Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. An 8-year-old boy was referred for abdominal pain of unclear etiology, dysphagia, and failure to thrive. He had multiple visits to the emergency room over a 5-year period for abdominal pain of unclear etiology. After routine evaluation …
Category: VideoGIE
EUS-directed transgastric ERCP
Post written by Antonio Mendoza Ladd, MD, from the Department of Medicine, Division of Gastroenterology, Texas Tech University Health Sciences Center at El Paso, El Paso, Texas, USA. This is a case of a patient with impending ascending cholangitis secondary to choledocolithiasis in the setting of a Roux-en-Y anatomy. Given her surgical anatomy, we discussed …
ESD with scissor-type knife for pedunculated polyp with short and thick stalk
Post written by Shunsuke Yamamoto, MD, PhD, and Morteza Shafazand, MD, from the Department of Gastroenterology, Sahlgrenska University Hospital, Östra, Sweden. This is a case of a pedunculated polyp in the sigmoid colon whose stalk is short and thick, and we resected it using a scissor-type endoscopic knife. We wanted to demonstrate how to maneuver …
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Bleeding at Roux-en-Y jejunojejunal anastomosis after orthotopic liver transplantation
Post written by Chaitanya Allamneni, MD, from the Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. A young woman with a medical history of primary sclerosing cholangitis/autoimmune hepatitis overlap syndrome diagnosed at age 2, complicated by decompensated cirrhosis, underwent orthotopic liver transplantation (OLT). During OLT she underwent a standard Roux-en-Y hepaticojejunostomy. Twenty-four …
Retrieval and redeployment of migrated LAMS to facilitate endoscopic necrosectomy of walled-off necrosis
Post written by Shashideep Singhal, MD, FASGE, from the Gastrointestinal Care Consultants, Houston, Texas, USA. Walled-off necrosis (WON) develops as a sequel to acute pancreatitis. Approximately 15% of patients with acute pancreatitis can experience WON. EUS-guided transmural drainage of WON has been a safe, efficacious, and widely used therapeutic modality in recent times. The …
Endoscopic angle manipulation training for endoscopic submucosal dissection
Post written by Tatsuma Nomura, MD, and Shinya Sugimoto, MD, from the Department of Gastroenterology, Kinan Hospital, Minamimuro, and the Department of Gastroenterology, Ise Red Cross Hospital, Ise, Japan. We conducted endoscopy training for endoscopic angle manipulation using the transparent sheet and the EGD Simulator. The video and figure show the animation and the actual …
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Endoscopic management of pancreatic duct disruption with large mediastinal pseudocyst
Post written by Vivian Ortiz, MD, Muhammad Nadeem Yousaf, MD, and Harry R. Aslanian, MD, from the Department of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, Yale-New Haven Hospital, New Haven, Connecticut, USA. A 47-year-old woman with alcohol-related chronic pancreatitis, chronic portal vein thrombosis and, left-sided pleural effusion presented with a …
A novel endoscopic technique to obtain rectal biopsy specimens in children with suspected Hirschsprung’s disease
Post written by Zaheer Nabi, MD, DNB, from the Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India. A 3-year-old girl presented with a history of constipation since early infancy. Anorectal manometry was performed, and the absence of recto-anal inhibitory reflex raised the suspicion of Hirschsprung’s disease (HD). To confirm the diagnosis of HD, rectal …
Endoscopic aspects of temporary gastric electrical stimulator lead placement
Post written by Minesh Mehta, MD, and Gregg Wendorf, MD, from the Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, University of Louisville, Louisville, Kentucky, USA. Our video details the technique and tools required to successfully and safely place temporary gastric electrodes endoscopically, even in the presence of retained gastric contents. Gastric electrical stimulation …
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Electrohydraulic lithotripsy under double-balloon endoscope–assisted direct cholangioscopy
Post written by Tatsuya Sato, MD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. This is a case report of double-balloon endoscope-assisted direct cholangioscopy in a patient with a history of total gastrectomy and Roux-en-Y (R-Y) reconstruction. Electrohydraulic lithotripsy (EHL) was necessary to remove large and multiple bile …
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