Tag: Endoscopy

Pancreas cystic lesion with surprise findings on confocal laser endomicroscopy

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Post written by Samer El-Dika, MD, FASGE, from Stanford University, Stanford, California, USA. This video case involves a 74-year-old woman with a pancreatic tail cyst identified incidentally. Initial imaging and fluid analysis suggested a nonmucinous cyst, but amylase levels hinted at possible duct communication. To better characterize the lesion, we used EUS-guided needle-based confocal laser endomicroscopy (EUS-nCLE). …

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Digital single-operator cholangioscopy for difficult anastomotic biliary strictures in living donor liver transplant recipients after failure of standard ERCP: SPYPASS-2 study (with videos)

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Post written by In Rae Cho, MD, and Sang Hyub Lee, MD, PhD, from the Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, South Korea. Anastomotic biliary strictures (ABSs) are a major adverse event after living donor liver transplantation (LDLT) and often difficult to treat with standard ERCP alone. The SPYPASS-2 study evaluated …

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Eversion of an inverted papilla via EUS-guided rendezvous

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Post written by Rishad Khan, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, Thomas M. Runge, MD, MPH, from the Division of Gastroenterology, Central Ohio VA, Columbus, Ohio, and Samuel Han, MD, MS, the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. A 45-year-old patient with cholecystitis and choledocholithiasis with a prohibitively high surgical risk …

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Endosonography-guided suture device for gastrointestinal lumen-to-lumen apposition in a porcine model

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Post written by Andrew Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. With the growth of novel transmural endoscopic ultrasound (EUS)—directed therapies in the gastrointestinal tract, awareness of the need for innovations to make these procedures safer and more reproducible is increasing. Such improvements are necessary to assure widespread access for patients who will benefit …

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Quality indicators for EUS

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Post written by Girish Mishra, MD, MS, FASGE, from the Wake Forest University School of Medicine/Atrium Health, Winston-Salem, North Carolina, USA. The prior version of “Quality indicators for EUS” was published 10 years ago. Interventional EUS (iEUS) was only a concept back then; therapeutic interventions were limited. We highlighted the expanding indications for EUS and …

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Transcecal endoscopic appendectomy and endoscopic submucosal dissection with hand-suturing–assisted traction and closure technique

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Post written by Fatih Aslan, MD, from Koc University Hospital, Istanbul, Turkey. In this case, we performed an endoscopic treatment for a laterally spreading lesion involving the lumen of the appendix with poorly defined borders. The procedure included endoscopic submucosal dissection combined with transcecal endoscopic appendectomy. Hand suturing was used for traction and separate closure of the …

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A convolutional neural network–based system for identifying neuroendocrine neoplasms and multiple types of lesions in the pancreas using EUS (with videos)

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Post written by Zhen Li, MD, from the Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China. The focus of our study was to develop a convolutional neural network—based artificial intelligence (AI) system named iEUS to assist in diagnosing pancreatic neuroendocrine neoplasms (pNENs) and multiple types of pancreatic lesions (including pancreatic adenocarcinoma, autoimmune pancreatitis, and pancreatic …

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Different endoscopic submucosal dissection techniques: a tailored approach

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Post written by Shaimaa Elkholy, MD, Mohamed El Sherbiny, MD, and Karim Essam, MD, from the Gastroenterology Division, Internal Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt. Endoscopic submucosal dissection (ESD) is a minimally invasive technique used for resection of GI lesions. Our recently published video article in VideoGIE presents a comparative and practical overview of ESD techniques. These include classic, …

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Impact of novel lightweight disposable gastroscope and duodenoscope on endoscopist muscle activation: a comparative study

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Post written by Veronica Bessone, PhD, from Human Factors Engineering, Research & Development, Ambu Innovation, Augsburg, Germany. The focus of this study was to determine whether lightweight single-use endoscopes reduce muscle strain and fatigue in endoscopists, potentially improving their ergonomics and overall comfort during procedures. Interest is increasing in ergonomics in gastrointestinal endoscopy. This study is important …

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Endoscopic subserosal dissection for early gastric cancer with severe fibrosis attributable to gastric ulcer scar

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Post written by Shunya Takayanagi, MD, from the Department of Gastrointestinal Endoscopy, NTT Medical Center Tokyo, Tokyo, Japan, and Department of Medicine and Bergen Research Group for Advanced Gastrointestinal Endoscopy (BRAGE), Haukeland University Hospital, Bergen, Norway. In this case, we attempted endoscopic submucosal dissection (ESD) for an intramucosal carcinoma on the lesser curvature of the gastric angle …

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