Usefulness of texture- and color-enhancement imaging for identifying the bleeding point in a patient with post–endoscopic sphincterotomy bleeding

Post written by Yuki Tanisaka, MD, PhD, from Saitama Medical University International Medical Center, Saitama, Japan. A 61-year-old woman was referred to our hospital for obstructive jaundice because of unresectable pancreatic cancer. We performed endoscopic sphincterotomy before fully covered self-expandable metallic stent placement. The following day, the patient presented with tarry stools. Endoscopic examination was performed …

Continue reading Usefulness of texture- and color-enhancement imaging for identifying the bleeding point in a patient with post–endoscopic sphincterotomy bleeding

Endoscopic sphincterotomy using isolated-tip needle-knife papillotome

 Ryosuke Tonozuka, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan shares this video case "Endoscopic sphincterotomy using an isolated-tip needle-knife papillotome after Billroth II gastrectomy." A needle knife papillotome (NKP) has been used instead of a standard sphincterotome knife for difficult endoscopic sphincterotomy (ES) in patients with a surgically altered …

Continue reading Endoscopic sphincterotomy using isolated-tip needle-knife papillotome