The Double-Max method: a novel method for gallbladder epithelial biopsy

Post written by Masanori Kobayashi, MD, PhD, from the Department of Gastroenterology and Hepatology, Tokyo Medical and Dental University (TMDU), Tokyo, Japan. Our work published in the May 2022 issue of VideoGIE describes a novel method for mapping biopsy for perihilar cholangiocarcinoma in which the external sheath of the CytomaxII double-lumen biliary cytology brush (Cook Medical, …

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Technique of straightening the guidewire using a balloon catheter for successful endoscopic transpapillary gallbladder stenting

Post written by Kazunari Nakahara, MD, PhD, from the Department of Gastroenterology and Hepatology, St. Marianna University, School of Medicine, Kawasaki, Japan. We present a case of successful endoscopic transpapillary gallbladder stenting (EGBS) via straightening of the guidewire that looped in the neck of the gallbladder using a stone retrieval balloon catheter. A 76-year-old woman …

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Transpapillary gallbladder stent placement for long-term therapy of acute cholecystitis

Post written by Andrew C. Storm, MD, from the Division of Gastroenterology & Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Acute cholecystitis (AC) is a common disease, and while gallbladder removal surgery is one of the most commonly performed operations, some patients are not candidates for surgery. Left untreated, patients with AC can develop gangrene and gallbladder perforation, …

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Endoscopic transpapillary gallbladder stent placement in the presence of uncovered biliary metal stents using a through-the-mesh technique

Post written by Kazunari Nakahara, MD, PhD, from the Department of Gastroenterology and Hepatology, St. Marianna University, School of Medicine, Kawasaki, Japan. We describe a case of a successful endoscopic transpapillary gallbladder drainage (ETGBD) performed through the mesh of previously placed double biliary uncovered self-expandable metal stents (SEMSs) that overlapped the orifice of the cystic …

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In “hot” pursuit of an evasive gallbladder

Post written by Lady Katherine Mejia Perez, MD, and Victoria Gomez, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida. We report an interesting case of a 75-year-old woman with decompensated cirrhosis with recurrent calculous cholecystitis who was being managed with an indwelling percutaneous cholecystostomy tube (PCT) due to poor surgical candidacy. …

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Single-step EUS-guided stent puncture and delivery

Anthony Yuen Bun Teoh, FRCSEd (Gen) from the Department of Surgery at the Prince of Wales Hospital at the Chinese University of Hong Kong in Hong Kong SAR, China shares this video case from the VideoGIE section "Single-step EUS-guided puncture and delivery of a lumen-apposing stent for gallbladder drainage using a novel cautery-tipped stent delivery system." …

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