Endoscopic repair of Strasberg type D bile duct injury following laparoscopic cholecystectomy: an unconventional approach

Post written by Ahmad Abdulraheem, MD, and Angela Koomson, MD, from the Department of Medicine, MedStar Georgetown Washington Hospital Center, and Abdalla Khouqeer, MD, Ahmad Al-Dwairy, MD, and Walid Chalhoub, MD, from the Gastroenterology Section, Department of Medicine, MedStar Georgetown University Hospital, Washington, District of Columbia, USA. The video describes a case of severe bile duct injury managed solely with ERCP. The patient presented with acute cholecystitis due to …

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Outcomes of interval cholecystectomy after EUS-guided gallbladder drainage: a systematic review and meta-analysis

Post written by Suchapa Arayakarnkul, MD, and Rahul Karna, MD, from the University of Minnesota, Minneapolis, Minnesota, and Mohammad Bilal, MD, from the University of Colorado Anschutz School of Medicine, Aurora, Colorado, USA. In this systematic review and meta-analysis, we assessed the outcomes of interval cholecystectomy (CCY) after EUS-guided gallbladder drainage (EUS-GBD), with a focus on technical successes, surgical techniques, and procedural safety …

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Editor’s Choice: Magnetic compression anastomosis for the treatment of complete biliary obstruction after cholecystectomy

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 …

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Magnetic compression anastomosis for treatment of biliary stricture after cholecystectomy

Post written by Dong Ki Lee, MD, PhD, from the Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. This video shows the process and the result of magnetic compression anastomosis (MCA) for treating a biliary stricture after cholecystectomy that could not be treated with conventional methods. A cholangiogram showed …

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Long-term outcomes of endoscopic treatment of aberrant hepatic duct injuries after cholecystectomy

Post written by Andrea Tringali, MD, PhD, from the Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, and the Centre for Endoscopic Research Therapeutics and Training, Università Cattolica del Sacro Cuore, Rome, Italy. Our study is focused on 32 patients who underwent endoscopic treatment of “aberrant” hepatic duct injuries following cholecystectomy. “Aberrant” hepatic ducts …

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Endoscopic management of gossypiboma

Post written by Radhika Chavan, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. A 30-year-old woman underwent cholecystectomy 3 weeks earlier and developed abdominal pain, vomiting, and low-grade fever within 2 weeks of surgery. On contrast-enhanced computed tomography, a large lesion with an internal reticular pattern was seen in the gastro-hepatic region. She …

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The EPISOD study: long-term outcomes

Post written by Peter B. Cotton, MD, FRCS, FRCP, from the Medical University of South Carolina, Charleston, South Carolina, USA. The EPISOD study randomized 214 patients with post-cholecystectomy pain and little or no evidence of biliary obstruction (SOD type III) to sphincterotomy or sham intervention at ERCP. Intervention was judged successful at 1 year (by …

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Long-term outcomes of EGBS

Tadahisa Inoue, MD, from the Department of Gastroenterology, Gifu Prefectural Tajimi Hospital, in Tajimi, Japan discusses this Original Article "Long-term outcomes of endoscopic gallbladder stenting in high-risk surgical patients with calculous cholecystitis (with videos)." The focus of this study was to evaluate the long-term outcomes associated with endoscopic gallbladder stenting (EGBS). Cholecystectomy is a fundamental …

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