Palliation of malignant distal colonic obstruction via percutaneous endoscopic colostomy using a lumen-apposing metal stent

Post written by Todd H. Baron, MD, MASGE, from the Division of Gastroenterology and Hepatology, Director of Advanced Therapeutic Endoscopy, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. This is a patient who had terminal cancer and sigmoid colonic obstruction not adequately relieved by overlapping, well-positioned, self-expandable metal luminal stents. Because he …

Continue reading Palliation of malignant distal colonic obstruction via percutaneous endoscopic colostomy using a lumen-apposing metal stent

Axis-keeping shortening technique for colonic intubation

  Post written by Shunsuke Yamamoto, MD, PhD, Yasushi Sano, MD, PhD, Nima Mottacki, MD, and Helmut Neumann, MD, PhD, from the Department of Gastroenterology and Hepatology, National Hospital Organization Osaka National Hospital, Osaka, Japan, the Gastrointestinal Center, Sano Hospital, Kobe, Japan, the Department of Internal Medicine, Division of Gastroenterology, Sahlgrenska University Hospital, Goteborg, Sweden, …

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Endoscopic treatment of colonic diverticular bleeding with an over-the-scope clip after failure of endoscopic band ligation

Post written by Kenji Yamazaki, MD, PhD, from the Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, Japan. We describe a case of an 86-year-old woman with a history of hypertension and colonic diverticular bleeding (CDB) who presented with severe hematochezia to a nearby medical institution. Emergency colonoscopy revealed an active diverticular hemorrhage in …

Continue reading Endoscopic treatment of colonic diverticular bleeding with an over-the-scope clip after failure of endoscopic band ligation

Reversal and reloading of a 22-mm duodenal stent for urgent decompression of malignant colonic obstruction

Post written by Keshav Kukreja, MD, Aman Deep, MD, and Tomas DaVee, MD, MSCI, from the Department of Gastroenterology, USF Health Morsani College of Medicine, Tampa, Florida, and the Interventional Gastroenterology at the University of Texas (iGUT), McGovern Medical School at UTHealth, Memorial Hermann Hospital, Houston, Texas, USA. Our video case describes a 57-year-old woman …

Continue reading Reversal and reloading of a 22-mm duodenal stent for urgent decompression of malignant colonic obstruction

Pulley traction-assisted colonic ESD affords good visibility of submucosal layer

Post written by Satoki Shichijo, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. We performed endoscopic submucosal dissection (ESD) for a laterally spreading tumor involving a diverticulum in the posterior wall of ascending colon. We performed traction-assisted colonic ESD using a clip-and-line, which usually makes ESD safe and efficient by …

Continue reading Pulley traction-assisted colonic ESD affords good visibility of submucosal layer