Post written by Yugo Suzuki, MD, from the Department of Gastroenterology, Toranomon Hospital, Tokyo, Japan. This is the first report to show the utility and feasibility of removing surgical staples during endoscopic submucosal dissection (ESD) for residual gastric cancer in the remnant stomach. The surgical staples were removed using the Dual Knife, and we electrified …
Tag: gastrointestinal endoscopy
EUS-guided blood patch delivery during liver biopsy: nature’s gel foam
Post written by Kenneth J. Chang, MD, from the Digestive Health Institute, Chao Family Comprehensive Digestive Disease Center, University of California, Irvine. These are 2 cases of EUS-guided liver biopsy where there was active blood flow within the needle tract prior to needle withdrawal. After waiting 2-3 minutes, we saw persistent flow, raising concerns that …
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Switching the switch: endoscopic reversal of a biliopancreatic diversion
Post written by Manol Jovani, MD, MPH, from the Division of Gastroenterology and Hepatology, Johns Hopkins Hospital, Baltimore, Maryland. Biliopancreatic diversion (also known as duodenal switch) is a complex bariatric surgery that includes a sleeve gastrectomy and long Roux-en-Y intestinal bypass. This is a very effective surgery for weight loss, but it can be complicated …
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Extracorporeal rendezvous technique combining endoscopic retrograde pancreatography with endoscopic ultrasound for main pancreatic duct disconnection arising from acute necrotizing pancreatitis
Post written by Toshiyasu Shiratori, MD, from the Department of Gastroenterology, Kameda Medical Center, Kamogawa City, Japan. This video shows an endoscopic pancreatic duct drainage technique combining ERCP with EUS using a percutaneous drainage route for main pancreatic duct disconnection that was difficult to traverse through the disconnected segment using either ERCP- or EUS-guided approaches. …
Use of peroral cholangioscopy to screen for neoplastic bile duct lesions in patients with bile duct stones
Post written by Il Sang Shin, MD Jong Ho Moon, MD, PhD Yun Nah Lee, MD, PhD, from the Digestive Disease Center and Research Institute, Departments of Internal Medicine, SoonChunHyang University School of Medicine, Bucheon, Korea. Although cholangiocarcinoma (CCA) has very high mortality rates due to its late detection, satisfactory screening methods of CCA have …
Hybrid endoscopic submucosal dissection with novel helix tacking system for defect closure
Post written by Hiroyuki Aihara, MD, PhD, FASGE, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts. This case video demonstrates a hybrid endoscopic submucosal dissection (ESD) with a novel ESD knife, followed by mucosal defect closure using an innovative endoscopic helix tacking system. A 60-year-old man …
Endoscopic hemostatic spray for uncontrolled bleeding after complicated endoscopic mucosal resection or endoscopic submucosal dissection
Post written by Kayla M. Hartz, DO, from the Department of Internal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania. These are 2 cases in which hemostatic spray was used as a bail-out method for hemostasis when other standard methods failed. These cases show the value in using a hemostatic spray as …
Expert consensus on endoscopic papillectomy using a Delphi process
Post written by Jeska A. Fritzsche, MD, from the Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, Amsterdam Gastroenterology Endocrinology & Metabolism, Amsterdam, the Netherlands. The focus of our study was to assess the expected wide variety in daily practice of endoscopic papillectomy and to achieve further consensus among international experts by using a …
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EUS-guided ethanol ablation of metastatic functional insulinoma
Post written by Ahmed Altonbary, MD, FRCP, from the Department of Gastroenterology and Hepatology, Mansoura Specialized Medical Hospital, Mansoura University, Mansoura, Egypt. We describe a case of EUS-guided ethanol ablation (EA) of metastatic functional insulinoma in a young male with recurrent attacks of hypoglycemia requiring intravenous glucose infusion. Management of functioning pancreatic NETs is challenging; …
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A case of improved visibility with gel immersion in the presence of ongoing bleeding during colorectal endoscopic submucosal dissection
Post written by Takafumi Maruyama, MD, Takashi Murakami, MD, PhD, Yoichi Akazawa, MD, PhD, Tomoyoshi Shibuya, MD, PhD, and Akihito Nagahara, MD, PhD, from the Department of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan. Here, we present a case of improved visibility with gel immersion in the presence of ongoing bleeding during colorectal endoscopic …
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