Tag: Endoscopy

Tips and tricks for endoscopic transpapillary gallbladder drainage

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Post written by Jad AbiMansour, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. The video highlights best practices, devices, and techniques for endoscopic transpapillary gallbladder drainage through a series of narrated cases ranging from routine to technically challenging. Endoscopic transpapillary gallbladder drainage is an invaluable tool for palliation of acute cholecystitis …

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EUS-guided Braun-type enteroenterostomy for management of an afferent limb–type obstruction in a patient with prior surgical gastrojejunostomy

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Post written by Kamal M. Hassan, MD, from Weill Cornell Medicine, New York, New York, USA. In this case, a 78-year-old patient with a history of numerous abdominal surgeries complicated by adhesions and small-bowel obstructions underwent an eventual surgical gastrojejunostomy. The patient developed progressive peroral intolerance, and imaging revealed an acquired afferent loop syndrome as a …

Continue reading EUS-guided Braun-type enteroenterostomy for management of an afferent limb–type obstruction in a patient with prior surgical gastrojejunostomy

Successful small-diameter endoscopic hemostasis using a self-assembling peptide matrix for Mallory-Weiss syndrome in a patient with a severe esophageal stricture

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Post written by Shinya Kawaguchi, MD, from the Department of Gastroenterology, Shizuoka General Hospital, Shizuoka, Japan. A bedridden woman with a history of repeated reflux esophagitis presented to the emergency department with a chief symptom of hematemesis. An urgent endoscopic examination was conducted. Insertion of a conventional endoscope (GIF-H290T; Olympus Corporation, Tokyo, Japan) revealed scar stenosis in …

Continue reading Successful small-diameter endoscopic hemostasis using a self-assembling peptide matrix for Mallory-Weiss syndrome in a patient with a severe esophageal stricture

Comparison of outcomes of EUS-guided ablation and surveillance only for pancreatic cystic lesions: a propensity score–matching study (with videos)

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Post written by Yun Je Song, MD, Gunn Huh, MD, and Do Hyun Park, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. The focus of our study was to compare the efficacy, safety, and oncologic outcomes of EUS-guided rapid ethanol lavage …

Continue reading Comparison of outcomes of EUS-guided ablation and surveillance only for pancreatic cystic lesions: a propensity score–matching study (with videos)

Clip-and-line traction method for difficult ERCP cannulation due to choledochocoele

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Post written by Mark Henrik Bonnichsen, MBBS (Hon), from the Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore. We describe a case of a 77-year-old woman who underwent ERCP for choledocholithiasis and surveillance MRCP for an intraductal papillary mucinous neoplasm. MRCP also showed an incidental choledochocoele. At ERCP, the choledochocoele made visualization of the …

Continue reading Clip-and-line traction method for difficult ERCP cannulation due to choledochocoele

A challenging case of pancreaticogastric anastomotic stricture in a patient with surgically altered anatomy

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Post written by Yervant Ichkhanian, MD, from Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, and Internal Medicine, Henry Ford Hospital, Detroit, Michigan, USA. This was a case of a 64-year-old woman with a history of Roux-en-Y gastric bypass and a subsequent Whipple reconstruction with pancreatico-gastrostomy (PG) who presented to our center with a …

Continue reading A challenging case of pancreaticogastric anastomotic stricture in a patient with surgically altered anatomy

Use of an adapted bronchoscope for peroral endoscopic myotomy in a pediatric patient weighing less than 10 kg

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Post written by Carlos Robles-Medranda, MD, from the Instituto Ecuatoriano de Enfermedades Digestivas (IECED), Guayaquil, Ecuador. In this video case presentation, we illustrate a compelling clinical scenario involving an underweight 2-year-old girl who presented with a confirmed diagnosis of achalasia. In a noteworthy facet, parental refusal for surgical intervention prompted the consideration of an alternative endoscopic …

Continue reading Use of an adapted bronchoscope for peroral endoscopic myotomy in a pediatric patient weighing less than 10 kg

Aberrant placement of functional lumen imaging probe into mediastinum during peroral endoscopic myotomy

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Post written by Yusuke Fujiyoshi, MD, and Christopher Teshima, MD, MSc, PhD, from the Advanced Therapeutic Endoscopy Centre, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada. We experienced a peroral endoscopic myotomy (POEM) case in which the EndoFLIP (Medtronic, Inc, Shoreview, Minn, USA) catheter was inserted into the submucosal tunnel and inflated into the mediastinum, …

Continue reading Aberrant placement of functional lumen imaging probe into mediastinum during peroral endoscopic myotomy

Clinical outcomes and learning curve for ERCP during advanced endoscopy training: a comparison of supine versus prone positioning

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Post written by Danny Issa, MD, from UCLA, Los Angeles, California, USA. This study explores the clinical outcomes of ERCP in the supine versus prone patient position when performed by a trainee. Studies have reported variable outcomes of ERCP in each position. In the United States, the majority of ERCPs are performed in prone positions. Nevertheless, …

Continue reading Clinical outcomes and learning curve for ERCP during advanced endoscopy training: a comparison of supine versus prone positioning

Validation of a pre-endoscopy risk score for predicting the presence of gastric intestinal metaplasia in a U.S. population

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Post written by Mimi C. Tan, MD, MPH, from the Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA. Gastric cancer is thought to develop via a progression from gastric atrophy and gastric intestinal metaplasia (GIM) in the setting of Helicobacter pylori infection. Although several risk factors for GIM have …

Continue reading Validation of a pre-endoscopy risk score for predicting the presence of gastric intestinal metaplasia in a U.S. population