Anchor technique to prevent stent migration

Truptesh H. Kothari MD, MS from the University of Rochester Medical Center in Rochester, New York, USA discusses this VideoGIE case "Anchor technique: prevention of intraluminal stent migration with the help of loop and clips." Our video describes one of the various methods to anchor the intraluminal stent from migration. A 50-year-old male with Roux-en-Y …

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EUS-guided pancreatic duct access and wire placement

Rajeev Attam, MD, from Kaiser Permanente, Downey, in Los Angeles, California, USA presents this video case "EUS-guided pancreatic duct access and wire placement to facilitate dorsal duct cannulation after failed ERCP." A 62-year-old woman was referred to us for management of recurrent pancreatitis in a setting of pancreatic divisum. Imaging confirmed pancreatic divisum and revealed mildly …

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Optical coherence tomography after POEM

Amy Tyberg, MD, from Weill Cornell Medical College in New York, New York, USA presents this video case "Endoscopic optical coherence tomography as a tool to evaluate successful myotomy after a peroral endoscopic myotomy." This case describes a 51-year-old woman with achalasia who underwent a per-oral endoscopic myotomy (POEM) with complete resolution of her symptoms …

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Pulsating pseudoaneurysm in a walled-off necrosis

Shuntaro Mukai from the Department of Gastroenterology and Hepatology at Tokyo Medical University in Tokyo, Japan describes this VideoGIE case "Pulsating pseudoaneurysm in a walled-off necrosis." Our video case describes a pulsating pseudoaneurysm in the cavity of a walled-off necrosis (WON) diagnosed by endoscopy through a fully-covered biflanged metal stent (BFMS). Subsequently, the pseudoaneurysm was …

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Cholangioscopic evaluation of sectoral biliary stricture

Shyam Menon, MD, MRCP, MRCP(Gastro), PGDip (Epid), PGDip (Nutr), from the Department of Gastroenterology at the University Hospital Aintree in Liverpool, United Kingdom shares this VideoGIE case "Cholangioscopic evaluation of a sectoral biliary stricture." This video case demonstrates the application of a multidisciplinary approach to the management of a complex biliary stricture. A patient was …

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Endoscopic removal of eroded gastric lap band

Christopher J. DiMaio, MD, FASGE from the Icahn School of Medicine at Mount Sinai in New York, New York, USA shares this VideoGIE case "Mechanical lithotriptor-assisted endoscopic removal of an eroded gastric lap band." Our case involved a patient who experienced partial erosion of a gastric lap band into the stomach. Initial attempt at removing …

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Fistula closure using a ventricular septal occluder

Vivek Kumbhari, MD from the Department of Medicine and Division of Gastroenterology and Hepatology at The Johns Hopkins Medical Institutions in Baltimore, Maryland, USA shares this video case "Closure of a large, persistent enterocutaneous fistula by use of a ventricular septal occluder." We demonstrate the use of a ventricular septal occluder (Amplatzer; St Jude Medical, Plymouth, …

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Cholecystoduodenostomy and duodenal stenting

Ryan Law, DO, from Northwestern University, Feinberg School of Medicine, in Chicago, Illinois, USA presents this video case "Cholecystoduodenostomy and duodenal stenting for relief of biliary and gastric outlet obstruction." Our case describes the placement of a lumen-apposing stent into the gallbladder followed by placement of an uncovered metal duodenal stent for palliation in a …

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Making EUS-guided biliary drainage safer

Vivek Kumbhari, MD from the Department of Medicine and Division of Gastroenterology and Hepatology at The Johns Hopkins Medical Institutions in Baltimore, Maryland, USA shares this video case "EUS-guided biliary drainage made safer by a combination of hepaticogastrostomy and antegrade transpapillary stenting." A 61-year-old male presented with malignant biliary obstruction secondary to locally advanced pancreatic adenocarcinoma. …

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Antegrade biopsy by using a trans-catheter technique

Takeshi Ogura, MD, PhD from the Second Department of Internal Medicine, Osaka Medical College in Osaka, Japan shares this VideoGIE case "Antegrade biopsy by using a trans-catheter technique through EUS-guided hepaticojejunostomy." In our video, we described technical tips of antegrade biopsy and blushing cytology through endoscopic ultrasound-guided hepaticojejunostomy. First, we punctured the intrahepatic bile duct …

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