Lianyong Li, MD, PhD and Qiang Cai, MD, PhD, from the Department of Gastroenterology, PLA 306th Hospital, Beijing, China and the Department of Medicine, Division of Digestive Diseases, Emory University School of Medicine, Atlanta, Georgia, USA, respectively, present this video case. A 62-year-old male with Zenker’s diverticulum (ZD) underwent endoscopic diverticulectomy for dysphagia and weight …
Continue reading Endoscopic treatment of Zenker’s diverticulum
Claudio Zulli, MD, from the Gastroenterology and Digestive Endoscopy Unit, NOCSAE Hospital, AUSL, Modena presents this video case. A 58-year-old man was referred to the Transplant Unit for an “urgent” orthotopic liver transplantation (OLT) due to decompensated alcoholic liver cirrhosis. Abdominal ultrasound (US) and a CT-scan revealed a mild left intra-hepatic biliary duct dilation and an …
Post written by Ryosuke Tonozuka, PhD, MD, from the Department of Gastroenterology and Hepatology, at the Tokyo Medical University in Tokyo, Japan This video shows antegrade therapy using this new digital per-oral cholangioscope (DPCS) through the EUS-guided hepaticogastrostomy (EUS-HGS) route for a stricture of the biliojejunal anastomotic site. Digital per-oral cholangioscope with good visualization through the EUS-HGS route …
Continue reading Recanalization after biliojejunostomy using new digital per-oral cholangioscope
Alan H. Tieu, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology, The Johns Hopkins University School of Medicine, Baltimore, Maryland presents this video case. Therapy for symptomatic epiphrenic diverticulum typically involves surgical myomectomy or diverticulectomy with high morbidity. We demonstrate a purely endoscopic technique for the management of a large symptomatic epiphrenic …
Continue reading Management of a large symptomatic epiphrenic diverticulum
Jae Hee Cho, MD, PhD from the Division of Gastroenterology, Department of Internal Medicine, Gachon University, Gil Medical Center, Incheon, Republic of Korea presents this video case. A patient who underwent biliary plastic stent placement for pancreatic head cancer with central bile duct (CBD) invasion was admitted for hematochezia. Abdominal enhanced computed tomography (CT) showed …
Post written by Maiko Takita, MD, from the Department of Gastroenterology, NTT Medical Center Tokyo, in Tokyo, Japan Endoscopic resection for cecal tumors extending to the appendiceal orifice is difficult because the margin cannot be often tracked entirely, in addition to the higher risk of perforation. Here we report a case of a colonic tumor …
Enqiang Linghu from the Department of Gastroenterology, Hepatology and Endoscopy at Chinese PLA General Hospital, Beijing, China presents this video case. The video demonstrated 3 kinds of submucosal tunneling techniques that were simultaneously performed through 1 tunnel in a 53-year-old female patient, namely submucosal tunneling endoscopic resection (STER), submucosal tunneling endoscopic diverticulotomy (STED), and per-oral …
Continue reading Through one tunnel, POEM, STER, and STED simultaneously operated
Post written by Hiroyuki Aihara, MD, PhD from the Division of Gastroenterology, Hepatology, and Endoscopy at Brigham and Women’s Hospital, Harvard Medical School, in Boston, Massachusetts, USA Two technically challenging endoscopic submucosal dissection (ESD) cases are described in this video. The first gastric ESD was complicated by prior tattooing and incomplete resection, which caused significant …
Kenichiro Imai from the Division of Endoscopy, Shizuoka Cancer Center presents this video case. We demonstrated complete circumferential colorectal endoscopic submucosal dissection (ESD) using an insulated-tip knife. Colonoscopy in a 70-year-old woman showed a 15-cm circumferential laterally spreading tumor (LST) in the upper rectum. Through the use of magnified endoscopy, we diagnosed non-invasive cancer, so we …
Post written by David Prichard, MB., BCh., PhD, from the Division of Gastroenterology, Mayo Clinic Health System La Crosse, La Crosse, Wisconsin, USA This video discussed the evaluation and management options for a large pedunculated duodenal polyp. It demonstrates, in a stepwise fashion, the process we utilized to perform the polypectomy. Polypectomy in the duodenum is …
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