GIE Associate Editor Monique Barakat, MD, highlights this article from the December issue: “Magnetic compression anastomosis for the treatment of complete biliary obstruction after cholecystectomy” by Sung Ill Jang, MD, PhD, et al. Post-cholecystectomy biliary strictures are generally managed endoscopically. However, when complete occlusion of the duct occurs, management with entirely endoscopic approaches is not possible. This study describes …
Tag: anastomosis
Endoscopic management of colorectal anastomosis refractory leaks: a journey from conventional to inventive approaches
Post written by iGIE iNTERNATIONAL Associate Editor Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, from the Gastrointestinal Endoscopy Division, Hospital Vila Nova Star, Instituto D’Or de Pesquisa e Ensino, and the Gastrointestinal Endoscopy Unit, Gastroenterology Department, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil. The goal of …
Endoscopic rescue of anastomotic dehiscence after urgent gastric bypass revision
Post written by Steven R. Siegal, MD, from AdventHealth, Orlando, Florida, USA. We demonstrate a case of a Roux-en-Y anastomotic dehiscence that was rescued via total endoscopic means over various sessions. It is important to know the available endoscopic tools and how they can be used in a complementary fashion to essentially perform surgical procedures. It …
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Endoscopic negative pressure therapy for upper gastrointestinal leaks
Post written by Rami Archid, MD, from the Department of General, Visceral and Transplant Surgery, Eberhard-Karls-University Hospital, Tuebingen, Germany. A 61-year-old male patient was treated for Siewert type I gastroesophageal junction adenocarcinoma. Neoadjuvant chemotherapy using FLOT regimen (5-fluorouracil, leucovorin, oxaliplatin, docetaxel) with Trastuzumab was followed by esophagectomy with cervical esophagogastrostomy. On postoperative day 3, he …
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Lumen-apposing metal stent use to maintain a surgical anastomosis
Post written by Mohammed Barawi, MD, from the Division of Gastroenterology and Interventional Endoscopy, Ascension St John Hospital, Detroit, Michigan. In this video, we show the use of a lumen-opposing metal stent (AXIO stent) to maintain a stenosing gastroenterostomy in a patient with superior mesenteric artery syndrome. This video is meant to show one of …
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Over-the-scope clip for post-esophagectomy fistula
Brian S. Lim, MD, MCR from Kaiser Permanente Riverside Medical Center at the University of California Riverside School of Medicine presents this video case titled "Over-the-scope clip for closure of persistent post-esophagectomy gastric conduit fistula." A 69-year-old man had an Ivor-Lewis esophagectomy for esophageal carcinoma. On postoperative day 6, the patient developed severe chest pain; CT …
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