Dr. Roy J Mukkada, MD, DNB, from the Department of Gastroenterology & Hepatology, VPS Lakeshore Hospital, Kochi, Kerala, India, presents this video case. A 65-year-old man (an alcoholic and a smoker) presented with recurrent abdominal pain, weight loss, and loss of appetite. He was known to have had chronic calcific pancreatitis since 2014. CT of …
Continue reading EUS-guided coiling for bleeding duodenal collateral vessel
Gabriel D. Lang, MD, from the Division of Gastroenterology, Washington University, Saint Louis, Missouri, presents this video case. A 67-year-old female with locally advanced duodenal adenocarcinoma with previous metal biliary and enteral stents presented with jaundice. The cholangiogram demonstrated a complete obstruction at the proximal end of the stent. Multiple attempts to advance a variety …
Continue reading Completely obstructed bile duct? Let cholangioscopy guide the way
Saikiran Raghavapuram, MD, Mohit Girotra, MD, FACP, and Benjamin Tharian, MD, MRCP, FRACP, from the University of Arkansas for the Medical Sciences present this video case. We present a 63-year-old male with a history of orthotopic liver transplantation 3 years ago, who presented with cholestatic jaundice. Work up revealed severe stricture of proximal common bile …
Continue reading Successful management of ischemic cholangiopathy
Ming-Yan Cai, MD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China, presents this video case. During a regular EGD exam, using a magnifying scope with narrow-band imaging (NBI) function, we observed a very interesting pattern of Ancylostoma duodenale. A male worm was coiled around a female one and the …
Continue reading Mating Ancylostoma Duodenale under Magnifying Endoscopy
Dr. Mohit Girotra, MD, FACP, and Dr. Benjamin Tharian, MD, MRCP, FRACP, from the Stanford University School of Medicine, Stanford, California and the University of Arkansas for Medical Sciences, Little Rock, Arkansas present this video case. A 73-year-old woman with failed prior ERCP for choledocholithiasis underwent successful endoscopic retrograde cholangiopancreatography (ERCP) with extraction of a …
Continue reading Successful removal of deeply migrated pancreatic stent
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 …
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