Post written by Seiichiro Abe, MD, from the Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan. A 80-year-old male underwent endoscopic submucosal dissection (ESD) for a circumferential esophageal squamous cell carcinoma, 70 mm in size, involving the middle and lower esophagus. Using a dual knife and IT knife nano, a semi-circumferential mucosal incision was made …
Continue reading Insulated tip knife tunneling technique with clip line traction
Post written by Michael M. Mwachiro, MBChB, from Tenwek Hospital, Bomet, Kenya. In this video, we describe the technique for placement of self-expanding metal stents (SEMS) for palliation of dysphagia due to esophageal malignancy without the use of optical or fluoroscopic visualization. The patient undergoes a video-endoscopic procedure to assess tumor length and proximal tumor …
Continue reading Esophageal stent placement without optical or fluoroscopic visualization
Post written by Kazuhiro Minami, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan. Recently, the interventional EUS procedure has been performed in many facilities; however, EUS-guided pancreatic drainage (EUS-PD) remains extremely technically challenging. Generally, the normal pancreatic duct is too narrow to cannulate, and …
Continue reading Successful EUS-guided nondilated pancreatic duct stent placement
Post written by Yusuke Hashimoto, MD, from the Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East, Kashiwa, Japan. This case describes a 76-year-old woman with unresectable pancreatic head cancer who presented with hematemesis that was complicated by multinodular duodenal varices originating from a posterior lower pancreatic vein viewed on CT scan. Banding …
Post written by Harry R. Aslanian, MD, from Section of Digestive Diseases, Yale University School of Medicine, Yale University, New Haven, Connecticut, USA. A middle-aged man presented with episodic dysphagia and weight loss. Radiologic interpretation of an upper GI series and CT scan were inconclusive. Prior EGD reported inability to pass the scope out of …
Continue reading Endoscopic diagnosis of paraesophageal hernia with gastric volvulus
Post written by Dennis Yang, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida. A 59-year-old man with newly diagnosed metastatic pancreatic cancer was referred for endoscopic treatment of concomitant gastric outlet obstruction and malignant biliary obstruction. Endoscopy revealed a severe type I stricture. ERCP was performed with successful placement of …
Continue reading The use of a LAMS for a short malignant duodenal stricture
Post written by Ryan Law, DO, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan. We present a case of a 59-year-old man with stage IV colorectal cancer with extensive metastatic disease to his liver who underwent EUS-guided internalization of his percutaneous transhepatic biliary drainage (PTBD) catheter utilizing an EUS-guided hepaticogastrostomy …
Post written by Armin Küllmer, MD, from the Department of Medicine I, Klinikum Ludwigsburg, Ludwigsburg, Germany. We proudly present our video of an endoscopic jejunojejunostomy in order to bypass an obstructed efferent loop after subtotal gastrectomy with Roux-en-Y reconstruction. The endoscopic anastomosis was made using a lumen-apposing stent. The patient suffered from daily vomiting and …
Continue reading Endoscopic jejunojejunostomy by use of a lumen-apposing self-expandable metal stent
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. …
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 …
Continue reading EUS-guided coiling of hepatic artery pseudoaneurysm in 2 stages
