Use of a rigidizing overtube to complete an incomplete colonoscopy

Post written by Mike T. Wei, MD, from Stanford University, Stanford, and Veterans Affairs Palo Alto, Palo Alto California. We present a case of a 64-year-old man with history of C5 spinal cord injury who presented for screening colonoscopy. Unfortunately, due to significant looping, the colonoscope was only able to reach the transverse colon. The colonoscope …

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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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Endoscopic treatment of Killian-Jamieson diverticulum using submucosal tunneling diverticulotomy technique

Post written by Ali Zakaria, MD, from the Division of Gastroenterology, Ascension Providence Hospital, Southfield, Michigan. We present a case of an 82-year-old female patient with progressively worsening dysphagia to solid food, regurgitation, globus sensation, and halitosis. Barium esophagram revealed a 40-mm anterolateral protrusion at the level of the proximal cervical esophagus, consistent with KJD. …

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Perspectives toward minimizing the adverse events of endoscopic sleeve gastroplasty

Post written by Vivek Kumbhari, MD, PhD, from the Division of Gastroenterology and Hepatology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. This review focuses on the technical aspects required to perform an endoscopic sleeve gastroplasty (ESG). Though there is a growing body of literature on the clinical outcomes of ESG, there is little …

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Percutaneous- and EUS-guided gastroenterostomy for malignant afferent limb syndrome

Post written by Dayyan Adoor, MD, and Zachary L. Smith, DO, from the Department of Internal Medicine and the Division of Gastroenterology and Liver Disease, University Hospitals Cleveland Medical Center, Cleveland, Ohio. A 66-year-old woman with poorly-differentiated pancreatic adenocarcinoma underwent a Whipple that was complicated by a biliary leak requiring placement of an internal external …

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Dual purpose easily assembled aerosol chamber designed for safe endoscopy and intubation during the COVID pandemic

Post written by Mahesh Goenka, DM, FACG, FASGE, AGAF, from Institute of Gastrosciences and Liver, Apollo Gleneagles Hospitals, Kolkata, India. A prototype aerosol chamber was designed using a medical grade 4-mm thick polycarbonate sheet. The chamber has 4 holes, 2 on the head side used for endotracheal intubation and 2 on the side walls. The …

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Peroral endoscopic myotomy with diverticulum resection

Post written by Yohei Nishikawa, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Showa University, Tokyo, Japan. For esophageal diverticulum with symptoms, thoracoscopic or laparoscopic surgery is usually performed. We reported a case of an endoscopic esophageal diverticulum resection by applying the peroral endoscopic myotomy (POEM) and POEM + Fundoplication (POEM-F) techniques, …

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Impact of a simulation-based ergonomics training curriculum on work-related musculoskeletal injury risk in colonoscopy

Post written by Rishad Khan, MD, and Samir C. Grover, MD, MEd, from the Division of Gastroenterology and the Li Ka Shing Knowledge Institute, St. Michael’s Hospital, and the Department of Medicine, University of Toronto, Toronto, Canada. The focus of our study was a curriculum designed to teach novice endoscopists about ergonomics during colonoscopy. The …

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Evaluation of sling fibers and two penetrating vessels for guiding extent of the tunnel and myotomy during posterior peroral endoscopic myotomy

Post written by Hugo Uchima, MD, from the Endoscopy Unit, Gastroenterology Department, Hospital Universitari Germans Trias i Pujol, Badalona, and the Endoscopic Unit, Teknon Medical Center, Barcelona, Spain. In this video, we describe the technical and anatomic endoscopic references to preserve the innermost gastric oblique fibers (sling fibers) during posterior POEM, based on the location …

Continue reading Evaluation of sling fibers and two penetrating vessels for guiding extent of the tunnel and myotomy during posterior peroral endoscopic myotomy

Successful endoscopic submucosal dissection for a huge lipoma in the terminal ileum

Post written by Takashi Muramoto, MD, PhD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan. The video describes successful endoscopic submucosal dissection (ESD) for a huge lipoma in the terminal ileum. A 74-year-old man underwent a computed tomography because of intermittent lower-abdominal pain, and the images revealed a tumor in the …

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