Herbert C. Wolfsen, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA describes this video case "Incarcerated, retroflexed endoscope associated with a paraesophageal hernia." An elderly woman underwent upper endoscopy in our ASC to evaluate GERD symptoms and dysphagia in setting of PEH. Unfortunately, the endoscope could not be easily passed …
Continue reading Incarcerated, retroflexed endoscope associated with a paraesophageal hernia
Matjaž Homa, MD, PhD from The Children’s Hospital at the University Medical Centre of Ljubljana in Ljubljana, Slovenia discusses "Randomized, double-blind trial of CO2 versus air insufflation in children undergoing colonoscopy." The focus of this study was to prove for the first time in children that CO2 insufflation during endoscopy is better and associated with …
Continue reading CO2 vs air insufflation during colonoscopy in children
Tadahisa Inoue, MD, from the Department of Gastroenterology, Gifu Prefectural Tajimi Hospital, in Tajimi, Japan discusses this Original Article "Long-term outcomes of endoscopic gallbladder stenting in high-risk surgical patients with calculous cholecystitis (with videos)." The focus of this study was to evaluate the long-term outcomes associated with endoscopic gallbladder stenting (EGBS). Cholecystectomy is a fundamental …
George B. Saffouri, MD, and Louis M. Wong Kee Song, MD, FASGE, from the Division of Gastroenterology and Hepatology, Mayo Clinic, in Rochester, Minnesota, USA share this VideoGIE case "Burn and anchor: a novel food impaction retrieval technique." Both video cases demonstrate challenging, meaty food impactions with patients unable to manage their secretions. Standard push …
Kenichiro Imai, MD from the Division of Endoscopy, Shizuoka Cancer Center in Shizuoka, Japan discusses "Preoperative indicators of failure of en bloc resection or perforation in colorectal endoscopic submucosal dissection: implications for lesion stratification by technical difficulties during stepwise training." This study assessed predictors for failure of en bloc resection and perforation in colorectal endoscopic …
Suryaprakash Bhandari, MD, from the Baldota Institute of Digestive Sciences, Global Hospitals, in Mumbai, India, shares this VideoGIE case "Single-operator cholangioscopy-guided holmium laser lithotripsy: the new-age 'rescue' lithotripsy." A 40-year-old woman with a large bile duct (BD) stone was referred for ERCP. Cholangiography revealed a dilated BD with a single large stone within the relative narrowing of the …
Caroline Jouhourian, MD from Tufts Medical Center in Boston, Massachusetts, USA discusses "Abdominal compression during endoscopy (the Bolster technique) demonstrates hidden Schatzki rings (with videos)." Our focus was to look at means to increase the detection rate of Schatzki rings from an endoscopic approach. Literature has shown that radiographic studies such as Barium swallow studies …
Continue reading Bolster technique demonstrates hidden Schatzki rings
Austin L. Chiang, MD, from Brigham and Women’s Hospital in Boston, Massachusetts, USA, presents this video case "Combined Mirizzi syndrome with Bouveret syndrome." An 87-year-old man initially presented with hematemesis and was found on CT scan to have a large gallstone in the duodenum with a possible cholecystoduodenal fistula, both of which were also noted on …
Continue reading Combined Mirizzi syndrome with Bouveret syndrome
Parakkal Deepak, MBBS, from the Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, in Rochester, Minnesota, USA discusses "Incremental diagnostic yield of chromoendoscopy and outcomes in inflammatory bowel disease patients with a history of colorectal dysplasia on white-light endoscopy." The focus of our study was to evaluate whether initial and subsequent chromoendoscopy (CE) …
Continue reading Incremental diagnostic yield of chromoendoscopy in IBD
James T. Kwiatt, MD, from GI Associates, LLC in Wauwatosa, Wisconsin, USA shares this video case "Successful removal of an esophageal band causing complete esophageal obstruction after variceal ligation." A patient was sent to our facility after having adverse events from an EGD with band ligation of esophageal varices. During the procedure the patient was …
