Compilation of curvilinear-array EUS imaging demonstrating variant pancreatic ductal anatomy

Post written by Prabhleen Chahal, MD, from the Cleveland Clinic, Cleveland, Ohio, USA. This novel video is a compilation of linear EUS examinations clearly demonstrating 3 different variant pancreatic ductal anatomies encountered during clinical practice. Accompanying this EUS video is corroborating motion animation demonstrating the anatomical landmarks and scope position for delineation of variant anatomy. …

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Metastatic melanoma presenting as malignant biliary obstruction of the CBD

Post written by Prapimphan Aumpansub, MD, from the Division of Gastroenterology, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand.   A 67-year-old woman presented with progressive jaundice and passage of melena for 2 months. She had a history of malignant melanoma of the left flank which was completely resected 2 years …

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Short cap technique to complete EMR of very flat colorectal laterally spreading tumors

Post written by Nasim Parsa, MD, and Douglas K. Rex, MD, FASGE, from John Hopkins Hospital, Baltimore, Maryland, and Indiana University School of Medicine, Indianapolis, Indiana. In this video, we demonstrate the utility of a short cap placed over the colonoscope tip to facilitate endoscopic mucosal resection (EMR) of very flat portions of lateral spreading …

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Stent as bridge to surgery for left-sided malignant colonic obstruction

Post written by Alberto Arezzo, MD, from the Department of Surgical Sciences, University of Torino, Turin, Italy. Twenty years after the first description of the technique, the debate is still open on the role of self-expandable metallic stent (SEMS) placement as a bridge to elective surgery for symptomatic left-sided malignant colonic obstruction. The focus of …

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Use of hemostatic powder in bleeding portal hypertensive gastropathy

Post written by Sauid Ishaq, FRCP, from Birmingham City University, Birmingham, United Kingdom. Our video case report demonstrates the application and effectiveness of hemospray as a rescue therapy in acute bleeding from portal hypertensive gastropathy. PHG is a common and potentially fatal adverse event of cirrhosis, with severity correlating with the degree of portal hypertension. …

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Post-ERCP pancreatitis in chronic pancreatitis

Post written by Zhuan Liao, MD, from the Department of Gastroenterology, Digestive Endoscopy Center, Changhai Hospital, Shanghai, China. The purpose of this study is to determine the incidence of post-ERCP pancreatitis (PEP) and risk factors at different clinical stages of chronic pancreatitis (CP) based on the M-ANNHEIM classification system. Therapeutic ERCP procedures are commonly used …

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Editor’s Choice: Stent as bridge to surgery for left-sided malignant colonic obstruction

Associate Editor, Dr. Fauze Maluf-Filho, highlights this article from the September issue “Stent as bridge to surgery for left-sided malignant colonic obstruction reduces adverse events and stoma rate compared with emergency surgery: results of a systematic review and meta-analysis of randomized controlled trials” by Alberto Arezzo, MD, et al. This study is the most comprehensive review …

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