Diagnostic yield and therapeutic impact of novel motorized spiral enteroscopy in small-bowel disorders

Post written by Mohan Ramchandani, MD, DM, from the Department of Gastroenterology, Asian Institute of Gastroenterology Hospitals, Hyderabad, India. The small bowel is long mobile organ in the peritoneum, which makes it difficult to be evaluated by conventional endoscopy. Deep enteroscopy (DE) is a cumbersome procedure; there are many shortcomings of balloon-assisted enteroscopy (BAE), which …

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Use of a rigidizing overtube to complete an incomplete colonoscopy

Post written by Mike T. Wei, MD, from Stanford University, Stanford, and Veterans Affairs Palo Alto, Palo Alto California. We present a case of a 64-year-old man with history of C5 spinal cord injury who presented for screening colonoscopy. Unfortunately, due to significant looping, the colonoscope was only able to reach the transverse colon. The colonoscope …

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Motorized spiral enteroscope-assisted retrieval of video capsule in a patient with Crohn’s disease

Post written by Mohan Ramchandani, MD, DM, from the Department of Medical Gastroenterology, AIG Hospitals, Hyderabad, Telangana, India. We describe a case of  young man with history of chronic kidney disease on maintenance hemodialysis. He underwent capsule endoscopy (CE) 6 months ago for evaluation of obscure occult gastrointestinal bleeding requiring multiple transfusions. CE revealed ileal stricture, …

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Blue rubber bleb nevus syndrome in a 10-year-old child treated with loop ligation facilitated by double-balloon enteroscopy

Post written by Edward J. Despott, MD, FRCP, FEBGH, FASGE, MD(Res), from the Royal Free Unit for Endoscopy, The Royal Free Hospital and University College London (UCL) Institute for Liver and Digestive Health, Hampstead, London, United Kingdom. This short video demonstrates the usefulness of loop ligation facilitated by double-balloon enteroscopy (DBE) for endotherapy of gastrointestinal …

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Surgical clip removal using short-type single-balloon enteroscope

Post written by Hideaki Koga, MD and Akio Katanuma, MD from the Center for Gastroenterology at Teine-Keijinkai Hospital in Sapporo, Japan. A 76-year-old man who underwent laparoscopic cholecystectomy (LC) and pancreaticoduodenectomy presented with repeated cholangitis. CT showed mild dilation of the bile duct with an enhancing wall, and the surgical clips after LC located near …

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Endoscopic management of malignant ileovesicular fistula

Toufic Kachaamy, MD, from the Western Regional Medical Center at Cancer Treatment Center of America, Goodyear, Arizona, USA, presents this video case "Successful endoscopic management of a malignant ileovesicular fistula." A 56-year-old man with history of metastatic colon cancer and prior treatment with subtotal colectomy, ileostomy, and multiple lines of chemotherapy presented with a few …

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ERCP for patients with postsurgical anatomy

Matheus Cavalcante Franco, MD, MSc, from the Cancer Institute of São Paulo, University of São Paulo, in São Paulo, Brazil shares this VideoGIE case, "ERCP with balloon-overtube–assisted enteroscopy in postsurgical anatomy." We reported a video case of a 59-year-old man, with past surgical history of partial gastrectomy with Roux-en-Y anastomosis due to peptic ulcer complication. …

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Enteroscopy

Shailendra Chauhan, MD, AGAF, FASGE, from the University of Florida College of Medicine, Division of Gastroenterology, Hepatology, and Nutriton in Gainesville, Florida, USA discusses this ASGE Technology committee document, "Enteroscopy." This document is an update to a previous ASGE Technology committee document titled "Enteroscopes." This document is a comprehensive technical review of currently available enteroscopy …

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Inverted frontal view method for bile duct cannulation

Hideaki Harada, MD, from the Department of Gastroenterology, New Tokyo Hospital, Chiba, Japan presents this VideoGIE case "Inverted frontal view method facilitates bile duct cannulation via the intact papilla in patients with Roux-en-Y anastomosis." An 85-year-old-man who had undergone total gastrectomy plus Roux-en-Y reconstruction was referred to our department with calculus-related cholangitis. We describe the …

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Editor’s Choice: Double-balloon enteroscopy in Crohn’s disease

GIE Associate Editor Dr. David Schwartz recommends this Original Article from the July issue, "Double-balloon enteroscopy in Crohn’s disease: findings and impact on management in a multicenter retrospective study" by Semrad et al.  In this article, the authors present a multicenter retrospective study looking at the impact of double balloon enteroscopy (DBE) in the management of …

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