Novel articulating through-the-scope traction device

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Post written by Hiroyuki Aihara, MD, PhD, Director, Endoscopic Tissue Resection Program, Brigham and Women’s Hospital, and Associate Professor of Medicine, Harvard Medical School, Boston, Massachusetts, USA. Current techniques and devices for traction in endoscopic submucosal dissection (ESD) own inherent limitations such as technical complexity, lack of adjustability, or demanding preparation. Recently, a single-operator, through-the-scope, articulating …

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Successful minimally invasive management of adverse events following EUS-guided gallbladder drainage in a suboptimal surgical patient

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Post written by Bianca L. Di Cocco, MD, from the Division of Internal Medicine, New York Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, USA. In this video case report, we show how endoscopic techniques can be used to treat adverse events during EUS-guided gallbladder drainage (EUS-GB). The patient was a 44-year-old woman with cholelithiasis …

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Top tips for endoscopic drainage and debridement of walled-off pancreatic necrosis (with videos)

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Post written by Douglas G. Adler, MD, FACG, AGAF, FASGE, Director of the Center for Advanced Therapeutic Endoscopy (CATE), Porter Adventist Hospital, PEAK Gastroenterology, Centura Health, Denver, Colorado, USA. This Top Tips article is designed to give readers a lot of really useful and practical information in a very short amount of text. Access, drainage, and …

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Possibility of ultrathin endoscopy in radial incision and cutting for esophageal strictures

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Post written by Mako Koseki, MD, and Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. In this video, we present a case of a refractory esophageal stricture caused by anastomosis of gastric tube reconstruction for advanced esophageal carcinoma. We treated the stricture with radial incision and cutting (RIC) using ultrathin endoscopy. …

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EUS-guided gastrojejunostomy for management of malignant gastric outlet obstruction in a patient with Roux-en-Y anatomy

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Post written by Rishi Pawa, MD, FACG, from the Wake Forest School of Medicine, Winston-Salem, North Carolina, USA. A 56-year-old man with a medical history of metastatic duodenal adenocarcinoma, status postpartial gastrectomy, and duodenectomy with Roux-en-Y gastrojejunostomy (GJ) presented with gastric outlet obstruction. Endoscopy revealed an ulcerated stricture at the gastrojejunal anastomosis, with biopsies confirming recurrent …

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Effectiveness of prophylactic clipping in preventing postpolypectomy bleeding in oral anticoagulant users: a propensity-score analysis

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Post written by Louis H.S. Lau, MBChB, and Raymond S.Y. Tang, MD, from the Department of Medicine and Therapeutics and the Institute of Digestive Diseases, The Chinese University of Hong Kong, Hong Kong. The focus of this study was to examine the benefit of prophylactic clipping after colonoscopic polypectomy in high-risk patients using oral anticoagulants. Postpolypectomy …

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Long-term treatment of an ischemic jejunal stricture: Is stenting a viable option?

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Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. In this video case report, we describe endoscopic management of a long, ulcerated, ischemic jejunal stricture in a patient with an extensive surgical history for weight loss and colon cancer who presented with chronic …

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Antireflux band mucosectomy: a novel minimally invasive approach for the treatment of refractory gastroesophageal reflux disease

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Post written by Ameya Deshmukh, DO, from the Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, Missouri, USA, and Jose Nieto, DO, from the Borland Groover Clinic, Jacksonville, Florida, USA. In this video, we present a case series of 4 patients who underwent a novel endoscopic therapy for the treatment of refractory …

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Endoscopic submucosal dissection in the right lateral position for early gastric cancer in the fornix

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Post written by Hiromu Fukuda, MD, from the Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine, Suita, Japan. In this video case, we show the usefulness of endoscopic submucosal dissection (ESD) in the right lateral position (RLP) for early gastric cancer (EGC) in the fornix. ESD of EGC in the fornix is challenging …

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EUS-guided biopsy of an intraventricular mass in a patient with ventricular tachycardia

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Post written by Neal Mehta, MD, from the Department of Gastroenterology, Cleveland Clinic Foundation, Cleveland, Ohio, USA. This video describes EUS-guided fine-needle biopsy (EUS-FNB) of an intraventricular mass in a 23-year-old woman. The patient presented with unstable ventricular tachycardia requiring cardioversion and initiation of antiarrhythmic therapy. Cardiac MRI demonstrated a 7- x 7- x 3-cm mass, with …

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