Post written by Abdullah Abbasi, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Exposed endoscopic full-thickness resection (EFTR) is often necessary for management of large subepithelial lesions or those extending deep into the GI wall. This video demonstrates successful removal of a large GI stromal tumor in the fundus, with a focus on …
Category: VideoGIE
Saline immersion endoscopic submucosal dissection for management of early Barrett’s esophagus adenocarcinoma and large esophageal varices
Post written by Giuliano Francesco Bonura, MD, from the Gastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, Carpi, Italy. A 65-year-old man was referred to our unit with long-segment Barrett’s esophagus (Prague C6, M10) with 2 bulky adjacent sessile lesions (30 mm and 15 mm) positive for adenocarcinoma at biopsies. Magnification endoscopy with narrow-band imaging …
Hybrid endoscopic submucosal dissection and endoscopic full-thickness resection for R0 resection of T1 colonic adenocarcinoma
Post written by Rahul Karna, MD, from the University of Minnesota, Minneapolis, Minnesota, USA, and Mohammad Bilal, MD, from the University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA. In this case, we describe management of a 35-mm malignant colon polyp in a patient at high risk for surgery. Colonoscopic exam revealed a nonpolypoid lesion (Paris classification IIa+IIc) in the …
Coagulation forceps-sparing techniques for pre-emptive sealing of blood vessels during third-space endoscopy
Post written by Zaheer Nabi, MD, DNB, FASGE, FISG, FSGEI, from the Asian Institute of Gastroenterology, Hyderabad, India. This video presents a series of coagulation forceps-sparing techniques used during third-space endoscopy, including peroral endoscopic myotomy. Using various electrosurgical knife-based and bipolar coagulation methods, we demonstrate how large blood vessels encountered during submucosal dissection can be …
Successful pancreatic duct cannulation using a double-lumen catheter and an antegrade percutaneous transhepatic wire with Roux-en-Y anatomy
Post written by Yuka Kawazoe, MD, from the Department of Gastroenterology, Kameda Medical Center, Kamogawa, Japan. This video presents a case that demonstrates the use of an uneven double-lumen cannula combined with a percutaneous rendezvous technique to achieve pancreatic duct access in a patient with complex postoperative anatomy. We chose to showcase this video because it illustrates …
Diagnosing high-grade pancreatic intraepithelial neoplasia in surgically altered anatomy using pancreatic juice cytology
Post written by Soma Fukuda, MD, from the Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan. This case features the use of balloon-assisted enteroscopy and serial pancreatic juice aspiration cytologic examination (SPACE) via an endoscopic nasopancreatic drainage (ENPD) tube to diagnose high-grade pancreatic intraepithelial neoplasia (HG-PanIN) in a patient with altered anatomy after …
Challenges and solutions in endoscopic full-thickness resection
Post written by Fatih Aslan, MD, from Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. In this video case, we present a step-by-step demonstration of endoscopic full-thickness resection (EFTR) for a GI stromal tumor located on the greater curvature of the distal body. The tumor, originating from the muscularis propria and measuring 20 mm, was completely …
Continue reading Challenges and solutions in endoscopic full-thickness resection
Search for next VideoGIE Editor-in-Chief begins
The American Society for Gastrointestinal Endoscopy (ASGE) is searching for its next Editor-in-Chief of VideoGIE. Field F. Willingham, MD, MPH, FASGE, the current Editor-in-Chief, will complete his term December 31, 2025. Starting October 1, 2025, there will be a 3-month overlap period with the new Editor-in-Chief. Editors of the journal serve a 5-year term. VideoGIE …
Continue reading Search for next VideoGIE Editor-in-Chief begins
Advanced endoscopic techniques for esophageal duplication cyst treatment: beyond surgery
Post written by Radhika Chavan, MD, DNB, from the Department of Gastroenterology and Endoscopy, Ansh Clinic, Ahmedabad, India. Esophageal duplication cysts are rare congenital anomalies usually managed by surgery. We present cases of 3 patients with symptomatic cysts, each managed using a tailored endoscopic approach. In the first case, a small mid-esophageal cyst was treated using submucosal …
Treatment of duodenal fistula with combined endoscopic therapy: modified endoscopic vacuum, endoscopic internal drainage, and the over-the-scope clip
Post written by Gustavo de Carvalho Bertaccini Guriam, MD, MSc, from the Department of Endoscopy, São Francisco Hapvida Hospital, São Paulo, Brazil. This case describes successful closure of a complex duodenal fistula that failed to respond to 2 surgical attempts at local suture after major abdominal surgery. Definitive treatment was achieved through a multimodal endoscopic approach, including …
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