Post written by Yohei Yabuuchi, MD, and Kenichiro Imai, MD, from the Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan. Recently, cold-snare endoscopic mucosal resection (EMR), which combines submucosal injection and cold-snare polypectomy, has been adapted in a piecemeal fashion as a safe and effective procedure for colorectal polyps of 10 mm or more. However, …
Tag: gastrointestinal endoscopy
Water-pocket endoscopic submucosal dissection of an early esophageal adenocarcinoma in a patient with portal hypertension and varices
Post written by Lovekirat Dhaliwal, MBBS, and Prasad G. Iyer, MD MSc, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota. A 65-year-old man with alcohol-related liver disease and COPD was recently diagnosed with esophageal adenocarcinoma on a background of varices. EUS demonstrated a 2-cm hypoechoic mass invading into deep mucosa. PET-CT scan …
Loop combined endoscopic clip and cyanoacrylate injection to treat severe gastric varices with spleno-renal shunt
Post written by Ping Li, MD, from the Department of Gastroenterology and Hepatology, Beijing Ditan Hospital, Capital Medical University, Beijing, China. We employed a new method to obstruct severely isolated gastric varices with a massive spleno-renal shunt and to reduce embolic risk. This novel method did not only successfully prevent recurrent hemorrhage but also reduced …
Steroid injection and polyglycolic acid shielding to prevent stricture after esophageal ESD
Post written by Yoshiki Sakaguchi, MD, PhD, and Yosuke Tsuji, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. Postoperative stricture is a severe adverse event, which frequently occurs after resection of over 3/4 the circumference of the esophagus and may require treatment over a long period …
A recurrent lesion with severe fibrosis of colorectal ESD using the combination of pocket-creation method and traction device
Post written by Naohisa Yoshida, MD, PhD, from the Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan. Colorectal endoscopic submucosal dissection (ESD) is spreading in the world, but there are still several problems such as poor manipulation, breathing movement, severe fibrosis, and long procedure time. …
Successful resection of a giant pedunculated pharyngeal liposarcoma by ESD with countertraction using grasping forceps
Post written by Hayato Yamaguchi, MD, PhD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Our video case describes successful resection of a giant pedunculated pharyngeal liposarcoma in the esophagus by endoscopic submucosal dissection using grasping forceps. Hypopharyngeal and esophageal liposarcomas are very rare, and these tumors are mainly diagnosed as …
High-resolution manometry–guided endoscopic myotomy in a case with jackhammer esophagus
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video case, we demonstrated the technique of peroral endoscopic myotomy (POEM) in a case with Jackhammer esophagus. The highlight of the video is the selection of the appropriate length of esophageal myotomy using high-resolution esophageal manometry. The point …
Use of a rigidizing overtube for altered-anatomy ERCP
Post written by Mike Tzuhen Wei, MD, from Stanford University, Stanford, and Veterans Affairs Palo Alto, Palo Alto, California. We present 2 cases in which the rigidizing overtube was used to facilitate performance of altered-anatomy ERCP. In the first case, a 53-year-old woman with history of Roux-en-Y hepaticojejunostomy presented for management of intrahepatic stones. Interventional …
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Endoluminal vacuum therapy in the management of a large gastrobronchial fistula
Post written by Sarah Durbin, BS, Jose Luis Aranez, MD, and Robert Jay Sealock, MD, from the Baylor College of Medicine, Houston, Texas. The case details a patient with a distant history of esophagectomy with gastric conduit that presented with a large gastrobronchial fistula resulting in necrotizing pneumonia. The patient was not an immediate candidate …
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Percutaneous- and EUS-guided gastroenterostomy for malignant afferent limb syndrome
Post written by Dayyan Adoor, MD, and Zachary L. Smith, DO, from the Department of Internal Medicine and the Division of Gastroenterology and Liver Disease, University Hospitals Cleveland Medical Center, Cleveland, Ohio. A 66-year-old woman with poorly-differentiated pancreatic adenocarcinoma underwent a Whipple that was complicated by a biliary leak requiring placement of an internal external …
Continue reading Percutaneous- and EUS-guided gastroenterostomy for malignant afferent limb syndrome
