Juan J. Vila, MD, from the Biliary and Pancreatic Diseases Unit, Endoscopy Unit, Complejo Hospitalario de Navarra in Pamplona, Spain presents this VideoGIE case, "EUS-guided transgastric drainage of a peripancreatic collection containing an arterial bypass graft." This video case describes drainage of an infected pancreatic collection in a patient with previous abdominal vascular surgery because …
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Ryan Law, DO, from the Division of Gastroenterology at the University of Michigan in Ann Arbor, Michigan, USA, shares this case from the VideoGIE section, "Endoscopic transhepatic cholangiography with antegrade transanastomotic stent placement in a liver transplantation patient with Roux-en-Y hepaticojejunostomy." Our case describes the endoscopic treatment of a hepaticojejunostomy stricture in an adult patient …
Hideaki Harada, MD, from the Department of Gastroenterology, New Tokyo Hospital, Chiba, Japan presents this VideoGIE case "Inverted frontal view method facilitates bile duct cannulation via the intact papilla in patients with Roux-en-Y anastomosis." An 85-year-old-man who had undergone total gastrectomy plus Roux-en-Y reconstruction was referred to our department with calculus-related cholangitis. We describe the …
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Ryan Law, DO, from the Division of Gastroenterology at the University of Michigan in Ann Arbor, Michigan, USA, presents this VideoGIE case, "EUS-guided gastroduodenostomy for gastric outlet obstruction related to chronic pancreatitis." We present a patient with gastric outlet obstruction from chronic pancreatitis who underwent EUS-guided gastroduodenostomy to relieve her obstruction. Her CT scan demonstrated …
Chang-Il Kwon, MD, and Stuart Sherman, MD, from the Division of Gastroenterology/Hepatology, Indiana University School of Medicine, in Indianapolis, Indiana, USA present this VideoGIE case, "Large impacted pancreatic stone removed with single-operator pancreatoscopy and electrohydraulic lithotripsy." In patients with obstructive chronic calcific pancreatitis, endoscopic decompression of the main pancreatic duct with stone removal is an …
Fabio Shiguehissa Kawaguti, MD, from the Cancer Institute, São Paulo University Medical School, in São Paulo, Brazil share this VideoGIE case, "Endoscopic radial incision and cutting procedure for a colorectal anastomotic stricture." We present a patient with rectal cancer that was treated by surgical resection and temporary ileostomy and presented colorectal anastomotic stricture at the …
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Alberto Larghi, MD, PhD, from the Digestive Endoscopy Unit, Catholic University, in Rome, Italy discusses this VideoGIE case "Single-session EUS-guided FNA and biliary drainage with use of a biflanged lumen apposing stent on an electrocautery enhanced delivery system: one-stop shop for unresectable pancreatic mass with duodenal obstruction." The video case describes the possibility of performing, …
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Luis F. Lara, MD, from Cleveland Clinic Florida, in Weston, Florida, USA describes this VideoGIE case "Diamond-shaped flexible endoscopic cricopharyngeal myotomy for treatment of Zenker's diverticulum." A 93-year-old male with cervical kyphosis and osteophytes presented with progressive dysphagia with weight loss due to enlarging Zenker’s diverticulum (3 cm deep). ENT refused surgery. After endotracheal intubation …
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Nobuhito Ikeuchi, MD, Department of Gastroenterology and Hepatology at Tokyo Medical University in Tokyo, Japan presents this video case “One-step EUS-guided gastrojejunostomy with use of lumen-apposing metal stent for afferent loop syndrome treatment.” Afferent loop syndrome is an adverse event of several types of gastric surgery and often causes patient suffering. However, retrograde endoscopic decompression …
Alireza Sedarat, MD, Division of Digestive Diseases, Department of Medicine, University of California Los Angeles, in Los Angeles, California, USA presents this VideoGIE case "Electrohydraulic lithotripsy and removal of a gallstone obstructing the duodenum: Bouveret syndrome." The case describes an elderly patient with advanced gallbladder cancer who presented with emesis and a presumptive diagnosis of …
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