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 …
Category: VideoGIE
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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Simultaneous detection and characterization of diminutive polyps with the use of AI
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
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 …
Submucosal per-oral endoscopic myotomy for a large Zenker’s diverticulum
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
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 …
A case of hemobilia secondary to cancer of the gallbladder confirmed by cholangioscopy
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. …
Polyloop anchor technique to close large gastric fistula
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
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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