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
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
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
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 …
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 …
Post written by Lady Katherine Mejia Perez, MD, and Victoria Gómez, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA. We describe a case of a 58-year-old man with necrotizing pancreatitis of biliary origin who underwent endoscopic drainage of a large, 12-cm pancreatic collection consistent with walled-off necrosis. A 15-mm diameter …
Continue reading Massive bleeding after EUS-guided walled-off necrosis drainage
Post written by Ahmed Akhter, MD, Eric M. Nelsen, MD, and Deepak V. Gopal, MD, FRCP(C), FASGE, from the Division of Gastroenterology and Hepatology, University of Wisconsin, Madison, Wisconsin. In our video, an elderly male with several comorbidities including chronic kidney disease and type-2 diabetes mellitus presented with a 2 day history of melena. He …
Continue reading EMR of large periampullary neuroendocrine tumor
Post written by Yukitoshi Matsunami, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. In this video, we describe an EUS-guided rendezvous technique for refractory benign biliary stricture caused by postoperative bile-duct injury. A 60-year-old man underwent right-sided liver lobectomy for multiple liver metastases from an ascending colon cancer. After surgery, …
Continue reading EUS-guided rendezvous technique for refractory benign biliary stricture
Post written by Yohei Koyama, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography (BE-ERCP) has improved the outcomes of ERCP in patients with surgically altered anatomy. However, BE-ERCP requires high technical expertise, and biliary cannulation is often difficult. An 83-year-old man previously underwent total gastrectomy …
Continue reading “Two-devices-in-one-channel method” in a Roux-en-Y patient
Post written by Hisatomo Ikehara, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. The patient in this video case underwent endoscopic submucosal dissection (ESD) for a recurrent tumor in the cecum 11 months after initial piecemeal endoscopic mucosal resection (p-EMR). The recurrent tumor showed …
Continue reading ESD by use of a modified dental floss clip method for recurrent tumor in the cecum
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