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, "Salvage posterior peroral endoscopic myotomy." Peroral endoscopic myotomy (POEM) is a highly efficacious endoscopic treatment for achalasia. In this video, we present a patient who had an incomplete clinical …
Tag: gastrointestinal endoscopy
Tamponade of a bleeding pseudocyst
Amy Tyberg, MD from Weill Cornell Medical College in New York, New York, USA presents this video case, "Tamponade of a bleeding pseudocyst with a fully covered metal stent." This video describes a case of an endoscopic-ultrasound (EUS) guided pseudocyst drainage that was complicated by bleeding into the cyst cavity seen on EUS imaging. The …
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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Pancreatic necrosectomy using lumen-apposing stent
Amy Tyberg, MD from Weill Cornell Medical College in New York, New York, USA presents this video case, "Pancreatic Necrosectomy when using a Lumen-Apposing Metal Stent." This video describes a case of a patient with pancreatic walled-off necrosis who failed endoscopic drainage using plastic pigtail stents and subsequently underwent successful endoscopic drainage with a fully-covered, …
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Bypassing the bypass
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, "Bypassing the bypass: EUS-directed transgastric ERCP for Roux-en-Y anatomy." Patients with altered anatomy from a Roux-en-Y gastric bypass pose distinct challenges to performing endoscopic retrograde cholangiopancreatography (ERCP). In this …
Successful EMR of large adenoma
Ryan Law, DO from the Department of Gastroenterology and Hepatology at Northwestern University Feinberg School of Medicine in Chicago, Illinois, USA shares this case from the VideoGIE section "Prevention of delayed perforation after resection of a massive lateral wall duodenal polyp by using an anchored, fully-covered self-expandable metal stent." This video demonstrates successful endoscopic mucosal …
Cholecystogastrostomy using novel anastomotic stent
Amy Tyberg, MD from Weill Cornell Medical College in New York, New York, USA presents this video case, "Conversion of a percutaneous cholecystotomy tube into an internal cholecystogastrostomy by use of a novel anastomotic stent." This video describes a case of a patient with chronic cholecystitis who was deemed not a surgical candidate and underwent …
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Transoral incisionless fundoplication
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, "Transoral incisionless fundoplication for treatment of refractory GERD after peroral endoscopic myotomy." Medical management of gastroesophageal reflux disease with proton pump inhibitors is effective in 70-80% of patients. For …
Post-ERCP pancreatitis
Yousuke Nakai, MD, PhD from the Department of Gastroenterology, Graduate School of Medicine at The University of Tokyo in Tokyo, Japan discusses his Original Article, "Risk factors for post-ERCP pancreatitis in wire-guided cannulation for therapeutic biliary ERCP." This study was an analysis of risk factors for post-ERCP pancreatitis (PEP) in wire-guided cannulation (WGC) for therapeutic …
Reintervention for an occluded metal stent
Tsukasa Ikeura, MD, PhD from the Third Department of Internal Medicine, Kansai Medical University, in Osaka, Japan shares this video case from the VideoGIE section, "Reintervention for an occluded metal stent under the guidance of peroral direct cholangioscopy by using an ultra-slim enteroscope." A patient who had undergone partial gastrectomy with Roux-en-Y gastrojejunostomy for gastric …
