EUS-guided pancreatic drainage for recurrent pancreatitis

Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weil Cornell Medical College, Cornell University, in New York, New York, USA presents this video case "EUS-guided pancreatic drainage for recurrent pancreatitis." This case describes a 71-year-old female with recurrent pancreatitis and a tight pancreatic duct (PD) stricture that was unable to be crossed during …

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Endoscopic palliative treatment using SEMS

Adriana Vaz Safatle-Ribeiro, MD, PhD, from the Cancer Institute of São Paulo, University of São Paulo, São Paulo, Brazil presents this video case "Endoscopic palliative treatment using a metallic stent in a patient with an obstructive jejunal metastasis." The video demonstrates the insertion and deployment of an uncovered self-expandable metal stent at the midjejunum in …

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Endoscopic sphincterotomy using isolated-tip needle-knife papillotome

 Ryosuke Tonozuka, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan shares this video case "Endoscopic sphincterotomy using an isolated-tip needle-knife papillotome after Billroth II gastrectomy." A needle knife papillotome (NKP) has been used instead of a standard sphincterotome knife for difficult endoscopic sphincterotomy (ES) in patients with a surgically altered …

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Stepwise endoscopic resection

 Alejandro L. Suarez, MD, from the Division of Gastroenterology & Hepatology at the Medical University of South Carolina in Charleston, South Carolina, USA writes about this video case "Stepwise endoscopic resection of a large gastric lipoma causing gastric outlet obstruction and GI bleeding." Lipomas of the gastrointestinal tract are slow growing tumors commonly found incidentally. …

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Treating refractory esophago-cutaneous fistula

Fernando P. Marson, MD, from the Hospital Sírio Libanês in São Paulo, Brazil presents this video case "Endoscopic esophagopexy for treatment of a refractory esophago-cutaneous fistula." The video showcases an interesting way of treating a refractory esophago-cutaneous fistula that had previously failed many standard endoscopic approaches. It is important to demonstrate that the approximation of …

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Cystgastrostomy with EUS-directed jejunogastric LAMS

Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weil Cornell Medical College, Cornell University, in New York, New York, USA shares this video case "EUS-directed jejunogastric lumen-apposing metal stent to facilitate cystgastrostomy in a patient with Roux-en-Y anatomy." This case describes a 54-year-old man with Roux-en-Y anatomy who presented with a symptomatic pancreatic …

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Removal of large GI stromal tumor at esophagogastric junction

Payal Saxena, MD, from Johns Hopkins Hospital in Baltimore, Maryland, USA and the Royal Prince Alfred Hospital in Sydney, Australia describes this video case "Submucosal tunneling and en bloc endoscopic resection facilitates laparoscopic transgastric removal of a large GI stromal tumor at the esophagogastric junction." Endoscopic resection of gastrointestinal stromal tumor (GIST) of the esophagogastric …

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Large muscle-layer defect closed using endoloop-clips technique

Motohiko Kato, MD, PhD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization, Tokyo Medical Center, in Tokyo, Japan share this video case "A large muscle-layer defect of the stomach caused by endoscopic submucosal dissection is closed by using the endoloop-clips technique." Endoscopic submucosal dissection (ESD) can remove endoscopically even for …

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Accidental removal of a biliary metallic stent

Koh Kitagawa, MD, from the Center for Gastroenterology, Teine-Keijinkai Hospital, in Sapporo, Japan presents this video case "Tornado effect: accidental removal of a biliary metallic stent on winding around a stent retriever." Our video case describes the accidental removal of a non-covered hilar self-expandable metallic stent(SEMS) placed in a partial “stent-in-stent” manner upon around a …

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Treatment for endoscopically obscured bleeding gastric varices

Raymond S. Tang, MD, from the Institute of Digestive Disease, The Chinese University of Hong Kong, Prince of Wales Hospital, in Hong Kong, China presents this VideoGIE case "EUS-guided cyanoacrylate injection for treatment of endoscopically obscured bleeding gastric varices." Variceal bleeding is still a potentially lethal adverse event of cirrhosis. While resuscitation, early use of …

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