Ryosuke Tonozuka, MD, from the Depatment of Gastroenterology and Hepatology at Tokyo Medical University in Tokyo, Japan discusses this New Methods article "EUS-guided drainage of hepatic abscess and infected biloma using short and long metal stents (with videos)." Refractory hepatic abscess (HA) and infected biloma (IBL), in which inflammation does not improve only by the …
Tag: GIE
Ruptured varix: tips to tackle the demon
Vishal Ghevariya, MD, from Eden Medical Center in Castro Valley, California, USA describes this video case "Ruptured varix: tips to tackle the demon." A 36-year-old man with alcohol induced liver cirrhosis presented with hematemesis. After initial resuscitation, an upper endoscopy was performed. Several columns of Grade III varices were noted in the esophagus. Two fibrin …
Editor’s Choice- When trainees reach competency in performing ERCP
Associate Editor, Douglas Adler, MD, highlights this article from the June issue of GIE--"When trainees reach competency in performing ERCP: a systematic review" by Drs Neal Shahidi, George Ou, Jennifer Telford, and Robert Enns. The article critically assesses papers that have looked at ERCP training and outcomes and shows that the more rigorously you define …
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Drainage of infected pancreatic necrosis
Amy Tyberg, MD, from Weill Cornell Medical College in New York, New York, USA shares this video case "Drainage of infected pancreatic necrosis by using 2 lumen-apposing metal stents, a nasocystic drain, and hydrogen peroxide." This case describes a 55-year-old man with an infected, 16cm walled-off necrotic pancreatic fluid collection. Standard cystgastrostomy into the proximal …
Pediatric therapeutic endoscopy
Christopher J. DiMaio, MD, FASGE from the Icahn School of Medicine at Mount Sinai in New York, New York, USA presents this VideoGIE case "Pediatric therapeutic endoscopy: endoscopic management of a congenital duodenal web." This video demonstrates a case of successful endoscopic management of a congential duodenal web in an 8-year-old girl who presented with …
“Unchaining” a stuck early gastric cancer
Andres Sanchez-Yague, MD, from Hospital Costa del Sol in Marbella, Spain shares this video case "'Unchaining' a stuck early gastric cancer by endoscopic submucosal dissection." A 67-year-old male with a past medical history of distal gastrectomy was diagnosed with a metachronous early gastric cancer at the cardia. The patient refused total gastrectomy and was referred to …
Transcutaneous endoscopic necrosectomy
Nikhil Kumta, MD, from Weill Cornell Medical College in New York, New York, USA presents this VideoGIE case "Cleaning the paracolic gutter: transcutaneous endoscopic necrosectomy through a fully covered metal esophageal stent." Transgastric endoscopic necrosectomy with nasocystic lavage is accepted as one of the standards of care for the management of walled-off necrosis secondary to …
Anchor technique to prevent stent migration
Truptesh H. Kothari MD, MS from the University of Rochester Medical Center in Rochester, New York, USA discusses this VideoGIE case "Anchor technique: prevention of intraluminal stent migration with the help of loop and clips." Our video describes one of the various methods to anchor the intraluminal stent from migration. A 50-year-old male with Roux-en-Y …
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EUS-guided pancreatic duct access and wire placement
Rajeev Attam, MD, from Kaiser Permanente, Downey, in Los Angeles, California, USA presents this video case "EUS-guided pancreatic duct access and wire placement to facilitate dorsal duct cannulation after failed ERCP." A 62-year-old woman was referred to us for management of recurrent pancreatitis in a setting of pancreatic divisum. Imaging confirmed pancreatic divisum and revealed mildly …
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Optical coherence tomography after POEM
Amy Tyberg, MD, from Weill Cornell Medical College in New York, New York, USA presents this video case "Endoscopic optical coherence tomography as a tool to evaluate successful myotomy after a peroral endoscopic myotomy." This case describes a 51-year-old woman with achalasia who underwent a per-oral endoscopic myotomy (POEM) with complete resolution of her symptoms …
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