Post written by Haruka Okada, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan. We reported a case in which simultaneous bile duct injury with massive bile leakage and duodenal retroperitoneal perforation during endoscopic submucosal dissection (ESD) for a large periampullary adenoma were successfully managed by …
Tag: Endoscopy
Diagnosis and treatment of a biliary fistula to walled-off pancreatic necrosis
Post written by Erica Park, MD, from the Division of Gastroenterology, Hepatology, and Nutrition, Ohio State University Wexner Medical Center, Columbus, Ohio, USA. We describe a case of biliary obstruction from a walled-off pancreatic necrosis, for which the patient underwent EUS-guided cystduodenostomy for biliary decompression. The patient’s liver function tests results subsequently improved, which we initially …
Continue reading Diagnosis and treatment of a biliary fistula to walled-off pancreatic necrosis
Endoscopic sleeve gastroplasty as an early tool against obesity: a multicenter international study on an overweight population
Post written by Vitor Ottoboni Brunaldi, MD, MSc, PhD, from the Gastroenterology and Hepatology Division, Mayo Clinic, Rochester, Minnesota, USA, Surgery and Anatomy Department, Ribeirao Preto Medical School, University of Sao Paulo, and Gastrointestinal Endoscopy Unit, University of Sao Paulo Medical School, Brazil. This study investigated the efficacy of endoscopic sleeve gastroplasty (ESG) in inducing weight …
Endoscopic full-thickness resection using double endoscope–assisted snare traction for a large exophytic gastric subepithelial lesion
Post written by Chung-Ying Lee, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan. We present a video showcasing a novel double endoscope—assisted snare traction method designed to facilitate safe and efficient endoscopic full-thickness resection (EFTR) for a 30-mm exophytic gastric subepithelial lesion …
Implementation of endoscopic submucosal dissection in Europe: survey after 10 ESD Expert Training Workshops, 2009 to 2018
Post written by Frieder Berr, MD, PhD, from the Department of Medicine I and Institute of Pathophysiology, Paracelsus Medical University, Salzburg, Austria. Annual hands-on endoscopic submucosal dissection (ESD) courses (3.3 days; Paracelsus Medical University, Salzburg, Austria, 2009-2018) were conducted by leading Japanese experts to prime a senior endoscopist from 135 tertiary referral centers across Europe (plus …
Submucosal tunneling endoscopic full-thickness resection for management of a rare case of esophageal GI stromal tumor
Post written by Chukwunonso Benedict Ezeani, MD, from Baton Rouge General Medical Center, Baton Rouge, Louisiana, USA. This is a case of a patient with compensated alcohol-related cirrhosis (MELD-Na 7 points, Child Turcotte Pugh class A) who underwent an upper EGD for variceal screening. She was incidentally found to have a 1-cm well-circumscribed upper esophageal …
Safety and adverse events of EUS-guided gallbladder drainage using lumen-apposing metal stents and percutaneous cholecystostomy tubes: a systematic review and meta-analysis
Post written by Umar Hayat, MD, MPH, from Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania, USA. EUS-guided gallbladder drainage using lumen-apposing metal stents (EUS-GBD-LAMSs) and percutaneous cholecystostomy for gallbladder drainage (PTGBD) are the alternative treatment modalities in high-risk surgical patients with acute cholecystitis (AC). This study aimed to compare the safety of these procedures for …
Full-depth evaluation of the bile duct with a 7F cholangioscope and its possibility for guiding therapeutics
Post written by Carlos Robles-Medranda, MD, AGAF, FASGE, from the Instituto Ecuatoriano de Enfermedades Digestivas, Guayaquil, Ecuador. In this review article, we present 4 instances where the 7F cholangioscope emerged as a valuable tool for assessment of challenging biliary ducts, along with a comparative analysis among available cholangioscopes. In case 1, the 7F cholangioscope facilitated identification …
EUS-directed transenteric ERCP with giant intrahepatic stone lithotripsy after a LAMS-in-LAMS rescue in response to a misdeployment
Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Milan, Italy. Our video case shares a compelling demonstration of EUS-directed transenteric ERCP (EDEE) in managing complex biliary adverse events in a patient with surgically altered anatomy. An 80-year-old woman with a history of Roux-en-Y hepaticojejunostomy presented with …
Radiation exposure to patients undergoing conventional and novel endoscopy procedures
Post written by Anmol Singh, MBBS, and Venkata Akshintala, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA. Our study highlights the quantity of radiation exposure incurred during common and novel endoscopic procedures and elucidates the factors affecting it. There has been an upward trend in …
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