Nikhil A. Kumta, MD from the Division of Gastroenterology and Hepatology at Weill Cornell Medical College in New York, New York, USA presents this video case, "Salvage posterior peroral endoscopic myotomy." Peroral endoscopic myotomy (POEM) is a highly efficacious endoscopic treatment for achalasia. In this video, we present a patient who had an incomplete clinical …
Category: VideoGIE
Tamponade of a bleeding pseudocyst
Amy Tyberg, MD from Weill Cornell Medical College in New York, New York, USA presents this video case, "Tamponade of a bleeding pseudocyst with a fully covered metal stent." This video describes a case of an endoscopic-ultrasound (EUS) guided pseudocyst drainage that was complicated by bleeding into the cyst cavity seen on EUS imaging. The …
Endoscopic resection of giant esophageal leiomyoma
Vivek Kumbhari, MD from the Department of Medicine and Division of Gastroenterology and Hepatology at Johns Hopkins Medical Institutions in Baltimore, Maryland, USA presents this video case "Submucosal tunneling endoscopic resection of a giant esophageal leiomyoma." A 53-year-old woman presented for evaluation of a 2-month history of progressive dysphagia and chest pain. A chest CT …
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Pancreatic necrosectomy using lumen-apposing stent
Amy Tyberg, MD from Weill Cornell Medical College in New York, New York, USA presents this video case, "Pancreatic Necrosectomy when using a Lumen-Apposing Metal Stent." This video describes a case of a patient with pancreatic walled-off necrosis who failed endoscopic drainage using plastic pigtail stents and subsequently underwent successful endoscopic drainage with a fully-covered, …
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Bypassing the bypass
Nikhil A. Kumta, MD from the Division of Gastroenterology and Hepatology at Weill Cornell Medical College in New York, New York, USA presents this video case, "Bypassing the bypass: EUS-directed transgastric ERCP for Roux-en-Y anatomy." Patients with altered anatomy from a Roux-en-Y gastric bypass pose distinct challenges to performing endoscopic retrograde cholangiopancreatography (ERCP). In this …
Successful EMR of large adenoma
Ryan Law, DO from the Department of Gastroenterology and Hepatology at Northwestern University Feinberg School of Medicine in Chicago, Illinois, USA shares this case from the VideoGIE section "Prevention of delayed perforation after resection of a massive lateral wall duodenal polyp by using an anchored, fully-covered self-expandable metal stent." This video demonstrates successful endoscopic mucosal …
Transoral incisionless fundoplication
Nikhil A. Kumta, MD from the Division of Gastroenterology and Hepatology at Weill Cornell Medical College in New York, New York, USA presents this video case, "Transoral incisionless fundoplication for treatment of refractory GERD after peroral endoscopic myotomy." Medical management of gastroesophageal reflux disease with proton pump inhibitors is effective in 70-80% of patients. For …
Reintervention for an occluded metal stent
Tsukasa Ikeura, MD, PhD from the Third Department of Internal Medicine, Kansai Medical University, in Osaka, Japan shares this video case from the VideoGIE section, "Reintervention for an occluded metal stent under the guidance of peroral direct cholangioscopy by using an ultra-slim enteroscope." A patient who had undergone partial gastrectomy with Roux-en-Y gastrojejunostomy for gastric …
Endoscopic hemostatic forceps for uterine cervical bleeding
Hideki Kobara, MD, PhD and Yasuhiro Goda, MD from the Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University in Kagawa, Japan presents this video case, "Application of endoscopic hemostatic forceps for uterine cervical bleeding." In our present video, first-ever application of endoscopic hemostatic forceps for active cervical bleeding is described. This idea is …
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Small-intestinal volvulus after subtotal colectomy
Jennifer M. Kolb from the Icahn School of Medicine at Mount Sinai in New York shares this video case "Small-intestinal volvulus after subtotal colectomy visualized during colonoscopy." We present an unusual case of a 61-year-old female with chronic intermittent abdominal pain and distension months after laprascopic cholecystectomy and subtotal colectomy with ileosigmoid anastamosis. Colonoscopy revealed …
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