Post written by Radhika Chavan, MD, DNB, from the Ansh Clinic, Ahmedabad, Gujarat, India. A 24-year man diagnosed with a type II gastric neuroendocrine tumor (NET) (size <20 mm) underwent endoscopic submucosal dissection (ESD) after multidisciplinary discussion. During distal extension of the initial incision, bleeding started and abruptly became profuse. Initial attempts to control the bleeding using …
Category: VideoGIE
Introducing antireflux mucoplasty with valve: a novel endoscopic treatment for GERD
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This video case introduces the effectiveness of antireflux mucoplasty (ARM-P) with valve (ARM-P/V) for proton pump inhibitor—refractory GERD. Antireflux mucosectomy (ARMS) and antireflux mucosal ablation (ARMA) are effective treatments for proton pump inhibitor—refractory or dependent GERD, as supported …
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Star-Loop: a novel, low-cost method of multipoint traction for colonic endoscopic submucosal dissection
Post written by Ciaran Judge, MD, MB, BCh, BAO, and Niroshan Muwanwella, MD, from the Royal Perth Hospital, Perth, Western Australia, Australia. Endoscopic submucosal dissection (ESD) is an important tool for resection of colorectal lesions with features suggestive of superficial submucosal invasion. However, resection of proximal lesions can be challenging for several reasons. We present the case of a 68-year-old man …
Immersion endoscopic submucosal dissection with saline pressure method for duodenal sessile serrated lesion with severe surgical scar fibrosis
Post written by Chen-Shuan Chung, MD, MSc, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan. In this case, we described a modified endoscopic submucosal dissection (ESD) method for management of a fibrotic duodenal neoplasm. A 77-year-old woman presented with a 2.5-cm 0-IIa lesion on a surgical …
Endoscopic tips for intragastric balloon use for obesity: what you need to know
Post written by Carlos Paolo Francisco, MD, FPCP, FPSG, FPSDE, from Singapore General Hospital, Singapore, Singapore, and St. Luke's Medical Center–Global City, Manila, Philippines. The intragastric balloon (IGB) offers a less-invasive alternative for managing obesity and its associated comorbidities, whether as a primary intervention or a bridge to bariatric surgery. Despite IGB's potential to address the …
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Two-stage endoscopic resection for a huge gastric tumor at the fornix
Post written by Nao Takeuchi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. Our video presents a case of two-stage endoscopic resection (TSER) for a large gastric tumor located at the fornix. The tumor, over 10 cm in size, had a villous structure, and a biopsy suggested pyloric gland adenoma. Because of …
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A novel approach to treating buried bumper complicating PEG gastropexy
Post written by Andrew Storm, MD, and Navtej Buttar, MD, from Mayo Clinic, Rochester, Minnesota, USA. Managing buried bumper that is complicating PEG tube placement may be challenging and risky, particularly when this occurs acutely after PEG tube placement, where simple PEG tube removal to permit healing is impossible. In this case, we describe the use of OverStitch …
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Endoscope traction technique to facilitate over-the-wire biliary cannulation during EUS-guided rendezvous
Post written by Ahmed Altonbary, MD, FRCP, FESGE, from Mansoura Specialized Medical Hospital, Mansoura University, Mansoura, Egypt. We describe the "endoscope traction" technique to facilitate over-the-wire biliary cannulation during EUS-guided rendezvous, an effective salvage technique for failed biliary cannulation during ERCP. Technically challenging steps in this technique include biliary puncture, guidewire manipulation, and biliary cannulation using the …
Cap-assisted snare capture technique for resection of fibrotic large polyps
Post written by Muhammad Nadeem Yousaf, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology, University of Missouri–Columbia, Columbia, Missouri, USA, and Ahmed Saeed, MD, from the the Department of Medicine, Division of Gastroenterology and Hepatology, University of Missouri–Columbia, and HCA Midwest Health, Kansas City, Kansas, USA. EMR of nonlifting or fibrotic polyps may pose challenges, especially …
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Endoscopic Braun enteroenterostomy for the management of severe bile acid reflux following Whipple surgery
Post written by Shailendra Singh, MD, and Ethan M. Cohen, MD, from the Department of Gastroenterology & Hepatology, West Virginia University, Morgantown, West Virginia, USA. We present a case of a 63-year-old woman who underwent a pancreaticoduodenectomy (Whipple procedure) for a rapidly expanding pancreatic head mass. Three years after the surgery, she developed severe persistent nausea and bilious emesis because …
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