A modified approach for closing endoscopic submucosal dissection defects using clip with line pulley securing technique and endoloop

Post written by Yohei Minato, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. We modified the clip with line pulley suturing (CLiPS) technique using a plastic detachable snare. A clip with a string is placed at the distal margin of the mucosal defect. A second clip is then hooked onto …

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Loop-and-let-go technique for the management of symptomatic large colonic lipoma

Post written by Syedreza “Reza” Haider, MD, MBA, from Washington University School of Medicine, St. Louis, Missouri, USA. In this video case, we present the successful endoscopic removal of a large colonic lipoma using the loop-and-let-go technique. The patient, a 69-year-old woman, had been experiencing intermittent bloating, abdominal pain, and constipation. During colonoscopy, a 50-mm …

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Endoscopic closure of jejunal perforation in altered anatomy using a detachable endoloop

Post written by Mohan Ramchandani, MD, DM, from the Department of Medical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India. A 73-year-old man was diagnosed with a case of carcinoma gastroesophageal junction. He underwent total gastrectomy with regional lymphadenectomy (D1 gastrectomy) and intrathoracic oesophagojejunostomy with Roux-en-Y jejunojejunal anastomosis. Post operatively he developed an anastomotic leak. After stabilization …

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Detachable snares: a video demonstration

Georgios Mavrogenis, MD from Cliniques Universitaires Saint-Luc, Université Catholique de Louvain in Brussels, Belgium presents this video demonstration "How to prepare and use detachable snares: a video demonstration for nurses and endoscopists" from the VideoGIE section. This video demonstrates how to prepare and use detachable snares for various indications such as polypectomy and closure of large …

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