Endoscopic management of symptomatic walled-off omental fat necrosis

Post written by C. Roberto Simons-Linares, MD, and Prabhleen Chahal, MD, from the Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio. We describe a case a 57-year-old man with a history of neuroendocrine tumor of the pancreas status post-laparoscopic distal pancreatectomy and splenectomy that presented to us with severe abdominal pain and found …

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Lumen-apposing metal stent use to maintain a surgical anastomosis

Post written by Mohammed Barawi, MD, from the Division of Gastroenterology and Interventional Endoscopy, Ascension St John Hospital, Detroit, Michigan. In this video, we show the use of a lumen-opposing metal stent (AXIO stent) to maintain a stenosing gastroenterostomy in a patient with superior mesenteric artery syndrome. This video is meant to show one of …

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Safety of EUS-guided gallbladder drainage using a LAMS in patients requiring anticoagulation

Post written by Catherine Frakes Vozzo, DO, and Prabhleen Chahal, MD, from the Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio. The purpose of our case series was to assess the safety of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) in patients requiring chronic anticoagulation. EUS-GBD is performed to treat acute cholecystitis in patients who …

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Same-session endoscopic sleeve gastroplasty and transoral incisionless fundoplication

Post written by Reem Z. Sharaiha, MD, from the Division of Gastroenterology and Hepatology, New York-Presbyterian Hospital and Weill Cornell Medical Center, New York, New York. In this video we present a 63-year-old woman with class II obesity (BMI 36 kg/m 2 ), 236 lbs, proton-pump inhibitor (PPI)-responsive GERD, who was referred for further management …

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Endoscopic shield: barrier enclosure during the endoscopy to prevent aerosol droplets during the COVID-19 pandemic

Post written by Ryota Sagami, MD, from the Department of Gastroenterology, Oita San-ai Medical Center, Oita, Japan. This device is a plastic cube with sides of 45 centimeters. Four square plastic plates were glued together. With the patient in a left lateral position, the foot side and left side of the cube are open, and …

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Short-term outcomes of double versus single pyloromyotomy at peroral endoscopic pyloromyotomy in the treatment of gastroparesis

Post written by Qiang Cai, MD, PhD, from the Emory University School of Medicine, Division of Digestive Diseases, Atlanta, Georgia, USA. The focus of our study was to compare the short-term outcomes of double myotomy versus single myotomy at peroral endoscopic pyloromytomy in the treatment of gastroparesis. Peroral endoscopic pyloromytomy (POP or GPOEM) is a …

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Triaging advanced GI endoscopy procedures during the COVID-19 pandemic

Post written by Mohammad Bilal, MD, and Mandeep S. Sawhney, MD, MS, from the Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts. In anticipation of the surge of COVID-19 cases in the United States, the Surgeon General of the United States advised hospitals to cancel all elective procedures. …

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COVID-19 pandemic and personal protective equipment shortage: protective efficacy comparing masks and scientific methods for respirator reuse

Post written by Camilla Gallo, MD, from the Center for Endoscopi Research Therapeutics and Training, Università Cattolica del Sacro Cuore di Roma, Rome, Italy. The abrupt outbreak of COVID-19 led many healthcare systems almost to the collapse and to the shortage of personal protective equipment (PPE). Rational use and successful reuse of respirators can help …

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The safety and efficacy of 2% vitamin C solution spray for relief of mucosal irritation caused by Lugol chromoendoscopy

Post written by Duochen Jin, PhD, Jun Wang, MB, Qiang Zhan, MD, PhD, Keting Huang, MM, Hui Wang, MD, Guoqiang Zhang, MD, Yinghong Xu, MB, Jian Yao, MB, Rong Sun, MB, Qin Huang, MD, PhD, Feng Ye, PhD, and Guoxin Zhang, PhD, from the Department of Gastroenterology, First Affiliated Hospital of Nanjing Medical University, First …

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An organ-sparing approach: endoscopic submucosal hydrodissection followed by appendectomy to remove giant synchronous adenomas in a patient with prior left hemicolectomy

Post written by Felipe Ramos-Zabala, MD, PhD, from the Department of Gastroenterology, HM Montepríncipe University Hospital, HM Hospitales Group, Boadilla del Monte, and the Department of Clinical Sciences. School of Medicine, University of CEU San Pablo, Boadilla del Monte, Madrid, Spain. In this video case report, we present a patient  who had a previous left …

Continue reading An organ-sparing approach: endoscopic submucosal hydrodissection followed by appendectomy to remove giant synchronous adenomas in a patient with prior left hemicolectomy