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 …
Category: VideoGIE
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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Management of a Dieulafoy ulcer bleed with an over-the-scope clip
Post written by Malay Sharma, MD, DM, from the Jaswant Rai Speciality Hospital. This video shows the EUS features of Dieulafoy ulcer and its possible role in diagnosis of obscure overt GI bleeding. The OTSC can play an important role in the treatment of Dieulafoy ulcer. A 50-year-old man presented with massive hematemesis. Upper-Gastrointestinal (GI) …
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ESD with a scissors-type knife for post-EMR recurrence tumor
Post written by Toshio Kuwai, MD, from the Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center in Hiroshima, Japan. Endoscopic submucosal dissection (ESD), although routinely performed, can prove to be challenging in areas where endoscopic mucosal resection (EMR) has already been performed because of scarring and fibrosis. A 79-year-old woman …
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Endoscopic fenestration of a symptomatic esophageal duplication cyst
Post written by Theodore James, MD, from the University of North Carolina at Chapel Hill. We describe a case of a woman with dysphagia, found to have an esophageal duplication cyst. These are rare entities in adults and have classically required surgical resection. We describe a novel technique for endoscopic fenestration of the cyst in …
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Biliary ascariasis: mimicker of biliary stent
Post written by Malay Sharma from the Jaswant Rai Speciality Hospital. We present a case of acute cholangitis due to biliary ascariasis mimicking biliary stent on ultrasonography. Biliary ascariasis is not commonly seen in western countries, hence the reason for showcasing this video. A 50-year-old-man presented with acute cholangitis. He underwent multiple ERCP procedures with …
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En bloc resection of a large symptomatic duodenal lipoma by ESD
Post written by Bing Hu, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, West China Hospital, Sichuan University, China. This video presents a case in which EGD showed a huge mass in the duodenum. There was a Forrest-type 2B ulcer at the distal end. CT and EUS characteristics were consistent for lipoma. On …
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Endoscopic salvage of a large EJA dehiscence
Post written by Omar Mousa, MBBS, from the Department of Gastroenterology and Hepatology, Mayo Clinic Florida. A 34-year-old woman with invasive gastric adenocarcinoma underwent total gastrectomy with en bloc splenectomy, distal esophagectomy, subtotal pancreatectomy, and intraoperative percutaneous jejunal tube placement. An esophagojejunostomy anastomosis (EJA) dehiscence was suspected 7 days after the initial procedure when the …
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Digital single-operator pancreatoscopy for evaluation of IPMN
Post written by David Albers, MD, from the Department of Gastroenterology, Elisabeth-Krankenhaus Essen, academic teaching hospital of the University of Duisburg-Essen. Main-duct-IPMN and mixed-type-IPMN are frequently associated with malignancy and usually leaded to surgery; however, branch-duct-IPMNs biologically behave more indolent. Prediction of malignancy is a crucial point to distinguish between surgical therapy and conservative management …
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