Flexible endoscopic Zenker’s diverticulotomy

Alan H. Tieu, MD, from the Department of Medicine, Division of Gastroenterology and Hepatology, at The Johns Hopkins University School of Medicine in Baltimore, Maryland, USA shares this video case "Flexible endoscopic Zenker’s diverticulotomy." We demonstrate a technique of flexible endoscopic diverticulotomy for management of Zenker’s diverticulum (ZD). A 73-year-old male presents with dysphagia, regurgitation, …

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Intraprocedural fluoroscopy with POEM

Vivek Kumbhari, MD, from the Department of Medicine and Division of Gastroenterology and Hepatology at The Johns Hopkins Medical Institutions in Baltimore, Maryland, USA shares this New Methods article "Intraprocedural fluoroscopy to determine the extent of the cardiomyotomy during per-oral endoscopic myotomy (with video)." One of the major technical challenges in performing per-oral endoscopic myotomy …

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GI Endoscopy Competency Assessment Tool

Catharine M. Walsh, MD, MEd, FRCPC, from the Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, in Toronto, Ontario, Canada discusses this Original Article "Gastrointestinal Endoscopy Competency Assessment Tool: reliability and validity evidence." The main purpose of this study was to prospectively examine evidence of the reliability and validity of the Gastrointestinal Endoscopy …

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Endoscopic features of lymphoproliferative diseases

Georgios Mavrogenis, MD, from the Department of Hepatogastroenterology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, in Brussels, Belgium describes this VideoGIE case "Endoscopic features of lymphoproliferative diseases." This video presents a case series of common and rare lymphomas of the GI tract. Diagnosis of lymphomas is challenging. Lymphoproliferative disorders of the GI tract are rare …

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EUS-guided drainage using metal stents

Ryosuke Tonozuka, MD, from the Depatment of Gastroenterology and Hepatology at Tokyo Medical University in Tokyo, Japan discusses this New Methods article "EUS-guided drainage of hepatic abscess and infected biloma using short and long metal stents (with videos)." Refractory hepatic abscess (HA) and infected biloma (IBL), in which inflammation does not improve only by the …

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Ruptured varix: tips to tackle the demon

Vishal Ghevariya, MD, from Eden Medical Center in Castro Valley, California, USA describes this video case "Ruptured varix: tips to tackle the demon." A 36-year-old man with alcohol induced liver cirrhosis presented with hematemesis. After initial resuscitation, an upper endoscopy was performed. Several columns of Grade III varices were noted in the esophagus. Two fibrin …

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Editor’s Choice- When trainees reach competency in performing ERCP

Associate Editor, Douglas Adler, MD, highlights this article from the June issue of GIE--"When trainees reach competency in performing ERCP: a systematic review" by Drs Neal Shahidi, George Ou, Jennifer Telford, and Robert Enns. The article critically assesses papers that have looked at ERCP training and outcomes and shows that the more rigorously you define …

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Drainage of infected pancreatic necrosis

Amy Tyberg, MD, from Weill Cornell Medical College in New York, New York, USA shares this video case "Drainage of infected pancreatic necrosis by using 2 lumen-apposing metal stents, a nasocystic drain, and hydrogen peroxide." This case describes a 55-year-old man with an infected, 16cm walled-off necrotic pancreatic fluid collection. Standard cystgastrostomy into the proximal …

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Pediatric therapeutic endoscopy

Christopher J. DiMaio, MD, FASGE from the Icahn School of Medicine at Mount Sinai in New York, New York, USA presents this VideoGIE case "Pediatric therapeutic endoscopy: endoscopic management of a congenital duodenal web." This video demonstrates a case of successful endoscopic management of a congential duodenal web in an 8-year-old girl who presented with …

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“Unchaining” a stuck early gastric cancer

Andres Sanchez-Yague, MD, from Hospital Costa del Sol in Marbella, Spain shares this video case "'Unchaining' a stuck early gastric cancer by endoscopic submucosal dissection." A 67-year-old male with a past medical history of distal gastrectomy was diagnosed with a metachronous early gastric cancer at the cardia. The patient refused total gastrectomy and was referred to …

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