Post written by Sukit Pattarajierapan, MD, from the Surgical Endoscopy Colorectal Division, Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. A 60-year-old man presented with intermittent abdominal pain. An abdominal CT scan showed colocolonic intussusception of the sigmoid with a 50-mm polypoid mass as the leading point. We performed a colonoscopy and found a giant …
Category: VideoGIE
Lost ampullary opening post endoscopic submucosal dissection: EUS-guided rendezvous shows the path
Post written by Darshan Parekh, MS, from Mumbai Institute of Gastroenterology, Mumbai, India, and Ken Ohata, MD, PhD, from NTT Medical Center Tokyo, Tokyo, Japan. An 80-year-old man underwent resection of an approximately 30-mm ampullary tumor by endoscopic submucosal dissection (ESD). Post-ESD biliary and pancreatic diversion was attempted, but the ampullary opening could not be visualized in the post-ESD ulcer. Hence, …
Peroral endoscopic myotomy plus natural orifice transluminal endoscopic wrap release for dysphagia after laparoscopic Heller myotomy and Dor fundoplication
Post written by Amol Bapaye, MD (MS), FASGE, FJGES, FISG, MSGEI, from the Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune, India. Our patient had a tight wrap after laparoscopic Heller myotomy and fundoplication for achalasia cardia. Repeat balloon dilatation of the lower esophageal sphincter had failed to provide adequate symptom response. …
EUS-guided pancreaticoduodenostomy using a lumen-apposing metal stent as a primary approach to treat difficult pancreatolithiasis: creating a side door to unlock the front door
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. A 55-year-old man with chronic calcific pancreatitis presented with abdominal pain and 12-pound weight loss. Abdominal CT and MRCP showed a large burden of calcified obstructive pancreatic duct (PD) stones above the papilla resulting in upstream PD dilatation measuring 19 mm. We discussed the …
Creation of new anastomosis for management of obstructive symptoms related to gastrojejunal anastomosis in patients who undergo gastric bypass: a case series
Post written by Shailendra Singh, MD, and Rohit Agrawal, MD, from West Virginia University, Morgantown, West Virginia, USA. We present a case series of 6 patients with Roux-en-Y gastric bypass who were referred for management of obstructive symptoms related to gastrojejunal (GJ) anastomosis. Our patients had failed pneumatic dilations and/or endoscopic stent therapy for severe refractory GJ stenosis with …
Handmade snare-assisted endoscope tip-bending angulation booster
Post written by Marc Julius H. Navarro, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan, the Institute of Digestive and Liver Diseases, St. Luke’s Medical Center, Quezon City, and the Department of Medicine, Section of Gastroenterology, Makati Medical Center, Makati, Philippines. Endoscopic interventions require precise control of the endoscope tip. Inadequate …
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TeXture and color enhancement Imaging-assisted precutting: 3 case reports
Post written by Atsushi Saito, MD, Shugo Fujibayashi, MD, PhD, Tamaki Momoi, MD, and Tsuneshi Fujii, MD, PhD, from the Department of Gastroenterology, Japanese Red Cross Asahikawa Hospital, Asahikawa, Hokkaido, Japan. We discussed 3 cases of successful biliary cannulation using precutting with TeXture and color enhancement Imaging (TXI) in patients with obstructive jaundice caused by pancreatic head cancer. In all 3 cases, the …
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Directional movement guide for digital single-operator cholangioscopy system
Post written by Justin Ryan L. Tan, MD, from the Section of Gastroenterology, Chinese General Hospital and Medical Center, Manila, Philippines, and Weigang Gu, MD, from the Department of Gastroenterology, Affiliated Hangzhou First People's Hospital, Hangzhou, China. Although cholangioscopy has undergone increasing therapeutic applications, standardized training remains a significant challenge. Our team has focused on simplifying device …
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Novel approach for weight reduction after Roux-en-Y gastric bypass with weight regain: a combination of Bariatric Anastomotic Reduction System with tubularization of residual gastric pouch
Post written by Rakesh Kalapala, MD, DNB, from the Department of Medical Gastroenterology, AIG Hospitals and Asian Institute of Gastroenterology, Hyderabad, Telangana, India. The combination of the Bariatric Anastomotic Reduction System (BARS) with endoscopic sleeve gastroplasty (ESG) of the residual gastric pouch would cause significant anastomotic lumen reduction, with decrease of the size of the residual gastric pouch …
The open accordion: a novel application of endoscopic sleeve gastroplasty for the treatment of refractory gastroparesis
Post written by Alexander J. Podboy, MD, from the University of Virginia, Charlottesville, Virginia, USA. Gastroparesis is a debilitating condition that leads to poor quality of life. Although gastric peroral endoscopic myotomy (G-POEM) has emerged as a novel treatment, its success rates are variable, and options for patients with refractory symptoms remain limited. This video case introduces …
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