Cryotherapy for removal of an embedded, partially covered esophageal stent

Post written by Aman Deep, MD, from the Department of Nephrology, Asante Rogue Regional Medical Center, Medford, Oregon, USA. Esophageal stents are used to relieve obstruction in diverse benign and malignant esophageal conditions. However, excessive granulation tissue may make the removal of such stents challenging, and it increases the risk of adverse events such as bleeding …

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Endoscopic removal of a retained esophageal stent using the stent-in-stent technique

Post written by Jose Antonio Navarro Almario, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland, USA. In this video, we demonstrate the use of the stent-in-stent technique to extract a retained esophageal stent.      The formation of granulation tissue secondary to placement of an esophageal stent is common and can serve …

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Helix tack suspension for esophageal stent fixation

Post written by Roberto P. Trasolini, MD, MSc, from the Center for Advanced Endoscopy, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. We describe and demonstrate a technique for esophageal stent fixation using through-the-scope (TTS) suturing, a new technique that makes use of helix tacks connected by a 3-0 polypropylene suture …

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Esophageal stent for treatment of choledocholithiasis

Post written by Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, New York, USA This case describes an elderly patient post-cholecystectomy with a markedly dilated bile duct and significant, persistent stone burden despite standard stone extraction techniques who ultimately achieved bile duct clearance with placement of a …

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Prediction of adverse events after esophageal stent placement

Lorenzo Fuccio, MD, from the Department of Medical and Surgical Sciences, S.Orsola-Malpighi University Hospital, in Bologna, Italy discusses this Original Article, "Development of a prediction model of adverse events after stent placement for esophageal cancer." We conducted a retrospective analysis of a large database including 267 patients with dysphagia owing to esophageal cancer and treated …

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Endoscopic reversal of gastric bypass

Saowanee Ngamruengphong, MD, from the Department of Medicine and Division of Gastroenterology and Hepatology at the Johns Hopkins Medical Institution in Baltimore, Maryland, USA describes this VideoGIE case, "Endoscopic reversal of gastric bypass for severe malnutrition after Roux-en-Y gastric bypass surgery." A 38-year-old woman who had undergone Roux-en-Y gastric bypass surgery was admitted with ongoing …

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Transcutaneous endoscopic necrosectomy

Nikhil Kumta, MD, from Weill Cornell Medical College in New York, New York, USA presents this VideoGIE case "Cleaning the paracolic gutter: transcutaneous endoscopic necrosectomy through a fully covered metal esophageal stent." Transgastric endoscopic necrosectomy with nasocystic lavage is accepted as one of the standards of care for the management of walled-off necrosis secondary to …

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Hemorrhagic pancreatic necrosis drainage

Prashant Kedia, MD from the Division of Gastroenterology and Hepatology, Weill Cornell Medical College at Cornell University in New York, New York, USA shares this video case "Hemorrhagic pancreatic necrosis drainage by using an esophageal stent." This video highlights the case of a patient with infected hemorrhagic pancreatic necrosis treated with endoscopic debridement through a …

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Endoscopic necrosectomy

Nikhil A. Kumta, MD from the Division of Gastroenterology and Hepatology at Weill Cornell Medical College in New York, New York, USA presents this video case, "Endoscopic necrosectomy by using a transgastric fully covered esophageal metal stent." Infected walled off pancreatic necrosis is an adverse event of pancreatitis requiring drainage and debridement for definitive management. …

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Endoscopic resection of giant esophageal leiomyoma

Vivek Kumbhari, MD from the Department of Medicine and Division of Gastroenterology and Hepatology at Johns Hopkins Medical Institutions in Baltimore, Maryland, USA presents this video case "Submucosal tunneling endoscopic resection of a giant esophageal leiomyoma." A 53-year-old woman presented for evaluation of a 2-month history of progressive dysphagia and chest pain. A chest CT …

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