Lumen-apposing properties of EUS-specific stents

Anthony Yuen Teoh, FRCSEd ((Gen)), from the Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, in Hong Kong discusses this Original Article "Ex vivo comparison of the lumen-apposing properties of EUS-specific stents (with video)." Several endoscopic ultrasound-specific stents have become available. Some of these stents claim lumen-apposing properties but objective …

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Endoscopic palliative treatment using SEMS

Adriana Vaz Safatle-Ribeiro, MD, PhD, from the Cancer Institute of São Paulo, University of São Paulo, São Paulo, Brazil presents this video case "Endoscopic palliative treatment using a metallic stent in a patient with an obstructive jejunal metastasis." The video demonstrates the insertion and deployment of an uncovered self-expandable metal stent at the midjejunum in …

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ESD multi-tunnel dissection

Jun-Chao Wu, MD,  from the Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, in Sichuan, China discusses this New Methods article, "Endoscopic submucosal multi-tunnel dissection for circumferential superficial esophageal neoplastic lesions (with videos)." There are some technical challenges endoscopic submucosal tunnel dissection (ESTD) in treating circumferential esophageal neoplastic lesions. Based on the development …

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Endoscopic sphincterotomy using isolated-tip needle-knife papillotome

 Ryosuke Tonozuka, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan shares this video case "Endoscopic sphincterotomy using an isolated-tip needle-knife papillotome after Billroth II gastrectomy." A needle knife papillotome (NKP) has been used instead of a standard sphincterotome knife for difficult endoscopic sphincterotomy (ES) in patients with a surgically altered …

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Initial management and timing of endoscopy in nonvariceal UGIB

Navin L. Kumar, MD, and John R. Saltzman, MD, FASGE from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, in Boston, Massachusetts, USA discuss this Review article, "Initial management and timing of endoscopy in nonvariceal upper GI bleeding." The focus of our article was to review the existing literature on the initial …

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Stepwise endoscopic resection

 Alejandro L. Suarez, MD, from the Division of Gastroenterology & Hepatology at the Medical University of South Carolina in Charleston, South Carolina, USA writes about this video case "Stepwise endoscopic resection of a large gastric lipoma causing gastric outlet obstruction and GI bleeding." Lipomas of the gastrointestinal tract are slow growing tumors commonly found incidentally. …

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P-ESWL for stones coexisting with PPC

Zhao-Shen Li, MD, from the Department of Gastroenterology, Changhai Hospital, The Second Military Medical University, in Shanghai, China discusses this Original Article, "Extracorporeal shock wave lithotripsy is a safe and effective treatment for pancreatic stones coexisting with pancreatic pseudocysts." The focus of this study was the application of pancreatic extracorporeal shock wave lithotripsy (P-ESWL) in …

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Treating refractory esophago-cutaneous fistula

Fernando P. Marson, MD, from the Hospital Sírio Libanês in São Paulo, Brazil presents this video case "Endoscopic esophagopexy for treatment of a refractory esophago-cutaneous fistula." The video showcases an interesting way of treating a refractory esophago-cutaneous fistula that had previously failed many standard endoscopic approaches. It is important to demonstrate that the approximation of …

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EUS after failed ERCP

Joan B. Gornals, MD, PhD, from the Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de Bellvitge-IDIBELL, in Barcelona, Spain discusses this New Methods article "EUS-guided methylene blue cholangiopancreatography for benign biliopancreatic diseases after failed ERCP." The goal of this study was to describe and provide a new technique associated with interventional endoscopic ultrasound in …

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Cystgastrostomy with EUS-directed jejunogastric LAMS

Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weil Cornell Medical College, Cornell University, in New York, New York, USA shares this video case "EUS-directed jejunogastric lumen-apposing metal stent to facilitate cystgastrostomy in a patient with Roux-en-Y anatomy." This case describes a 54-year-old man with Roux-en-Y anatomy who presented with a symptomatic pancreatic …

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