Post written by Carlos Robles-Medranda, MD, from the Instituto Ecuatoriano de Enfermedades Digestivas (IECED), Guayaquil, Ecuador. In this video case presentation, we illustrate a compelling clinical scenario involving an underweight 2-year-old girl who presented with a confirmed diagnosis of achalasia. In a noteworthy facet, parental refusal for surgical intervention prompted the consideration of an alternative endoscopic …
Tag: gastrointestinal endoscopy
Aberrant placement of functional lumen imaging probe into mediastinum during peroral endoscopic myotomy
Post written by Yusuke Fujiyoshi, MD, and Christopher Teshima, MD, MSc, PhD, from the Advanced Therapeutic Endoscopy Centre, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada. We experienced a peroral endoscopic myotomy (POEM) case in which the EndoFLIP (Medtronic, Inc, Shoreview, Minn, USA) catheter was inserted into the submucosal tunnel and inflated into the mediastinum, …
Clinical outcomes and learning curve for ERCP during advanced endoscopy training: a comparison of supine versus prone positioning
Post written by Danny Issa, MD, from UCLA, Los Angeles, California, USA. This study explores the clinical outcomes of ERCP in the supine versus prone patient position when performed by a trainee. Studies have reported variable outcomes of ERCP in each position. In the United States, the majority of ERCPs are performed in prone positions. Nevertheless, …
Validation of a pre-endoscopy risk score for predicting the presence of gastric intestinal metaplasia in a U.S. population
Post written by Mimi C. Tan, MD, MPH, from the Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA. Gastric cancer is thought to develop via a progression from gastric atrophy and gastric intestinal metaplasia (GIM) in the setting of Helicobacter pylori infection. Although several risk factors for GIM have …
A successful case of an endoscopic submucosal dissection using a combination of the pocket-creation method and traction with a spring-and-loop with clip for early gastric cancer with severe ulcer scarring
Post written by Fumisato Sasaki, MD, PhD, from Digestive and Lifestyle Diseases, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan. The pocket-creation method (PCM) has been reported as a useful method in endoscopic submucosal dissection (ESD). On the other hand, the spring-and-loop with clip (S-O clip; Zeon Medical, Tokyo, Japan) is a useful …
Maximizing limited space: usefulness of percutaneous cricothyrotomy and super-soft hood for hypopharyngeal endoscopic submucosal dissection
Post written by Marc Julius H. Navarro, MD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan, the Institute of Digestive and Liver Diseases, St. Luke’s Medical Center, Quezon City, and the Section of Gastroenterology, Department of Medicine, Makati Medical Center, Makati City, Philippines. In this video, we present a case of en …
Long-term outcome of cervical lymph node metastasis in superficial pharyngeal squamous cell carcinoma after endoscopic submucosal dissection
Post written by Daisuke Kikuchi, MD, PhD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. We evaluated the risk factors of cervical lymph node metastasis (LNM) in 331 patients with superficial pharyngeal squamous cell carcinoma (PSCC) without a history of chemoradiotherapy for PSCC who underwent endoscopic submucosal dissection (ESD) at Toranomon Hospital in Tokyo, Japan. …
New US capsule endoscopy for superficial and submucosal imaging of the esophagus: the first-in-human study
Post written by Zhuan Liao, MD, from the National Clinical Research Center for Digestive Diseases, Department of Gastroenterology, Changhai Hospital, Naval Medical University, Shanghai, China. This study aimed to assess the feasibility and safety of the US capsule endoscopy (USCE) system. EUS is essential in diagnosing and staging esophageal subepithelial lesions and tumors. However, EUS is …
Endoscopically guided sutured gastropexy: a novel treatment of gastric volvulus
Post written by Sanjhai L. Ramdeen, MD, from the Department of Minimally Invasive Surgery, and GIE Senior Associate Editor David L. Diehl, MD, FASGE, from the Department of Gastroenterology, Geisinger Medical Center, Danville, Pennsylvania, USA. Our recent VideoGIE publication describes a minimally invasive technique for treating gastric volvulus that involved teamwork between the gastroenterology and minimally …
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Improvised dual lumen nasojejunal feeding tube with gastric decompression
Post written by Justin Ryan L. Tan, MD, from Chinese General Hospital and Medical Center, Manila, Philippines. Gastric outlet obstruction (GOO) is an incapacitating condition in which the patient becomes malnourished while constantly being at risk of aspiration. A dual lumen nasojejunal tube allows simultaneous postpyloric feeding and drainage of the obstructed proximal segment. The paucity …
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