Novel approach to endoluminal antral gastroplasty using a modified gastrostomy tube and laparoscopic stapler

Post written by Mark Hanscom, MD, from Weill Cornell Medicine, New York, New York, USA. The focus of our study was exploring the feasibility of a novel intraluminal technique for the treatment of obesity. Over the last decade, the field of bariatric endoscopy has continued to grow with the introduction of new technologies and refinement of …

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Diagnostic utility of CT angiography compared with endoscopy in patients with acute GI hemorrhage

Post written by Jason Erno, MD, and Don C. Rockey, MD, from the Digestive Disease Research Core Center, Medical University of South Carolina, Charleston, South Carolina, USA. This cohort study examined patients with acute GI bleeding who underwent CT angiography (CTA) and compared its accuracy with that of subsequent endoscopy. CTA has gained great popularity as …

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Saline-immersion endoscopic submucosal dissection using pocket-creation method

Post written by Siddharth B. Javia, MD, from Confluence Health, Wenatchee Valley Medical Group, Wenatchee, Washington, USA. This video is about removing a large cecal polyp using an endoscopic submucosal dissection (ESD) technique. We facilitate this ESD in the cecum by using a combination of pocket-creation method and saline-immersion technique. ESD is a challenging technique to …

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EUS-guided enteroenterostomy to facilitate peroral altered anatomy ERCP

Post written by Romik P. Srivastava, MD, from the Medical University of South Carolina, Charleston, South Carolina, USA. In our video series, we present 4 cases of patients with non—gastric bypass altered anatomy who required complex ERCP. To facilitate peroral ERCP using a therapeutic gastroscope or duodenoscope, we created an EUS-guided enteroenterostomy in order to shorten …

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EUS-guided coil injection therapy in the management of gastric varices: the first U.S. multicenter experience (with video)

Post written by Ahmad Najdat Bazarbashi, MD, from Washington University in St. Louis School, St. Louis, Missouri, USA. The focus of this study was to evaluate the efficacy and safety profile of EUS-guided coil therapy for the management of gastric varices through a multicenter retrospective collaborative effort in the United States—the first of its kind. There …

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Use of inducible and limiting fluorescence in laparoscopic endoscopic cooperative surgery

Post written by Masaya Uesato, MD, PhD, Yoshihiro Kurata, MD, PhD, Yasunori Matsumoto, MD, PhD, Shunsuke Kainuma, MD, Takuya Hirosuna, MD, Ryota Otsuka, MD, PhD, Koichi Hayano, MD, PhD, and Hisahiro Matsubara, MD, PhD, from the Department of Frontier Surgery, Chiba University Graduate School of Medicine, Chiba, Japan. We show you a case with a 6-mm-diameter …

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Implementation of an Enhanced Recovery After Surgical Endoscopy protocol to improve outcomes following endoscopic sleeve gastroplasty

Post written by Chelsea D’Ascanio, DNP, MS, CRNA, from Bariendo Inc and Brigham and Women’s Hospital, Boston, Massachusetts, USA. The focus of this pilot project was to implement an enhanced recovery perioperative protocol to reduce postoperative emergency department (ED) visits and readmissions because of postoperative nausea and vomiting (PONV) after endoscopic sleeve gastroplasty (ESG). One …

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Modified gastric-peroral endoscopic myotomy with sleeve release in a case of severe gastric sleeve stenosis

Post written by Syed Hamaad Rahman, DO, from Methodist Dallas Medical Center, Dallas, Texas, USA. We describe the case of a 26-year-old woman who had undergone laparoscopic sleeve gastrectomy (LSG) and presented with severe intolerance of oral intake, reflux, and weight loss. She was found to have stenosis of the gastric sleeve with presence of a …

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Long-term outcomes after EUS-guided antegrade intervention for benign bilioenteric anastomotic stricture

Post written by Kazumasa Nagai, MD, PhD, from Tokyo Medical University, Tokyo, Japan. Bilioenteric anastomotic stricture (BES) is a significant adverse event after hepaticojejunostomy. Recently, EUS-guided antegrade intervention (EUS-AI) has been developed in cases of balloon enteroscopy–assisted ERCP failure. Several reports have demonstrated the efficacy and safety of EUS-AI. However, the results of these studies were …

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Gastrogastric intussusception and acute pancreatitis caused by a large pyloric gland adenoma treated with endoscopic submucosal dissection

Post written by Robert Bechara, MD, from Queen's University, Kingston Health Sciences Center, Kingston, Ontario, Canada. This is a case of a 75-year-old woman with gastrogastric intussusception and acute pancreatitis caused by a 6-cm dysplastic pyloric gland adenoma, which we treated using endoscopic submucosal dissection (ESD). The decision to showcase this video was driven by …

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