Type VI choledochal cyst diagnosed on ERCP with direct cholangioscopy

Post written by Lawrence Ku, MD, from the Division of Gastroenterology, Harbor-UCLA Medical Center, Torrance, California, USA. This case highlights the diagnostic dilemma of differentiating between 2 types of choledochal cysts, type II versus type VI. Although rare, these choledochal cysts have significant malignant potential, ranging from 5 to 7.5%. Malignant transformation of type VI …

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Combination of immersion in saline solution, pocket-creation method, water-jet hydrodissection, and hybrid knife “probe mode”

Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, Boadilla del Monte, and the Department of Clinical Sciences, School of Medicine, University of CEU San Pablo, Madrid, Spain. In this video case report, we describe an endoscopic submucosal dissection (ESD) of a giant rectal polyp with granular nodular …

Continue reading Combination of immersion in saline solution, pocket-creation method, water-jet hydrodissection, and hybrid knife “probe mode”

Wide-field underwater EMR followed by line-assisted complete closure for a large duodenal adenoma

Post written by Hiroko Nakahira, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Underwater endoscopic mucosal resection (EMR) was performed for a large duodenal adenoma in a patient with familial adenomatous polyposis, and the mucosal defect after underwater EMR was closed with line-assisted complete closure technique. Endoscopic mucosal resection for …

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Endoscopic resection of a giant fibrovascular esophageal polyp by use of a scissor-type knife

Post written by Kenji Yamazaki, MD, PhD, from the Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, Japan. We described a case of a giant fibrovascular esophageal polyp endoscopically resected by use of a scissor-type knife. Fibrovascular esophageal polyps are rare, and most of these are enormous and arise from the cricopharynx or upper …

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Gastric and duodenal pseudomelanosis: a new insight into its pathogenesis

Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. We report a case of gastric and duodenal pseudomelanosis; its full development was documented on serial upper endoscopies over 2 years, preceded by an 18-month daily iron supplement, interval development of iron …

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Duodenal ESD for a large protruded lesion located just behind the pyloric ring

Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 72-year-old man was found to have a large protruded tumor measuring approximately 60 mm in diameter in the duodenal bulb. He underwent ESD under general anesthesia in the operating room. After local injection of sodium hyaluronate …

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Efficacy of a novel lumen-apposing metal stent for the treatment of symptomatic pancreatic pseudocysts

Post written by Tae Jun Song, MD, PhD, Sang Soo Lee, MD, PhD, Jong Ho Moon, MD, PhD, from the Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, and the Department of Internal Medicine, SoonChunHyang University School of Medicine, Bucheon, Republic of Korea. We investigated the effectiveness and safety …

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