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

New methods of teaching the axis in ERCP: Can I write my name?

Post written by Ivo Boškoski, MD, PhD, from the Fondazione Policlinico Gemelli, Rome, Italy, and IHU, Istitut de Chirurgie Guidée par l’Image, Strasbourg, France. This is a unique video case in which we used the Boškoski-Costamagna ERCP trainer, a duodenoscope and a specially designed pen, to write the word ERCP. This video shows to young …

Continue reading New methods of teaching the axis in ERCP: Can I write my name?

Flexible endoscopic management of Zenker’s diverticulum

Post written by Kondal Kyanam Kabir Baig, MBBS, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. We described a case of an elderly gentleman with cardiac comorbidities with symptomatic Zenker’s diverticulum and, in particular, a history of undergoing a Heimlich maneuver for choking. We used …

Continue reading Flexible endoscopic management of Zenker’s diverticulum

ESD pocket technique for removal of recurrent colonic lesion

Post written by Hiroyuki Aihara, MD, PhD, from the Division of Gastroenterology, Hepatology, and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. This patient underwent an endoscopic piecemeal removal of an 11-mm flat lesion in the sigmoid colon in 2011. Her follow-up colonoscopy in 2016 revealed a 30-mm recurrent lesion at the …

Continue reading ESD pocket technique for removal of recurrent colonic lesion

Management of an esophagojejunal anastomotic stricture using a LAMS

Post written by Ryan Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. We present a 56-year-old woman with history of lupus and laparoscopic Roux-en-Y gastric bypass (RYGB), complicated by a persistent anastomotic ulcer ultimately requiring partial gastrectomy and esophagojejunostomy who was referred for endoscopic management of an esophagojejunal (EJ) …

Continue reading Management of an esophagojejunal anastomotic stricture using a LAMS

A hybrid endoscopic technique to close tracheoesophageal fistula

Post written by Maoyin Pang, MD, PhD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA. A 56-year-old male with a history of laryngeal malignancy status post laryngectomy and permanent tracheostomy and tracheoesophageal voice prosthesis placed 12 years ago was referred to our clinic for recurrent aspiration of both liquid and solid …

Continue reading A hybrid endoscopic technique to close tracheoesophageal fistula

EUS evaluation of liver lesions

Post written by Muhammad Nadeem Yousaf, MD, and Harry R. Aslanian, MD, from the Department of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, Connecticut, USA. In our video case series, we present endoscopic ultrasound (EUS) imaging of common benign and malignant liver lesions. The cases presented include: liver cyst …

Continue reading EUS evaluation of liver lesions

EUS imaging of dead Ascaris

Post written by Malay Sharma, MD, DM, from the Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Uttar Pradesh, India. A 4-year-old Indian boy presented with recurrent biliary colic and jaundice for 2 weeks. Laboratory investigations revealed obstructive jaundice. Abdominal ultrasonography (USG) revealed a normal gallbladder, intrahepatic biliary radicles dilation, and a dilated common bile …

Continue reading EUS imaging of dead Ascaris