Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. This video case describes a novel technique of peroral endoscopic myotomy (POEM) in a patient with recurrence of symptoms after Heller’s myotomy. In this case, we performed POEM by posterior route ie, 5 o’clock. After completing myotomy, we performed a …
Tag: gastrointestinal endoscopy
Wire-guided and endoscopic-guided transesophageal echocardiographic probe insertion
Post written by Shou-jiang Tang, MD, from the Division of Digestive Diseases and Division of Cardiology, Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi, USA. We report a 75 year-old-man with a large symptomatic Zenker's diverticulum (ZD, 4-5 cm in length) who also needed a Transesophageal echocardiography (TEE). We first performed a flexible …
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Making the transition from endoscopic submucosal dissection fellowship to independent practice
Post written by Phillip S. Ge, MD, from the Department of Gastroenterology, Hepatology, and Nutrition, The University of Texas, MD Anderson Cancer Center, Houston, Texas, USA. The video describes a 68-year-old male who underwent successful resection of a large near-circumferental laterally spreading tumor in the distal rectum. The lesion extended from within 1 mm from …
Outcomes of delayed endoscopic management for esophageal soft food impactions
Post written by Timothy Krill, MD, from the Department of Gastroenterology and Hepatology, University of Texas Medical Branch, Galveston, Texas, USA. The focus of this study was to evaluate rates of adverse events in esophageal soft food impactions relative to time to endoscopy. We compared differences in outcomes between those who underwent an EGD within …
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Bleeding malignant gastric ulcer: successful endoscopic hemostasis with an over-the-scope clip
Post written by João Carlos Silva, MD, Rolando Pinho, MD, from the Department of Gastroenterology, Centro Hospitalar Vila Nova de Gaia e Espinho, Porto, Portugal. We present a case of a 76-year-old male patient with medical history of Parkinson disease admitted to the ER for hematemesis. On EGD, an ulcerated neoformation with a large adherent …
Clinical importance of cold polypectomy during the insertion phase in the left side of the colon and rectum
Post written by Akira Teramoto, MD, from the Gastrointestinal Center, Sano Hospital, Kobe, Japan. We believe that all endoscopists are very familiar with this situation; small polyps are identified during insertion phase of colonoscopy without having any intention to search for them. The clinical question, whether we should resect now or later, seems to be …
Introducing computer-aided detection to the endoscopy suite
Post written by Jeremy R. Glissen Brown, MD, from the Center for Advanced Endoscopy, Division of Gastroenterology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. In this issue of VideoGIE, we are excited to present a video primer that outlines a computer-aided detection (CADe) system that we have applied prospectively during screening …
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Effect of individualized feedback on learning curves in EGD and colonoscopy
Post written by Samuel Han, MD, MSCS, and Sachin Wani, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. In this study, we aimed to perform a multicenter, randomized, controlled trial examining the effect of individualized feedback on learning curves in EGD and colonoscopy among GI fellows. …
Continue reading Effect of individualized feedback on learning curves in EGD and colonoscopy
Peroral endoscopic myotomy in a patient with failed Heller’s myotomy by use of a novel bipolar radiofrequency device
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this video, we demonstrated the use of a new bipolar knife for peroral endoscopic myotomy (POEM) in a case with previous Heller’s myotomy. This knife uses radiofrequency energy for dissection and microwave energy for coagulation. The technique of POEM …
Comparison of smear cytology and liquid-based cytology in EUS-guided FNA of pancreatic lesions
Post written by Kai-xuan Wang, MD, PhD, from the Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China. The objective of this article was to compare the diagnostic efficacy of liquid-based cytology (LBC) and smear cytology (SC) in diagnosing solid pancreatic lesions. The diagnostic efficacy of SC and LBC for cytological samples obtained …
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