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 …

Continue reading Cholecystoduodenostomy and duodenal stenting

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. …

Continue reading Making EUS-guided biliary drainage safer

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 …

Continue reading Antegrade biopsy by using a trans-catheter technique

Antegrade transpapillary placement of a metal biliary stent

Payal Saxena, MD from Johns Hopkins Hospital in Baltimore, Maryland, USA and the Chris O’Brien Lifehouse at RPA in Camperdown, New South Wales, Australia describes this VideoGIE case "EUS-guided biliary drainage with antegrade transpapillary placement of a metal biliary stent." EUS-guided biliary drainage with antegrade transpapillary metallic stent is demonstrated in 2cases of malignant, biliary obstruction. …

Continue reading Antegrade transpapillary placement of a metal biliary stent

Single-session, transgastric ERCP

Rajeev Attam, MD from the Division of Gastroenterology at the University of Minnesota in Minneapolis, Minnesota, USA describes this VideoGIE case "Single-session, transgastric ERCP using sutured gastropexy for treatment of pancreatic duct leak in a patient with Roux-en-Y gastric bypass anatomy and pancreatic divisum." Our video case describes transgastric ERCP in a patient with Roux-en-Y …

Continue reading Single-session, transgastric ERCP

Cholangioscopy intervention for anastomotic biliary stricture

Shiva Kumar, MD, MS, FASGE from the Center for Liver Disease & Transplantation, Aurora St. Luke’s Medical Center, Milwaukee, Wisconsin and the Digestive Disease Institute, Cleveland Clinic, Abu Dhabi, Abu Dhabi, UAE discusses this VideoGIE case,"Cholangioscopy-directed endoscopic intervention for post–liver transplantation anastomotic biliary stricture." A 59-year-old man presented with a cholestatic liver profile 20 months …

Continue reading Cholangioscopy intervention for anastomotic biliary stricture

Common indications for transoral flexible endoscopic suturing

Vivek Kumbhari, MD from the Department of Medicine and Division of Gastroenterology and Hepatology at The Johns Hopkins Medical Institutions in Baltimore, Maryland, USA presents this case from VideoGIE, "Common indications for transoral flexible endoscopic suturing." This video introduces the OverStitch flexible endoscopic suturing system (Apollo Endosurgery, Austin, Tx, USA). We demonstrate the use of …

Continue reading Common indications for transoral flexible endoscopic suturing

Novel technique for over-the-scope clip application

Brian P. Riff, MD from the Division of Gastroenterology, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania in Philadelphia, Pennsylvania, USA describes this VideoGIE case, "A novel technique for over-the-scope clip application: a safer and more secure method." The video case demonstrates our preferred technique for closing persistent gastrocutaneous fistulas (GCF). …

Continue reading Novel technique for over-the-scope clip application

A second chance at EMR

Milan S. Bassan, MBBS (Hons) FRACP from the Division of Gastroenterology, Department of Medicine at the Center of Advanced Therapeutic Endoscopy and Endoscopic Oncology in Toronto, Ontario, Canada and the Department of Gastroenterology and Hepatology, Liverpool Hospital in Liverpool, New South Wales, Australia shares this VideoGIE case "A second chance at EMR: the avulsion technique to complete resection within …

Continue reading A second chance at EMR

Colonic Dieulafoy’s lesion

Shiva Kumar, MD, MS, FASGE from the Center for Liver Disease & Transplantation, Aurora St. Luke’s Medical Center, Milwaukee, Wisconsin and the Digestive Disease Institute, Cleveland Clinic, Abu Dhabi, Abu Dhabi, UAE reports on this video case, "Colonic Dieulafoy’s lesion."  An 85-year-old male presented with transfusion dependent anemia secondary to recurrent episodes of rectal bleeding. Given …

Continue reading Colonic Dieulafoy’s lesion