Diamond-shaped flexible endoscopic myotomy for Zenker’s diverticulum

 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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One-step EUS-guided gastrojejunostomy

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 …

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Electrohydraulic lithotripsy and gallstone removal

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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Cholangioscopic visualization of Fasciola hepatica

Shugo Fujibayashi, MD, from the Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University in Asahikawa, Hokkaido, Japan shares this video case "Intraductal cholangioscopic visualization of moving Fasciola hepatica." A 75-year-old Japanese male visited a private hospital with abdominal pain and jaundice in October 2013. Because magnetic resonance cholangiopancreatography showed a filling defect …

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ESD recanalization of esophageal obstruction

Georgios Mavrogenis, MD, from the Department of Hepatogastroenterology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, in Brussels, Belgium describes this VideoGIE case "Recanalization of a complete postradiation esophageal obstruction with endoscopic submucosal dissection techniques." This video presents the management of a 30 cm post radiation esophageal obstruction by means of endoscopic submucosal dissection (ESD) techniques. …

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EUS-guided trans-aortic FNA

Nah Kyum Lee, MD, and Do Hyun Park, MD, PhD, from the Division of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, in Seoul, South Korea present this VideoGIE case "EUS-guided trans-aortic fine-needle aspiration for intra-abdominal plasmacytoma in a patient with multiple myeloma." Our video case describes EUS-guided trans-aortic fine-needle aspiration (FNA) for …

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Flexible endoscopic Zenker’s diverticulotomy

Alan H. Tieu, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology, at The Johns Hopkins University School of Medicine in Baltimore, Maryland, USA shares this video case "Flexible endoscopic Zenker’s diverticulotomy." We demonstrate a technique of flexible endoscopic diverticulotomy for management of Zenker’s diverticulum (ZD). A 73-year-old male presents with dysphagia, regurgitation, …

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Endoscopic features of lymphoproliferative diseases

Georgios Mavrogenis, MD, from the Department of Hepatogastroenterology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, in Brussels, Belgium describes this VideoGIE case "Endoscopic features of lymphoproliferative diseases." This video presents a case series of common and rare lymphomas of the GI tract. Diagnosis of lymphomas is challenging. Lymphoproliferative disorders of the GI tract are rare …

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Ruptured varix: tips to tackle the demon

Vishal Ghevariya, MD, from Eden Medical Center in Castro Valley, California, USA describes this video case "Ruptured varix: tips to tackle the demon." A 36-year-old man with alcohol induced liver cirrhosis presented with hematemesis. After initial resuscitation, an upper endoscopy was performed. Several columns of Grade III varices were noted in the esophagus. Two fibrin …

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Drainage of infected pancreatic necrosis

Amy Tyberg, MD, from Weill Cornell Medical College in New York, New York, USA shares this video case "Drainage of infected pancreatic necrosis by using 2 lumen-apposing metal stents, a nasocystic drain, and hydrogen peroxide." This case describes a 55-year-old man with an infected, 16cm walled-off necrotic pancreatic fluid collection. Standard cystgastrostomy into the proximal …

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