Nobuhito Ikeuchi, MD, Department of Gastroenterology and Hepatology at Tokyo Medical University in Tokyo, Japan presents this video case “One-step EUS-guided gastrojejunostomy with use of lumen-apposing metal stent for afferent loop syndrome treatment.” Afferent loop syndrome is an adverse event of several types of gastric surgery and often causes patient suffering. However, retrograde endoscopic decompression …
Tag: Endoscopy
ADR varies during colonoscopy training
Sascha C. van Doorn, MD, from the Department of Gastroenterology and Hepatology at the Academic Medical Centre at the University of Amsterdam in Amsterdam, the Netherlands discusses this Original Article "Adenoma detection rate varies greatly during colonoscopy training." During endoscopy training of gastroenterology fellows (GI-fellows), the most important competency for colonoscopy is safe cecal intubation. …
Electrohydraulic lithotripsy and gallstone removal
Alireza Sedarat, MD, Division of Digestive Diseases, Department of Medicine, University of California Los Angeles, in Los Angeles, California, USA presents this VideoGIE case "Electrohydraulic lithotripsy and removal of a gallstone obstructing the duodenum: Bouveret syndrome." The case describes an elderly patient with advanced gallbladder cancer who presented with emesis and a presumptive diagnosis of …
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PEG tube placement in the United States
Lukejohn W. Day, MD, from the Division of Gastroenterology, Department of Medicine, San Francisco General Hospital and Trauma Center, in San Francisco, California, USA describes his Original Article "Practice variation in PEG tube placement: trends and predictors among providers in the United States." Enteral access placement is performed by a variety of providers and specialties …
Cholangioscopic visualization of Fasciola hepatica
Shugo Fujibayashi, MD, from the Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical University in Asahikawa, Hokkaido, Japan shares this video case "Intraductal cholangioscopic visualization of moving Fasciola hepatica." A 75-year-old Japanese male visited a private hospital with abdominal pain and jaundice in October 2013. Because magnetic resonance cholangiopancreatography showed a filling defect …
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Visibility during endoscopic hemostasis
Jun Chul Park, MD, from the Division of Gastroenterology, Department of Internal Medicine, Severance Hospital, Institute of Gastroenterology, Yonsei University College of Medicine, in Seoul, Korea discusses this article "Factors that affect visibility during endoscopic hemostasis for upper GI bleeding: a prospective study." In our study, we attempted to determine the factors that might be …
ESD recanalization of esophageal obstruction
Georgios Mavrogenis, MD, from the Department of Hepatogastroenterology, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, in Brussels, Belgium describes this VideoGIE case "Recanalization of a complete postradiation esophageal obstruction with endoscopic submucosal dissection techniques." This video presents the management of a 30 cm post radiation esophageal obstruction by means of endoscopic submucosal dissection (ESD) techniques. …
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Wet suction technique
Rajeev Attam, MD, from the Southern California Permanente Group, Kaiser Permanente, in Downey, California, USA discusses this Original Article "'Wet suction technique (WEST)': a novel way to enhance the quality of EUS-FNA aspirate. Results of a prospective, single-blind, randomized, controlled trial using a 22-gauge needle for EUS-FNA of solid lesions." Wet suction technique involves replacement …
EUS-guided trans-aortic FNA
Nah Kyum Lee, MD, and Do Hyun Park, MD, PhD, from the Division of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, in Seoul, South Korea present this VideoGIE case "EUS-guided trans-aortic fine-needle aspiration for intra-abdominal plasmacytoma in a patient with multiple myeloma." Our video case describes EUS-guided trans-aortic fine-needle aspiration (FNA) for …
Fluorescence cytology during EUS-FNA
Tsukasa Ikeura, MD, PhD, from the Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan shares this New Methods article titled "Fluorescence cytology with 5-aminolevulinic acid in EUS-guided FNA as a method for differentiating between malignant and benign lesions (with video)." 5-aminolevulinic acid (ALA), a photosensitizer, is metabolized into protoporphyrin IX (PpIX) in the …
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