post written by D. Nageshwar Reddy, MD, DM, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video case series, we described 5 cases with pancreatic fluid collections (4 walled-off necrosis and 1 pseudocyst) that underwent endoscopic ultrasound-guided drainage using a new biflanged metal stent with electrocautery-enhanced delivery system (Hot Nagi, Taewoong Medical, Gyenoggi- …

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Recurrent acute pancreatitis in a toddler: a “wormy surprise”

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Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. The video case describes a 3-year-old child presenting with recurrent episodes of acute pancreatitis. Etiological evaluation revealed multiple calculi in the gallbladder on transabdominal ultrasonography. Expecting a calculus in the bile duct, we performed an endosonography to confirm. Surprisingly, endosonography …

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Successful removal of duodenal submucosal tumors with ESD

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Post written by Hiroyuki Aihara, MD, PhD, FASGE, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts, USA. Endoscopic submucosal dissection (ESD) allows for en bloc resection of gastrointestinal lesions, which theoretically results in lower recurrence rates. However, ESD in the duodenal bulb is technically challenging …

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