False sense of security: a case of retroperitoneal perforation after colonic EMR

Post written by Leonardo Zorron Cheng Tao Pu, MD, MSc, FBCS, FASGE, from the Department of Gastroenterology, Lyell McEwin Hospital, Adelaide, Australia. In our video a 61-year-old woman was submitted to piecemeal EMR for a large lateral spreading tumor at the recto-sigmoid junction. After the second piece was resected, we noted a suspicious area of …

Continue reading False sense of security: a case of retroperitoneal perforation after colonic EMR

Electroincision and extraction of a gallstone from the duodenal wall for the prevention of gallstone ileus

Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. We describe a case of an 80-year-old female who was referred for management of persistent choledocholithiasis. She had a past history of carcinoid. The patient presented with symptomatic choledocholithiasis 2 years prior and underwent ERCP with plastic …

Continue reading Electroincision and extraction of a gallstone from the duodenal wall for the prevention of gallstone ileus

Tools and Techniques

Post written by Stephanie Kinnan, ASGE Assistant Managing Editor of Clinical Publications Videos can be an excellent resource for education and the discovery of new things. How often have you googled “how-to” videos or searched YouTube for assistance with home or car repair, a computer problem, or cooking tips? Videos on the internet can teach …

Continue reading Tools and Techniques

Endoscopic full-thickness resection of a gastric subepithelial tumor

Post written by Shashideep Singhal, MD, from the Division of Gastroenterology, Hepatology & Nutrition, University of Texas Health Science Center at Houston, Houston, Texas, USA. An 81-year-old man was complaining of GERD. An EGD showed an incidental gastric body nodule. An EUS revealed a 1.5-cm by 1.4-cm submucosal tumor extending into the muscularis propria. Cytology from FNA showed spindle cells, suggestive …

Continue reading Endoscopic full-thickness resection of a gastric subepithelial tumor

Endoscopic treatment of large impacted pancreatic ductal stone

Post written by Hitoshi Shibuya, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. This video is a case of a large main pancreatic duct stone treated endoscopically using digital pancreatoscopy and electrohydraulic lithotripsy (EHL). Acute exacerbation of chronic pancreatitis occurred with an impacted stone in …

Continue reading Endoscopic treatment of large impacted pancreatic ductal stone

Feasibility and efficacy of double over-the-scope clipping for colonic iatrogenic perforation

Post written by Paola Soriani, MD, from the Digestive Endoscopy Unit, Azienda USL Modena, Ramazzini Hospital, Carpi, Italy. An 89-year-old woman underwent colonoscopy. In a setting of severe diverticular disease, a perforation of 20-25 mm occurred in the sigmoi-rectal juntion. The leakage was completely closed after the deployment of 2 over-the-scope clips, tightly adjacent to …

Continue reading Feasibility and efficacy of double over-the-scope clipping for colonic iatrogenic perforation

Cold snare polypectomy for polyp adjacent to colonic diverticulum

Post written by Yoko Kubosawa, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, and the Department of Gastroenterology, Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. We report 2 cases of cold snare polypectomy for polyp …

Continue reading Cold snare polypectomy for polyp adjacent to colonic diverticulum

Digital cholangioscopic evaluation of a post–liver transplantation stricture

Post written by Shyam Menon, MSc, MD, FRCP, from the Department of Liver Medicine, University Hospitals Birmingham, NHS Foundation Trust, Birmingham, United Kingdom. Post liver transplantation anastomotic strictures can be technically challenging to manage. We describe a patient who presented a few months after liver transplantation with progressively deteriorating liver function tests and an episode …

Continue reading Digital cholangioscopic evaluation of a post–liver transplantation stricture

EMR with an over-the-scope clip for superficial nonampullary duodenal epithelial tumor with fibrosis

Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 52-year-old man was found to have a flat-elevated tumor measuring approximately 10 mm in diameter in the second part of the duodenum. First, the border of the target lesion was marked using the tip of …

Continue reading EMR with an over-the-scope clip for superficial nonampullary duodenal epithelial tumor with fibrosis

EUS diagnosis of cystic pancreatic neuroendocrine tumors

Post written by Harry R. Aslanian, MD, from the Section of Digestive Disease, Yale New Haven Medical Center, School of Medicine, New Haven, Connecticut, USA. We present a series of cases highlighting the EUS features of cystic pancreatic neuroendocrine tumors. Pancreas neuroendocrine tumors are rare and are less commonly cystic. The recognition and targeting of wall …

Continue reading EUS diagnosis of cystic pancreatic neuroendocrine tumors