Post written by Carlos Robles-Medranda, MD, from the Instituto Ecuatoriano de Enfermedades Digestivas (IECED), Guayaquil, Ecuador. We present a case study of an unilocular collection in the sixth segment of the liver that persisted after treatment with broad-spectrum antibiotic therapy. Because of comorbidities, full-dose anticoagulation, and high cardiovascular, surgical, and bleeding risks of percutaneous drainage, the …
Tag: Endoscopy
Troubleshooting impaction of a pancreatoscopy-guided retrieval basket during pancreatic duct stone removal
Post written by Samuel Han, MD, MS, from The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. We describe a case of pancreatoscopy-guided removal of a pancreatic duct stone. As electrohydraulic lithotripsy (EHL) was unsuccessful in fragmenting the large pancreatic duct stone, we used a cholangiopancreatoscopy-specific basket device to capture the stone. During removal of …
Cold snare versus cold forceps polypectomy for endoscopic resection of diminutive polyps: meta-analysis of randomized controlled trials
Post written by Faisal Kamal, MD, from Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. In this study, our focus was to compare cold snare polypectomy with cold forceps polypectomy for endoscopic resection of diminutive colorectal polyps by conducting a meta-analysis of randomized controlled trials. The practices for resection of diminutive colorectal polyps vary among endoscopists. The …
Comparing clinical success and procedural difficulty between treatment-naïve and treatment-refractory patients with esophageal motility disorders during peroral endoscopic myotomy
Post written by Raymond E. Kim, MD, from the University of Maryland School of Medicine, Baltimore, MD, USA. The primary focus of our study was to compare the difficulty and success rate of peroral endoscopic myotomy (POEM) in treatment-naïve cases versus treatment-refractory patients with esophageal motility disorders. There is a prevailing belief that treatment-refractory cases, which …
Intra-ampullary papillary-tubular neoplasm
Post written by Sooraj Tejaswi, MD, MSPH, FASGE, from the University of California Davis School of Medicine, Sacramento, California, and Texas Digestive Disease Consultants, The Woodlands, Texas, USA. A 63-year-old woman had incidentally noted abnormal liver test results with transaminitis (aspartate aminotransferase 104 U/L, alanine transaminase 233 U/L), elevated alkaline phosphatase (290 U/L), and mild hyperbilirubinemia (total …
Prospective multicenter assessment of the impact of EUS-guided gastroenterostomy on patient quality of life in unresectable malignant gastric outlet obstruction
Post written by Manuel Pérez-Miranda, MD, PhD, from the Gastroenterology Department, Hospital Universitario Río Hortega, Valladolid, Spain. Our study focuses on the short-term impact of EUS-guided gastroenterostomy (EUS-GE) on quality of life (QoL) in patients with malignant gastric outlet obstruction (GOO). Available EUS-GE case series rely on the achievement of a full diet or reintervention rates …
Endoscopic lithotripsy of a gallstone impacted in lumen-apposing metal stent positioned for cholecysto-gastrostomy
Post written by Mauro Manno, MD, from the Gastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, Carpi, Italy. EUS-guided gallbladder drainage with a lumen-apposing metal stent (LAMS) is a viable treatment option for acute cholecystitis and an alternative to cholecystectomy in patients at high risk for surgery. However, recurrent acute cholecystitis with stone impaction in the LAMS can …
Double-balloon enteroscopy with EUS-guided rendezvous for failed cannulation in patients with history of Roux-en-Y gastric bypass
Post written by Kambiz S. Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe 2 patients with Roux-en-Y gastric bypass (RYGB) who underwent double-balloon enteroscopy—assisted ERCP (DBE-ERCP) for the management of pancreatolithiasis and choledocholithiasis. After reaching the ampulla, deep cannulation of the bile duct could not be achieved using the enteroscope. …
Circumferential endoscopic submucosal dissection of distal rectal polyp in a patient with portal hypertension complicated by bowel obstruction
Post written by Siddharth B. Javia, MD, from Confluence Health, Wenatchee, Washington, USA. Our video demonstrates a technique for circumferential endoscopic submucosal dissection (ESD) without using any traction accessories. This was performed in a patient who had significant scarring from Crohn’s colitis and portal hypertension with large blood vessels in the submucosa, which made ESD challenging. …
Exposed versus nonexposed endoscopic full-thickness resection for duodenal subepithelial lesions: a tertiary care center experience (with videos)
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this study, the feasibility and safety of exposed versus nonexposed endoscopic full-thickness resection (EFTR) in patients with large (≥10 mm) duodenal subepithelial lesions were evaluated. Exposed EFTR was performed using a conventional electrosurgical knife, and the ensuing full-thickness defect was …
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