James Y. W. Lau, MD, from the Department of Surgery, Chinese University of Hong Kong, in Hong Kong presents this VideoGIE case, “Over-the-scope clip treatment of refractory peptic ulcer bleeding.” This video describes the use of an over-the-scope clip (OTSC) in treating the chronic peptic ulcerations with refractory bleeding that fail angiographic embolization and endoscopic …
Continue reading OTSC treatment of refractory peptic ulcer bleeding
Hugo Uchima, MD, from the Gastrointestinal Endoscopy Department, Centro Médico Teknon, in Barcelona, Spain shares this video case, “Lumen-apposing metal stent for the treatment of refractory gastrojejunal anastomotic stricture after laparoscopic gastric bypass.” In this video case we show how a short fibrotic stricture can be treated successfully with a lumen-apposing metal stent. Our patient …
Continue reading Treating a refractory gastrojejunal anastomotic stricture
Associate Editor Dr. John Saltzman highlights this article “Balloon enteroscopy–assisted ERCP in patients with Roux-en-Y gastrectomy and intact papillae (with videos)” by Ishii et al as February’s Editor’s Choice. Performing ERCP in patients with Roux-en-Y gastric bypass (RYGB) is an increasingly common clinical scenario for advanced endoscopists. The anatomy poses unique challenges including reaching the ampulla …
Continue reading Editor’s Choice: Balloon enteroscopy–assisted ERCP
Xuefeng Lu, MD, from Qilu Hospital, Shandong University School of Medicine, in Jinan, China discusses this New Methods article "Facilitating retroflexed endoscopic full-thickness resection through loop-mediated or rope-mediated countertraction (with videos)." Our study focused on providing simple and effective methods to provide counter-traction during endoscopic resection of gastric submucosal tumors. Compared to laparoscopic surgery, endoscopic …
Continue reading Retroflexed endoscopic full-thickness resection
Kinichi Hotta, MD, from the Division of Endoscopy, Shizuoka Cancer Center, in Shizuoka, Japan describes this VideoGIE case "Early cecal cancer adjacent to the appendiceal orifice successfully treated by endoscopic submucosal dissection." The cecal tumor adjacent to the appendiceal orifice (CTAO) is considered one of the most difficult lesions to be treated by endoscopic resection. …
Alessandro Pezzoli, MD, from the Department of Gastroenterology, Endoscopy Unit, Sant'Anna Hospital Ferrara, in Ferrara, Italy shares this video case "Capsule endoscopy diagnosis of intestinal Taenia." We present here the video of a patient suffering of occult anemia, infected by a Taenia species and diagnosed by capsule endoscopy. The patient, an 81-year-old Caucasian man, was …
Farzan F. Bahin, MBBS (Hons), FRACP, MPhil, from the Department of Gastroenterology and Hepatology, Westmead Hospital, in Sydney, New South Wales, Australia discusses this Original Article, "Long-term outcomes of a primary complete endoscopic resection strategy for short-segment Barrett’s esophagus with high-grade dysplasia and/or early esophageal adenocarcinoma." The optimal therapy for Barrett’s high-grade dysplasia (HGD) and …
Continue reading Complete endoscopic resection for Barrett’s HGD and/or early cancer
James H. Tabibian, MD, PhD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA shares this VideoGIE case "Endoluminal stenting via the suture-assisted flange engagement technique." Gastrointestinal endoscopists are now more than ever encountering clinical scenarios where they are asked to provide endoscopic diversion or bridging of a leak site with fully-covered …
Continue reading Suture-assisted flange engagement (SAFE) technique for endoluminal stenting
Sundeep Lakhtakia, DM, from the Asian Institute of Gastroenterology in Hyderabad, India discusses this New Methods article "EUS-guided radiofrequency ablation for management of pancreatic insulinoma by using a novel needle electrode (with videos)." Insulinomas are one of the most common functional pancreatic neuroendocrine tumors. Surgical removal is the standard of care. However, patients who are …
Continue reading EUS-RFA for pancreatic insulinoma with a novel needle electrode
Martha B. Pitman, MD, from the Department of Pathology, Massachusetts General Hospital, Harvard Medical School, in Boston, Massachusetts, USA discusses this Original Article "Impact of next-generation sequencing on the clinical diagnosis of pancreatic cysts." This study assesses the impact of testing pancreatic cyst fluid for genetic mutations on the clinical impression of cyst etiology based …
Continue reading Next-generation sequencing and the clinical diagnosis of pancreatic cysts
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