Post written by Lady Katherine Mejia Perez, MD, and Victoria Gomez, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida. We report an interesting case of a 75-year-old woman with decompensated cirrhosis with recurrent calculous cholecystitis who was being managed with an indwelling percutaneous cholecystostomy tube (PCT) due to poor surgical candidacy. …
Category: VideoGIE
EUS-guided coiling of hepatic artery pseudoaneurysm in 2 stages
Post written by Malay Sharma, MD, DM, from the Jaswant Rai Specialty Hospital, Meerut, Uttar Pradesh, India. A 20-year-old man presented with right-upper quadrant abdominal pain for 2 months. He had undergone Ultrasound (US)-guided aspiration of a liver abscess 2 months previous. US of the abdomen showed a hepatic artery aneurysm. CT angiography (abdomen) confirmed …
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EUS-guided cyanoacrylate glue injection for treatment of anourethral fistula
Post written by Malay Sharma, MD, DM, from the Jaswant Rai Specialty Hospital, Meerut, Uttar Pradesh, India. A 35-year-old man presented with recurrent urinary tract infection requiring multiple courses of antibiotics for the past 15 years. He had undergone surgery for an imperforate anus at birth, and an anal stricture developed, which required repeated bougienage …
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EUS of bile-duct hydatid membrane
Post written by Malay Sharma, MD, DM, from the Jaswant Rai Specialty Hospital, Meerut, Uttar Pradesh, India. A 28-year-old Indian man presented with acute cholangitis. Transabdominal ultrasonography showed a right-lobe liver cyst and dilated common bile duct (CBD). EUS was performed with a linear echoendoscope before ERCP to ascertain the cause of cholangitis. Linear EUS …
Usefulness and safety of a scissors-type knife in ESD for non-ampullary duodenal epithelial tumors
Post written by Toshio Kuwai, MD, PhD, from the Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Kure, Japan. In this study, we describe 2 cases of duodenal endoscopic submucosal dissection (ESD) using a scissors-type knife, Stag Beetle (SB) Knife Junior (Jr) (Sumitomo Bakelite Co., Tokyo, Japan). Our first case …
Compilation of curvilinear-array EUS imaging demonstrating variant pancreatic ductal anatomy
Post written by Prabhleen Chahal, MD, from the Cleveland Clinic, Cleveland, Ohio, USA. This novel video is a compilation of linear EUS examinations clearly demonstrating 3 different variant pancreatic ductal anatomies encountered during clinical practice. Accompanying this EUS video is corroborating motion animation demonstrating the anatomical landmarks and scope position for delineation of variant anatomy. …
Metastatic melanoma presenting as malignant biliary obstruction of the CBD
Post written by Prapimphan Aumpansub, MD, from the Division of Gastroenterology, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand. A 67-year-old woman presented with progressive jaundice and passage of melena for 2 months. She had a history of malignant melanoma of the left flank which was completely resected 2 years …
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Short cap technique to complete EMR of very flat colorectal laterally spreading tumors
Post written by Nasim Parsa, MD, and Douglas K. Rex, MD, FASGE, from John Hopkins Hospital, Baltimore, Maryland, and Indiana University School of Medicine, Indianapolis, Indiana. In this video, we demonstrate the utility of a short cap placed over the colonoscope tip to facilitate endoscopic mucosal resection (EMR) of very flat portions of lateral spreading …
Use of hemostatic powder in bleeding portal hypertensive gastropathy
Post written by Sauid Ishaq, FRCP, from Birmingham City University, Birmingham, United Kingdom. Our video case report demonstrates the application and effectiveness of hemospray as a rescue therapy in acute bleeding from portal hypertensive gastropathy. PHG is a common and potentially fatal adverse event of cirrhosis, with severity correlating with the degree of portal hypertension. …
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Difficult intubation of a Zenker’s diverticulum with an acute angle
Post written by Sauid Ishaq, FRCP, from Birmingham City University, Birmingham, United Kingdom. We present this video case report of a 94-year-old woman referred with oropharyngeal dysphagia and previously failed intubation. Barium swallow had revealed Zenker’s diverticulum (ZD) and cricopharyngeal hypertrophy (CPH). Conventional intubation was unsuccessful despite multiple attempts. Eventually, a transparent cap was attached …
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