Category: VideoGIE

Endoscopic diverticulectomy and myotomy for epiphrenic diverticulum

On By GIEjournalIn VideoGIELeave a comment

Post written by Fatih Aslan, MD, from the Department of Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. This case involved a 53-year-old woman who presented with dysphagia, chest pain, cough, and vomiting. Diagnostic evaluation revealed a 9-cm epiphrenic diverticulum along with an underlying esophageal motility disorder. We successfully treated this rare and complex condition through …

Continue reading Endoscopic diverticulectomy and myotomy for epiphrenic diverticulum

EUS-guided intervention in surgically altered anatomy to remove large biliary stone

On By GIEjournalIn VideoGIELeave a comment

Post written by Azimudin Haja, MD, DM, Aniruddha Pratap Singh, DM, and Sundeep Lakhtakia, MD, DM, from AIG Hospitals, Hyderabad, India. Our case highlights the challenges faced in managing a patient with complex clinical problems several years after major surgery. The index patient who underwent curative pancreatoduodenectomy surgery 13 years ago for periampullary cancer presented with cholangitis because of a large …

Continue reading EUS-guided intervention in surgically altered anatomy to remove large biliary stone

Duodenoscopy-assisted diagnosis and management of a duodenal varix

On By GIEjournalIn VideoGIELeave a comment

Post written by Kar Wai Lau, MBBCh, BAO (Hon), MD, FRCP, from the Royal Stoke University Hospital, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, United Kingdom. This is a case of a patient who presented with significant upper GI bleeding with hemodynamic compromise. She had a history of alcohol excess, and there was suspicion of variceal …

Continue reading Duodenoscopy-assisted diagnosis and management of a duodenal varix

Management of delayed colonic perforation after endoscopic submucosal dissection: the over-the-scope clip way

On By GIEjournalIn VideoGIELeave a comment

Post written by Yohei Minato, MD, from NTT Medical Center Tokyo, Tokyo, Japan. The video case presents management of a delayed colonic perforation that occurred after endoscopic submucosal dissection (ESD) of a 40-mm superficial neoplastic lesion in the ascending colon. Although the ESD was uneventful, the patient developed abdominal pain the next day, and emergency colonoscopy revealed …

Continue reading Management of delayed colonic perforation after endoscopic submucosal dissection: the over-the-scope clip way

Ampullectomy of an unusual dysplastic lesion after deroofing of a type III choledochocele

On By GIEjournalIn VideoGIELeave a comment

Post written by Elena De Cristofaro, MD, PhD, from the Gastroenterology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy, and Mathieu Pioche, MD, PhD, from the Gastroenterology and Endoscopy Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France. We report a rare case of a type III choledochocele with a polypoid lesion suspicious for dysplasia. …

Continue reading Ampullectomy of an unusual dysplastic lesion after deroofing of a type III choledochocele

EUS-directed transgastric PEG for long-term enteral feeding in patients with Roux-en-Y gastric bypass anatomy

On By GIEjournalIn VideoGIELeave a comment

Post written by Christina S. Gainey, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. We present a novel method for placing a PEG tube into the excluded stomach of Roux-en-Y gastric bypass patients, allowing for bolus gastric feeding. Although percutaneous endoscopic jejunostomy tubes are standard …

Continue reading EUS-directed transgastric PEG for long-term enteral feeding in patients with Roux-en-Y gastric bypass anatomy

Endoscopic radical treatment of a giant ampullary tumor with biliopancreatic duct extensions using multimodality approaches

On By GIEjournalIn VideoGIELeave a comment

Post written by Kazuki Hama, MD, and Takao Itoi, MD, PhD, FASGE, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Ampullary tumors with intraductal extension are typically treated with pancreaticoduodenectomy, a procedure associated with significant morbidity, especially in elderly patients. Recently, endoscopic approaches using adjunctive ablative therapies such as intraductal radiofrequency ablation (ID-RFA) and argon …

Continue reading Endoscopic radical treatment of a giant ampullary tumor with biliopancreatic duct extensions using multimodality approaches

The submucosal pinch technique: a novel traction method for large colorectal endoscopic submucosal dissection

On By GIEjournalIn VideoGIELeave a comment

Post written by Tomoya Kimura, MD, from NTT Medical Center Tokyo, Tokyo, Japan. We introduce the pinch technique, a novel and effective traction method for endoscopic submucosal dissection in large colorectal lesions. This technique uses the “SureClip Traction Band” (Micro-Tech, Nanjing, China) to grasp lesion edges together, representing a completely new approach. It is particularly beneficial for …

Continue reading The submucosal pinch technique: a novel traction method for large colorectal endoscopic submucosal dissection

Hand-suturing–assisted traction technique and closure in colon endoscopic submucosal dissection

On By GIEjournalIn VideoGIELeave a comment

Post written by Fatih Aslan, MD, from the Department of Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. In this case, we describe a hand-suturing—assisted traction technique and closure applied during endoscopic submucosal dissection (ESD) for a 3-cm laterally spreading tumor in the cecum of a 47-year-old man. The technique used a barbed suture to facilitate …

Continue reading Hand-suturing–assisted traction technique and closure in colon endoscopic submucosal dissection

Knife-assisted full-thickness resection guided by pocket detection method for detection and complete excision of deeply invasive rectal cancer

On By GIEjournalIn VideoGIELeave a comment

Post written by Maria Eva Argenziano, MD, from the Clinic of Gastroenterology, Hepatology and Emergency Digestive Endoscopy, Università Politecnica delle Marche, Ancona, Italy, Department of Gastroenterology & Hepatology, University Hospital Ghent, and Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium, and David James Tate, MBBS, MA (Cantab), MRCP, PhD, from the Department of Gastroenterology & Hepatology, …

Continue reading Knife-assisted full-thickness resection guided by pocket detection method for detection and complete excision of deeply invasive rectal cancer